Citation

Parenteau M, Chen CJ, Luna-García B, Del Pilar Asmat M, Rielly A, Kales SN. Int. J. Occup. Safety Ergonomics 2022; ePub(ePub): ePub.

Copyright

(Copyright © 2022, Centralny Instytut Ochrony Pracy - Państwowy Instytut Badawczy, Publisher Informa - Taylor and Francis Group)

DOI

10.1080/10803548.2022.2075639

PMID

35535523

Abstract

This study updates the prevalence of operator fatigue as a causative factor in accidents investigated by the National Transportation Safety Board (NTSB) and the associated injury severity in fatigue-related accidents. 394 investigations were analyzed and 12% of them were identified fatigue. The prevalence of fatigue varied among the transportation modes, ranging from 28% of aviation to 7% of marine. Most fatigue-related accidents (48%) occurred during late night or morning. Compared to non-fatigued operators, fatigued operators were more involved in severe or fatal injuries (odds ratio (OR)  =  2.30; 95% confidence interval (CI) [1.66, 2.95]) and to injure non-operators (OR = 3.32; 95% CI [2.70, 3.95]). Obstructive sleep apnea (OSA) was identified as a probable cause, contributing cause, or finding in 15% of fatigued-related accidents, and 85.7% of these accidents, the operator met OSA screening criteria. Thus, opportunities remain for preventing fatigue-related accidents, including through more systematic operator screening for OSA.

Language: en

Keywords

Injury severity; Time of day; Fatigue; Transportation safety; NTSB; OSA