@article{ref1,
title="The Bordeaux Sleepiness Scale (BOSS): a new questionnaire to measure sleep-related driving risk",
journal="Journal of clinical sleep medicine",
year="2023",
author="Philip, Pierre and Micoulaud-Franchi, Jean-Arthur and Taillard, Jacques and Coelho, Julien and Tisserand, Camille and Dauvilliers, Yves and Sagaspe, Patricia",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="STUDY OBJECTIVES: Sleepiness is a well-known risk factor for traffic accidents. Our study presents a new questionnaire, the Bordeaux Sleepiness Scale (BOSS), specifically designed to evaluate the sleep-related driving risk in patients with sleep disorders. <br><br>METHODS: The BOSS was designed by gathering data on the socio-demographics, sleepiness, driving items and traffic accidental exposure (kilometers driven) in the past year of 293 patients followed for sleep disorders at a French sleep clinic. It was then validated on data from a large population-based cohort of 7,296 highway drivers. Its performance was compared to the Epworth Sleepiness Scale (ESS) and to self-reported episodes of severe sleepiness at the wheel (SAW). Receiver Operating Characteristic (ROC) curves were computed. <br><br>RESULTS: The sensitivity and specificity of the BOSS (cut-off = 3) to predict sleep-related near-misses or accidents was respectively 82% and 74%, with an area under the ROC curve of 0.83. In a patients cohort and in a large population-based cohort, the area under the curve of the BOSS was significantly larger than that of the ESS (P<.001). Although the areas under the curve were equivalent between the BOSS and SAW, the specificity of the BOSS was higher. <br><br>CONCLUSIONS: The BOSS scale combining exposure (kilometers driven) and self-perception of situational sleepiness provides a simple and reliable evaluation of the sleep-related driving risk. This short specific questionnaire should be promoted as first line to evaluate the risk of traffic accidents in sleepy patients.<p /> <p>Language: en</p>",
language="en",
issn="1550-9389",
doi="10.5664/jcsm.10470",
url="http://dx.doi.org/10.5664/jcsm.10470"
}