LITTLE ATTENTION HAS BEEN GIVEN TO SLEEPY NEAR- MISS DRIVING ACCIDENTS UP TO NOW DESPITE THEIR LIKELY RELATIONSHIP WITH ACTUAL DRIVING accidents. Although there have been investigations that included near-miss accidents and/or sleepy near-misses, these data were limited and not used to predict a sleepy accident.1-5 In fact, the focus of these and the following papers were mostly on sleep disorders and driv- ing accidents with near-misses an ancillary part of the data. These papers do not make clear any association between sleepy near- misses leading to an actual sleepy driving accident. Three investigations that have mentioned near-miss sleepy ac- cidents were reported in the sleep literature. Krieger et al.6 and Engleman et al.7 found that treatment of obstructive sleep apnea (OSA) with continuous positive airway pressure (CPAP) devices reduced the number of accidents and near-misses. Turkington et al8 used a questionnaire on driving history and a simulator to evaluate OSA performances. They reported that older
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