Publication :
Insomnia, hypnotic use, and road collisions : a population-based, 5-year cohort study

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Date
2020-02-29
Direction de publication
Direction de recherche
Titre de la revue
ISSN de la revue
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Éditeur
American Sleep Disorders Association and Sleep Research Society
Projets de recherche
Structures organisationnelles
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Résumé
Study Objectives The study objectives were to examine accidental risks associated with insomnia or hypnotic medications, and how these risk factors interact with sex and age. Methods A population-based sample of 3,413 adults (Mage = 49.0 years old; 61.5% female), with or without insomnia, were surveyed annually for five consecutive years about their sleep patterns, sleep medication usage, and road collisions. Results There was a significant risk of reporting road collisions associated with insomnia (hazard ratio [HR] = 1.20; 95% confidence interval [CI] = 1.00–1.45) and daytime fatigue (HR = 1.21; 95% CI = 1.01–1.47). Insomnia and its daytime consequences were perceived to have played some contributory role in 40% of the reported collisions. Both chronic (HR = 1.50; 95% CI = 1.17–1.91) and regular use of sleep medications (HR = 1.58; 95% CI = 1.16–2.14) were associated with higher accidental risks, as well as being young female with insomnia and reporting excessive daytime sleepiness. Conclusions Both insomnia and use of sleep medications are associated with significant risks of road collisions, possibly because of or in association with some of their residual daytime consequences (i.e. fatigue and poor concentration). The findings also highlight a new group of at-risk patients, i.e. young women reporting insomnia and excessive daytime sleepiness.
Description
Revue
Sleep, Vol. 43 (8) (2020)
DOI
10.1093/sleep/zsaa032
URL vers la version publiée
Mots-clés
Insomnia , Sleep disorders , Road and traffic accidents , Crashes , Collisions
Citation
Type de document
article de recherche