{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T15:27:21Z","timestamp":1786116441400,"version":"build-2736575974"},"reference-count":31,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T00:00:00Z","timestamp":1785974400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T00:00:00Z","timestamp":1785974400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100008309","name":"Hengityssairauksien Tutkimuss\u00e4\u00e4ti\u00f6","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008309","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100008493","name":"V\u00e4in\u00f6 ja Laina Kiven S\u00e4\u00e4ti\u00f6","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008493","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004212","name":"P\u00e4ivikki ja Sakari Sohlbergin S\u00e4\u00e4ti\u00f6","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004212","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010125","name":"Jalmari ja Rauha Ahokkaan S\u00e4\u00e4ti\u00f6","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010125","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100006706","name":"Tampereen Tuberkuloosis\u00e4\u00e4ti\u00f6","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100006706","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Sleep Research"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    In this study, we aim to establish risk factors for sleepiness while driving, motor\u2010vehicle accidents and near miss incidents in obstructive sleep apnoea patients with long\u2010term continuous positive airway pressure (CPAP) therapy. We performed a cross\u2010sectional study on 1327 consecutive CPAP\u2010treated obstructive sleep apnoea (OSA) patients who were scheduled for a routine 5\u2010year follow\u2010up in 2019\u20132020 at Turku University Hospital. We obtained data of self\u2010reported sleepiness while driving, motor vehicle accidents and near\u2010miss events via questionnaires and classified patients accordingly in different groups. We then compared demographic parameters, CPAP adherence, blood gas samples and OSA\u2010related symptoms via standardised questionnaires and applied standard statistical tests. Sufficient data was available from 1018 (76.7%) of 1327 patients. Two hundred and seventeen patients (21.3%) reported sleepiness while driving, near\u2010miss situations or motor vehicle accidents while driving. These patients were younger (mean age 60 vs. 66\u2009years), and scored higher on Epworth Sleepiness Scale (mean 6.7 vs. 4.3), Insomnia Severity Index (mean 3.1 vs. 1.9) and Depression Scale (mean 7.1 vs. 4.8) than other patients (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001 on all scores). Sleepiness while driving was more likely in those with weight gain of more than 5\u2009kg within 5\u2009years (58.6% vs. 40.0%,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.019). CPAP adherence was similar across the groups. Capillary blood gases did not correlate with poor CPAP adherence or sleepiness while driving. In conclusion, sleepiness while driving in OSA patients with long\u2010term CPAP therapy was associated with weight gain as well as depressive and insomnia symptoms.\n                  <\/jats:p>","DOI":"10.1111\/jsr.70419","type":"journal-article","created":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T10:08:49Z","timestamp":1786010929000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Risk Factors for Motor Vehicle Accidents in Obstructive Sleep Apnoea Patients With Long\u2010Term Continuous Positive Airway Pressure Therapy"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-4527-0548","authenticated-orcid":false,"given":"Jere","family":"Jaakkola","sequence":"first","affiliation":[{"name":"University of Turku  Turku Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6691-556X","authenticated-orcid":false,"given":"Thijs","family":"Feuth","sequence":"additional","affiliation":[{"name":"Department of Pulmonary Diseases Turku University Hospital and University of Turku  Turku Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4273-1173","authenticated-orcid":false,"given":"Ulla","family":"Anttalainen","sequence":"additional","affiliation":[{"name":"Sleep Research Centre University of Turku  Turku Finland"},{"name":"Sleep and Breathing Centre and Division of Medicine, Department of Pulmonary Diseases Turku University Hospital  Turku Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9328-963X","authenticated-orcid":false,"given":"Tarja","family":"Saaresranta","sequence":"additional","affiliation":[{"name":"Sleep Research Centre University of Turku  Turku Finland"},{"name":"Sleep and Breathing Centre and Division of Medicine, Department of Pulmonary Diseases Turku University Hospital  Turku Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,6]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"crossref","first-page":"88","DOI":"10.5271\/sjweh.3677","article-title":"Are Professional Drivers Less Sleepy Than Non\u2010Professional Drivers?","volume":"44","author":"Anund A.","year":"2018","journal-title":"Scandinavian Journal of Work, Environment & Health"},{"key":"e_1_2_13_3_1","doi-asserted-by":"crossref","first-page":"1229","DOI":"10.1007\/s11325-015-1145-7","article-title":"Risk Factors for Automobile Accidents Caused by Falling Asleep While Driving in Obstructive Sleep Apnea Syndrome","volume":"19","author":"Arita A.","year":"2015","journal-title":"Sleep & Breathing"},{"issue":"4","key":"e_1_2_13_4_1","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1016\/S1389-9457(00)00065-4","article-title":"Validation of the Insomnia Severity Index as an Outcome Measure for Insomnia Research","volume":"2","author":"Bastien C. H.","year":"2001","journal-title":"Sleep Medicine"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213\u20102600(19)30198\u20105"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2021.690008"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/17476348.2017.1305893"},{"issue":"5","key":"e_1_2_13_8_1","doi-asserted-by":"crossref","first-page":"750","DOI":"10.1111\/obr.12824","article-title":"Weight Loss and Lifestyle Interventions for Obstructive Sleep Apnoea in Adults: Systematic Review and Meta\u2010Analysis","volume":"20","author":"Carneiro\u2010Barrera A.","year":"2019","journal-title":"Obesity Reviews"},{"key":"e_1_2_13_9_1","first-page":"193","article-title":"Systematic Review of Motor Vehicle Crash Risk in Persons With Sleep Apnea","volume":"2","author":"Ellen R. L.","year":"2006","journal-title":"Journal of Clinical Sleep Medicine"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnins.2021.656203"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.5665\/sleep.4488"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/29.3.381"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2021.02.023"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/14.6.540"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsr.12171"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.3310\/hta19400"},{"key":"e_1_2_13_17_1","unstructured":"McNicholas W. 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