@article{ref1,
title="Truck collisions attributed to falling asleep at the wheel in two commercial drivers prescribed oral appliance therapy for obstructive sleep apnea",
journal="Journal of clinical sleep medicine",
year="2023",
author="Kumagai, Hajime and Tsuda, Hiroko and Kawaguchi, Kengo and Sawatari, Hiroyuki and Kiyohara, Yuka and Konishi, Noriyuki and Taniyama, Yukari and Takaoka, Toshio and Shiomi, Toshiaki",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Falling asleep at the wheel is attributed to sleepiness, and obstructive sleep apnea (OSA) is a significant cause of sleepiness that increases the risk of motor vehicle collisions (MVCs) due to falling asleep at the wheel. Although continuous positive airway pressure therapy for OSA reduces the risk of MVCs, similar evidence for alternatives such as oral appliance therapy (OAT) is lacking. We discuss two truck collisions attributed to microsleep confirmed with dashcam video footage of commercial drivers with OSA. Our results highlight the current situation where there is insufficient evidence for the prevention and reduction of the risk of MVCs by OAT, objective adherence monitoring of OAT, and effectiveness confirmation tests. Therefore, it is suggested that for commercial truck drivers who require a high level of driving safety, careful selection for OAT, systematic follow-up, and monitoring of the driver and truck status with dashcam video footage are crucial.<p /> <p>Language: en</p>",
language="en",
issn="1550-9389",
doi="10.5664/jcsm.10758",
url="http://dx.doi.org/10.5664/jcsm.10758"
}