ArticleBMC public health2020
The impact of sleep deprivation and alcohol on driving: a comparative study.
Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- The prevalence and effect of poor sleep amongst paramedics: a systematic review.Occupational medicine (Oxford, England) · 2025Pooled it
- Sleepless in Society: Introducing the Concept of Public Sleep.Clocks & sleep · 2026Article
- The intervention effect of caffeine oral tablets on mental fatigue induced by nap deprivation: based on assessments of heart rate variability, cognitive performance and subjective fatigue-a pilot study.Frontiers in public health · 2026Article
- Measurement Considerations for Alcohol Use Consequences: Differentiating Negative Events from Alcohol-Related Consequences and Comparing Frequency of Occurrence.Substance use & misuse · 2026Article
- From Concept to Representation: Modeling Driving Capability and Task Demand with a Multimodal Large Language Model.Sensors (Basel, Switzerland) · 2025Article
- 'It's Already Hard and It's Nearing Impossible': A Thematic Analysis of Submissions by Rural Veterinarians to the NSW Parliamentary Inquiry into the Veterinary Workforce Shortage.Veterinary sciences · 2025Article
- Extended wakefulness alters the relationship between EEG oscillations and performance in a sustained attention task.Journal of sleep research · 2024Article
- Risky behaviors and road safety: An exploration of age and gender influences on road accident rates.PloS one · 2024Article
- Sleep as a familial and communal matter: a qualitative study of social norms around sleep health in Israel.BMC public health · 2023Article
- The Effect of Partial Sleep Deprivation and Time-on-Task on Young Drivers' Subjective and Objective Sleepiness.International journal of environmental research and public health · 2023Article
- Factors Associated with Fatigued Driving among Australian Truck Drivers: A Cross-Sectional Study.International journal of environmental research and public health · 2023Article
- Time of day, time of sleep, and time on task effects on sleepiness and cognitive performance of bus drivers.Sleep & breathing = Schlaf & Atmung · 2022Article
- The effect of time on task, sleep deprivation, and time of day on simulated driving performance.Sleep · 2022Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is concern about the detrimental effects of shift-workers' increasing working hours particularly when driving sleep deprived. The approach to measuring the magnitude of driving impairment caused by sleep deprivation was by comparing it to alcohol. The study compared driving performance after 24-h of wakefulness to performance with a BrAC of just over 22 μg/100mls of breath which is equal to 50 mg of alcohol per 100mls of blood (Scottish drink-drive limit). The effectiveness of coffee as a countermeasure for driver fatigue and the association between subjective impairment and actual performance was also investigated.
methodsA study of 30 participants (11 male and 19 female; mean age 21) was conducted. Subjects were tested under three conditions: fully rested, sleep deprived, and alcohol intoxicated - BrAC mean [SD] 25.95 μg [2.78]. Under each condition, subjects were tested before and after coffee ingestion. This involved driving simulation (Lane Change Task and Reaction Test) and subjective Likert scales (Karolinska Sleepiness Scale and driver impairment scale). Outcome measures included lane tracking adaptive mean deviation, reaction time, and subjective sleepiness and impairment ratings.
resultsCompared to alcohol, sleep deprived mean reaction times were slower (2.86 s vs. 2.34 s) and lateral control of the vehicle was reduced (lane tracking adaptive mean deviation: 0.5 vs. 0.3). Coffee did not produce an improvement when sleep deprived, and instead, performance deteriorated. Females were less impaired following sleep deprivation than males. Following prolonged wakefulness, the correlation between subjective impairment and actual performance was significant.
conclusionsIt was concluded that sleep deprivation has a greater impact on driving performance than a BrAC of 22 μg/100mls of breath, as measured by driving simulation. Coffee is not an effective countermeasure for sleep deprived driving and drivers' ability to judge this impairment is suggested to be limited.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.