@article{ref1,
title="Risk of occupational accidents in workers with obstructive sleep apnea: systematic review and meta-analysis",
journal="Sleep",
year="2016",
author="Garbarino, Sergio and Guglielmi, Ottavia and Sanna, Antonio and Mancardi, Gian Luigi and Magnavita, Nicola",
volume="39",
number="6",
pages="1211-1218",
abstract="STUDY OBJECTIVES: Obstructive sleep apnea (OSA) is the single most important preventable medical cause of excessive daytime sleepiness (EDS) and driving accidents. OSA may also adversely affect work performance through a decrease in productivity, and an increase in the injury rate. Nevertheless, no systematic review and meta-analysis of the relationship between OSA and work accidents has been performed thus far. <br><br>METHODS: PubMed, PsycInfo, Scopus, Web of Science, and Cochrane Library were searched. Out of an initial list of 1,099 papers, 10 studies (12,553 participants) were eligible for our review, and 7 of them were included in the meta-analysis. The overall effects were measured by odds ratios (OR) and 95% confidence intervals (CIs). An assessment was made of the methodological quality of the studies. Moderator analysis and funnel plot analysis were used to explore the sources of between-study heterogeneity. <br><br>RESULTS: Compared to controls, the odds of work accident was found to be nearly double in workers with OSA (OR = 2.18; 95% CI = 1.53-3.10). Occupational driving was associated with a higher effect size. <br><br>CONCLUSIONS: OSA is an underdiagnosed nonoccupational disease that has a strong adverse effect on work accidents. The nearly twofold increased odds of work accidents in subjects with OSA calls for workplace screening in selected safety-sensitive occupations.<br><br>Copyright © 2016 Associated Professional Sleep Societies, LLC. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0161-8105",
doi="",
url="http://dx.doi.org/"
}