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Læknablaðið - 15.05.1994, Blaðsíða 36

Læknablaðið - 15.05.1994, Blaðsíða 36
200 LÆKNABLAÐIÐ Setting: Iceland. Participants: All drivers in single car accidents (n=471) during the time period 1989-91 and a control group from the general population (n= 1.000). Main outcome measure: Medical health prolile and answers to questions concerning sleep disorders and alcohol abuse. Results: Compared to the controls the drivers were younger and were three times more often males. The drivers abused alcohol more often. Chronic disorders like epilepsy, diabetes mellitus, cardiac disorders were not overrepresentated. Altogether 15.4% claimed that sleepiness had caused their traffic accident. Logistic regression analyses revealed that these ”sleepy” drivers had abused alcohol more often and had rnore often a history of falling asleep while driving. ÞAKKIR Af hálfu Umferðarráðs unnu að könnuninni: Sigrún Olafsdóttir og Örn Þ. Þorvarðarson umsjónarmenn slysaskráningar ásamt Óla H. Þórðarsyni framkvæmdarstjóra Umferðarráðs. VIÐAUKI CAGE spurningar um áfengisneyslu (Cutting down, Annoyance, Guilty feeling, Eye opener): Hefur þér fundist þú þurfa að draga úr áfengisneyslu þinni? Verður þú pirraður/pirruð þegar áfengisneysla þín er gagnrýnd? Hefur þú fengið sektarkennd vegna áfengisneyslu? Hefur þú einhvern tíma fengið þér afréttara? HEIMILDIR 1. Parsons M. Fits and other causes of loss of consciousness while driving. Q J Med 1986; 277: 295-303. 2. Krumholtz A. Fisher RS, Lesser RP, Hauscr WA. Driving and epilepsy - a review and reappraisal. JAMA 1991; 265: 622-6. 3. Davis TG, Wehing EH, Carpenter RE. Oklahoma’s medically restricted drivers - a study of selected medical conditions. Oklahoma State Medical Association Joumal 1973; 66: 322-7. 4. Saunders CJP. Driving and diabeles mellitus. Br Mcd J 1992; 305:1265. 5. Hansotia P, Broste SK. The efl'ect of epilepsy or diabetes mellitus on the risk ol' automobile accidents. N Engl J Med 1991; 324: 22-6. 6. Correspondence (4 letters) N Engl J Med 1991; 324: 1509-11. 7. Stinson FS, DeBakey SF. Alcohol-related mortality in the United Slates, 1979-88. Br J Addiction 1992; 87: 777-83. 8. Aldrich CK. Aldrich MS, Aldrich TK, Aldrich RF. A sleep at the wheel - the physician's role in preventing accidents 'iust waiting lo happen'. Postgrad Med 1986; 80: 233-5. 9. Guilleminault C, van den Hoed J, Mitler M. Clinical overview of sleep apnea syndrome. In: Guilleminault C, Dements W, eds. Sleep apnea syndromes. New York: A.R. Liss, 1978; 1-12. 10. George CF, Nickerson PW, Hanly PJ, Millar TW, Kryger MH. Sleep apnea patients have more automobile accidents. Lancet 1987; 2 (8556); 447. 11. Findley LJ. Unverzagt ME, Suralt PM. Aulomobile accidents involving palients with obstructive sleep apnea. Am Rcv Respir Dis 1988; 138: 337- 40. 12. Findley LJ, Fabrizio M, Thommi G, Suratl PM. Severity of sleep apnea and automobile crashes. N Engl J Med 1989; 320: 868-9. 13. Gislason T, Bencdiktsdóttir B. Björnsson JK, Kjartansson G, Kjeld M, Kristbjarnarson H. Snoring, hypertension and the sleep apnea syndrome -an epidemiological survey of middle aged women. Chest 1993;103:1147-51. 14. Mayfield DG. McLeod G, Hall P. The CAGE questionnaire: Validation of a new alcoholism screening instrument. Am J Psychiatry 1974; 131:1121-3. 15. Ewing JA. Delecting alcoholism. The CAGE questionnaire. JAMA 1984; 252: 1905-7. 16. Beresford TP, Blow FC, Hill E, Singer K, Lucey MR. Comparison of CAGE questionnaire and computer- assisted laboratory profiles in screening for covert alcoholism. Lancet 1990; 336: 482-5. 17. Stradling JR. Obstruclive sleep apnoea and driving - sufferers need inedical advice. Br Med J 1989; 298: 904-5. 18. Findley LJ, Bonnie RJ. Sleep apnca and auto crashes - what is the doctor to do? Chest 1988; 94: 225- 6. 19. Findley LJ, Woodrow W, Jabour ER. Drivers with untreated sleep apnea - a cause of death and serious injury. Arch Intern Med 1991; 151: 1451-2. 20. Helgason T. Prevalence and incidence of alcohol abuse in Iceland. In: Cooper B. ed. Pyschiatric Epidemiology. London: Croom Helm, 1987: 310-9.

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