{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T20:21:14Z","timestamp":1790799674339,"version":"4.1.0"},"reference-count":48,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,8,12]],"date-time":"2021-08-12T00:00:00Z","timestamp":1628726400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Sleep Research"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    The objective of this study is to elucidate the relationship between obstructive sleep apnea (OSA) and the risk of work\u2010related injuries (WRIs), synthesize the latest clinical evidence and conduct a systematic review and meta\u2010analysis adhering to Preferred Reporting Items for Systematic Reviews and Meta\u2010Analyses guidelines (PRISMA 2020). Observational studies published before April 2020 in PubMed, Cochrane library, PsycINFO, Scopus, Google Scholar and Web of Science were included. Random\u2010effects Mantel\u2013Haenszel meta\u2010analysis was performed. A total of 15 studies with 21,507 participants were included. Prespecified subgroup analyses based on study design and the characteristics of the enrollees were conducted. Overall, workers with OSA had 1.64\u2010fold increased odds of being involved in WRIs compared to their counterparts (OR\u00a0=\u00a01.64, 95% CI\u00a0=\u00a01.24\u20132.16,\n                    <jats:italic>p<\/jats:italic>\n                    \u00a0=\u00a00.0005). In addition to the professional drivers that have been studied in the past, such a trend also existed in the general working population (OR\u00a0=\u00a01.68, 95% CI\u00a0=\u00a01.14\u20132.49,\n                    <jats:italic>p<\/jats:italic>\n                    \u00a0=\u00a00.01). We also found that workers with excessive daytime sleepiness (Epworth Sleepiness Scale score &gt;10) had a 1.68\u2010fold increased risk of WRIs compared to those with lower ESS scores (OR\u00a0=\u00a01.68, 95% CI\u00a0=\u00a01.22\u20132.30,\n                    <jats:italic>p<\/jats:italic>\n                    \u00a0=\u00a00.002). This study verified that OSA workers had a higher risk of WRIs, and such correlations do not show obvious differences in subgroups with different sample sizes, OSA diagnosis methods, job types or definitions of WRI. Based on the association between OSA and WRIs identified in our study, further studies investigating the protective effects of early identification and management of OSA on WRIs are warranted.\n                  <\/jats:p>","DOI":"10.1111\/jsr.13446","type":"journal-article","created":{"date-parts":[[2021,8,12]],"date-time":"2021-08-12T18:09:34Z","timestamp":1628791774000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Risk of work\u2010related injury in workers with obstructive sleep apnea: A systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"31","author":[{"given":"Kun\u2010Ta","family":"Chou","sequence":"first","affiliation":[{"name":"Center of Sleep Medicine Taipei Veterans General Hospital Taipei Taiwan"},{"name":"Department of Chest Medicine Taipei Veterans General Hospital Taipei Taiwan"},{"name":"Department of Medicine National Yang Ming Chiao Tung University College of Medicine Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu\u2010Lun","family":"Tsai","sequence":"additional","affiliation":[{"name":"International Health Program National Yang Ming Chiao Tung University Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wan\u2010Yu","family":"Yeh","sequence":"additional","affiliation":[{"name":"Center for Evidence\u2010based Medicine, Department of Medical Education Taipei Veterans General Hospital Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuh\u2010Min","family":"Chen","sequence":"additional","affiliation":[{"name":"Center of Sleep Medicine Taipei Veterans General Hospital Taipei Taiwan"},{"name":"Department of Chest Medicine Taipei Veterans General Hospital Taipei Taiwan"},{"name":"Department of Medicine National Yang Ming Chiao Tung University College of Medicine Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Huang","sequence":"additional","affiliation":[{"name":"Institute of Hospital and Health Care Administration National Yang Ming Chiao Tung University Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3885-6600","authenticated-orcid":false,"given":"Hao\u2010Min","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Medicine National Yang Ming Chiao Tung University College of Medicine Taipei Taiwan"},{"name":"Center for Evidence\u2010based Medicine, Department of Medical Education Taipei Veterans General Hospital Taipei Taiwan"},{"name":"Institute of Public Health and Community Medicine Research Center National Yang Ming Chiao Tung University College of Medicine Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,8,12]]},"reference":[{"issue":"3","key":"e_1_2_9_2_1","first-page":"297","article-title":"Occupational accidents, work performance and obstructive sleep apnea syndrome (OSAS)","volume":"30","author":"Accattoli M.","year":"2008","journal-title":"Giornale Italiano di Medicina Del Lavoro Ed Ergonomia"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/24745332.2017.1391056"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl-2015-207994"},{"key":"e_1_2_9_5_1","first-page":"1","article-title":"Obstructive sleep apnea severity and the risk of occupational injury: a prospective observational cohort","volume":"198","author":"Allen A. 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