The DOI matches its Crossref record; 47 of the 47 references it cites were found in a registry or an index.
Impaired Performance in Commercial Drivers
Open accessAbstract
Sleepiness plays an important role in major crashes of commercial vehicles. Because determinants are likely to include inadequate sleep and sleep apnea, we evaluated the role of short sleep durations over 1 wk at home and sleep apnea in subjective sleepiness (Epworth Sleepiness Scale), objective sleepiness (reduced sleep latency as determined by the Multiple Sleep Latency Test), and neurobehavioral functioning (lapses in performance, tracking error in Divided Attention Driving Task) in commercial drivers. Studies were conducted in 247 of 551 drivers at higher risk for apnea and in 159 of 778 drivers at lower risk. A multivariate linear association between the sets of outcomes and risk factors was confirmed (p < 0.0001). Increases in subjective sleepiness were associated with shorter sleep durations but not with increases in severity of apnea. Increases in objective sleepiness and performance lapses, as well as poorer lane tracking, were associated with shorter sleep durations. Associations with sleep apnea severity were not as robust and not strictly monotonic. A significant linear association with sleep apnea was demonstrated only for reduced sleep latency. The effects of severe apnea (apnea-hypopnea index, at least 30 episodes/h), which occurred in 4.7%, and of sleep duration less than 5 h/night, which occurred in 13.5%, were similar in terms of their impact on objective sleepiness. Thus, addressing impairment in commercial drivers requires addressing both insufficient sleep and sleep apnea, the former being more common.
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“For example, sleep apnea occurs at high rates among commercial drivers184–186 and impairs their ability to drive safely.”
From Sleep, Health, and Society (2017) · cites this paper as [185]
Experimental — accuracy not yet measuredIn the citing paper
“For example, sleep apnea occurs at high rates among commercial drivers184–186 and impairs their ability to drive safely.”
From Sleep, Health, and Society (2017) · cites this paper as [185]
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Cites
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Cited by
Sorted by citations
Panel, C. C., Watson, N. F., Badr, M. S., Belenky, G., Bliwise, D. L., Buxton, O. M., Buysse, D., Dinges, D. F., Gangwisch, J., Grandner, M. A., et al. (2015) · Sleep · doi:10.5665/sleep.4886 · Cited by 906
Self-citationObstructive sleep apnea and risk of motor vehicle crash: systematic review and meta-analysis.
Tregear, S., Reston, J., Schoelles, K., & Phillips, B. (2009) · Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · doi:10.5664/jcsm.27662 · Cited by 760
Sleep Duration in the United States: A Cross-sectional Population-based Study
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Watson, N. F., Badr, M. S., Belenky, G., Bliwise, D. L., Buxton, O. M., Buysse, D., Dinges, D. F., Gangwisch, J., Grandner, M. A., Kushida, C., et al. (2015) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.4950 · Cited by 568
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Metadata
- Authors
- Pack, A. I., Maislin, G., Staley, B., Pack, F. M., Rogers, W. C., George, C. F. P., & Dinges, D. F.
- Affiliations
- Western University (CA)
- Venue
- American Journal of Respiratory and Critical Care Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2006-08
- Volume
- 174
- Issue
- 4
- Pages
- 446-454
- ISSN
- 1073-449X (ISSN-L)
- 1535-4970
- PMC
- PMC2648121
- OpenAlex
- W2026091188
- Cited by
- 173
- References
- 47
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 7 · 2023: 3 · 2022: 5 · 2021: 11 · 2020: 11 · 2019: 5 · 2018: 4 · 2017: 7 · 2016: 13 · 2015: 13 · 2014: 11 · 2013: 10 · 2012: 11
- FWCI
- 11.31
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Respiratory and Critical Care Medicine (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- National Heart, Lung, and Blood Institute (P50HL060287, HL60287)
- National Center for Research Resources (RR 00040)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Health Sciences › Medicine › Physiology (medical) › Obstructive Sleep Apnea Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Keywords
- commercial drivers, sleepiness, sleep apnea, sleep duration, Epworth Sleepiness Scale, multiple sleep latency test, neurobehavioral performance, lane tracking, driving impairment, apnea-hypopnea index, traffic accidents
- MeSH terms
- Automobile Driving, Humans, Male, Middle Aged, Risk Factors, Sleep, Sleep Apnea Syndromes, Sleep Deprivation, Task Performance and Analysis, Time Factors, Least-Squares Analysis, Occupational Health
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