The Effect Of Sleep-Disordered Breathing On The Risk Of Traffic Accidents:a Meta-Analysis

Objective:Perform a meta-analysis of the risk of traffic accidents in drivers with Sleep-Disordered Breathing (SDB),determing whether drivers with SDB are at an increased risk for traffic accidents when compared to comparable drivers who do not have the disorder.Method:We searched articles investigating whether drivers with SDB have increased accidents rates from electronic databases (BIOSIS Previews、Pubmed、Wanfang Database),as well as the reference lists of all obtained articles,in the way of key words such as "sleep apnea""sleepiness","accidents" and "risk".We identified studies according to the inclusion or exclusion criteria,evaluated the methodologic quality of the included studies,extracted appropriate data from each study,and then pooled the datas in a fixed-effects or random-effects meta-analysis.Results:Four studies (including1459cases and1584controls) we reidentified.Compared with the control drivers,drivers with SDB have an significant high rate of traffic accidents [OR=2.17,95%CI(1.41,3.33),P<0.05]. Conclusions:Drivers with SDB are at an increased risk for traffic accidents when compared to comparable drivers who do not have the disorder.