TY  - JOUR
PY  - 2023//
TI  - Truck collisions attributed to falling asleep at the wheel in two commercial drivers prescribed oral appliance therapy for obstructive sleep apnea
JO  - Journal of clinical sleep medicine
A1  - Kumagai, Hajime
A1  - Tsuda, Hiroko
A1  - Kawaguchi, Kengo
A1  - Sawatari, Hiroyuki
A1  - Kiyohara, Yuka
A1  - Konishi, Noriyuki
A1  - Taniyama, Yukari
A1  - Takaoka, Toshio
A1  - Shiomi, Toshiaki
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - 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>
LA  - en
SN  - 1550-9389
UR  - http://dx.doi.org/10.5664/jcsm.10758
ID  - ref1
ER  -