title: Workplace accidents, absenteeism and productivity in patients with sleep apnea.
abstract: BACKGROUND
  Obstructive sleep apnea-hypopnea syndrome (OSAHS) has health-related outcomes, but the impact of OSAHS on occupational health has been scarcely studied. The aim of this study was to evaluate the effect of OSAHS on workplace accidents, absenteeism and productivity.
  
  
  METHODS
  One hundred eighty-two OSAHS patients and 71 healthy subjects completed the Epworth Sleepiness Scale, the Pittsburgh Sleep Quality Index and the Spanish IMPALA (Impact of Disease on Work Productivity) index and answered various questions on workplace accidents and sick leave. Participants were classified to an OSAHS group or a non-OSAHS group according to polysomnography results.
  
  
  RESULTS
  Patients with OSAHS had more sick leave lasting longer than 30days (16.6% vs. 7%, P=.049) and lower productivity (63.80% vs. 83.20%, P=.000) than subjects without OSAHS, although the rate of workplace accidents was similar in both groups (27.4% vs 25.4%; P>.050). None of the OSAHS-related variables was associated with workplace accidents. A diagnosis of OSAHS was related with absenteeism. Psychological distress and OSAHS were related with productivity.
  
  
  CONCLUSIONS
  OSAHS causes limitations in the working lives of patients and leads to a higher incidence of sick leave and lower productivity. A diagnosis of OSAHS was the variable with most influence on the working lives of patients.
authors.affiliation: Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, España; Unidad del Sueño, UGC Neumología, Hospital Universitario Reina Sofía, Córdoba, España.
authors.forename: Bernabé
authors.initials: B
authors.lastname: Jurado-Gámez
authors.affiliation: Laboratorio de Psicofisiología, Centro de Investigación Mente, Cerebro y Comportamiento (CIMCYC), Facultad de Psicología, Universidad de Granada, Granada, España. Electronic address: ottavia@ugr.es.
authors.forename: Ottavia
authors.initials: O
authors.lastname: Guglielmi
authors.affiliation: Unidad de Epidemiologia Clínica, Hospital Universitario de Santiago de Compostela, Santiago de Compostela, La Coruña, España.
authors.forename: Francisco
authors.initials: F
authors.lastname: Gude
authors.affiliation: Laboratorio de Psicofisiología, Centro de Investigación Mente, Cerebro y Comportamiento (CIMCYC), Facultad de Psicología, Universidad de Granada, Granada, España.
authors.forename: Gualberto
authors.initials: G
authors.lastname: Buela-Casal
mesh_terms: D000041:Absenteeism; D000062:Accidents, Occupational / Q000517:prevention & control / Q000706:statistics & numerical data*; D000328:Adult; D002318:Cardiovascular Diseases / Q000453:epidemiology; D016022:Case-Control Studies; D004522:Educational Status; D004526:Efficiency; D005221:Fatigue / Q000453:epidemiology / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000453:epidemiology; D009790:Occupations; D017286:Polysomnography; D011788:Quality of Life; D012720:Severity of Illness Index; D018582:Sick Leave / Q000706:statistics & numerical data; D012891:Sleep Apnea Syndromes / Q000150:complications / Q000191:economics / Q000453:epidemiology* / Q000523:psychology; D013030:Spain; D013315:Stress, Psychological / Q000453:epidemiology; D011795:Surveys and Questionnaires; D017132:Workplace
keywords: Accidentes laborales; Días de baja; Obstructive sleep apnea-hypopnea syndrome; Productividad laboral; Productivity; Sick leave; Síndrome de apnea-hipopnea del sueño; Workplace accident