Aspectos en la responsabilidad legal y laboral en el síndrome de apnea-hipopnea obstructiva del sueño (SAHOS)
Legal and labor responsibility aspects related to obstructive sleep apnea-hypopnea syndrome (OSAHS)
Palabras clave:
Síndromes de la apnea del sueño, Trastornos de somnolencia excesiva, Accidentes de tránsito, Trabajo por turnos. (es)Sleep Apnea Syndromes, Disorders of Excessive Somnolence, Accidents, Traffic, Shift Work. (en)
La apnea del sueño y la somnolencia diurna excesiva (SDE) constituyen un gran riesgo para el desarrollo de actividades laborales, en especial las que se pueden considerar peligrosas y que implican responsabilidad legal; entre estas se encuentra la conducción de vehículos de transporte público, de carga y de maquinaria pesada.
El trabajar por turnos y privarse de horas de sueño es también causa del aumento de accidentes laborales; este riesgo aumenta cuando los trabajadores y sus familiares no comprenden la dimensión real de este tipo de vida laboral y, por tanto, no actúan con responsabilidad respecto a su salud. Algunos autores consideran que la apnea del sueño y la SDE constituyen problemas de salud pública debido a su elevada prevalencia y a los altos costos que origina. Es importante que el Estado colombiano reglamente, por un lado, los aspectos de responsabilidad legal de los pacientes que desempeñan tareas riesgosas y están afectados por esta enfermedad y síntoma específico y, por el otro, las condiciones ocupacionales de los trabajadores que en la actualidad laboran por turnos y ven su salud afectada.
Sleep apnea and excessive daytime sleepiness (EDS) represent a major risk when developing working activities, especially those that are considered dangerous and involve legal responsibility, including handling public transport vehicles, cargo and heavy machinery.
Shift work and sleep deprivation are also causes of increased work-related accidents; this risk increases when workers and their families do not understand the real dimension of this type of work life and, therefore, are not responsible for their health. Some authors think that sleep apnea and EDS are public health issues due to their high prevalence and economic burden. It is important that the Colombian State regulates, on the one hand, aspects of legal responsibility of patients who carry out hazardous tasks and are affected by this disease and specific symptoms and, on the other hand, the occupational conditions of the workers who work shifts and whose health is affected.
Descargas
Citas
Rakel RE. Clinical and societal consequences of obstructive sleep apnea and excessive daytime sleepiness. Postgrad Med. 2009;121(1):86-95. http://doi.org/d2x36d.
Hirsch Allen AJ, Bansback N, Ayas NT. The effect of OSA on work disability and work-related injuries. Chest. 2015;147(5):1422-8. http://doi.org/bnxh.
Chiba S. [Sleep disorders and life-style related disease in shift workers]. Nihon Rinsho. 2014;72(2):310-6.
Costa G, Accattoli MP, Garbarino S, Magnavita N, Roscelli F. [Sleep disorders and work: guidelines for health surveillance, risk management and prevention]. Med Lav. 2013;104(4):251-66.
Carlton R, Lunacsek O, Regan T, Carroll CA. Healthcare costs among patients with excessive sleepiness associated with obstructive sleep apnea, shift work disorder, or narcolepsy. Am Health Drug Benefits. 2014;7(6):334-40.
Nicosia C, Vigna L, Monsellato S, Patrini L, Consonni D, Bertazzi PA, et al. [Prevalence of obstructive sleep apnea syndrome in a group of obese workers]. G Ital Med Lav Ergon. 2012;34(Suppl 3):385-7.
Rajaratnam SM, Howard ME, Grunstein RR. Sleep loss and circadian disruption in shift work: health burden and management. Med J Aust. 2013;199(8):S11-5. http://doi.org/bnxj.
Fanfulla F, Grassi M, Marandola P, Taino G, Fulgoni P, Imbriani M. Excessive daytime sleepiness works together with other sleep disorders in determining sleepiness-related events in shift workers. G Ital Med Lav Ergon. 2013;35(3):151-6.
Hassani S, Rahnama N, Seyedmehdi SM, Yazdanparast T, Roozbahani R, Attarchi M, et al. Association between Occupational Accidents and Sleep Apnea in Hospital Staff. Tanaffos. 2015;14(3):201-7.
Drolet BC, Anandarajah G, Fischer SA. The impact of 2011 duty hours requirements on family medicine residents. Fam Med. 2014;46(3):215-8.
Clendon J, Walker L. Nurses aged over 50 years and their experiences of shift work. J Nurs Manag. 2013;21(7):903-13. http://doi.org/bnxk.
Figueiro MG, White RD. Health consequences of shift work and implications for structural design. J Perinatol. 2013;33(Suppl 1):S17-23. http://doi.org/bnxm.
Kushida CA. Countermeasures for sleep loss and deprivation. Curr Treat Options Neurol. 2006;8(5):361-6. http://doi.org/bzxxnz.
Braeckman L, Verpraet R, Van Risseghem M, Pevernagie D, De Bacquer D. Prevalence and correlates of poor sleep quality and daytime sleepiness in Belgian truck drivers. Chronobiol Int. 2011;28(2):126-34. http://doi.org/c3g5bj.
de Mello MT, Bittencourt LR, Cunha Re C, Esteves AM, Tufik S. Sleep and transit in Brazil: new legislation. J Clin Sleep Med. 2009;5(2):164-6.
Russell T. Enhancing adherence to positive airway pressure therapy for sleep disordered breathing. Semin Respir Crit Care Med. 2014;35(5):604-12. http://doi.org/bnxn.
Vijayan VK. Morbidities associated with obstructive sleep apnea. Expert Rev Respir Med. 2012;6(5):557-66. http://doi.org/bnxp.
Sigurdson K, Ayas NT. The public health and safety consequences of sleep disorders. Can J Physiol Pharmacol. 2007;85(1):179-83. http://doi.org/fw8wnb.
Sleep Multimedia Inc. SleepMultiMedia: The computerized textbook of sleep medicine. New York: Sleep Multimedia; 2002.
Talaat W, AlRozzi B, Kawas SA. Sleep medicine education and knowledge among undergraduate dental students in Middle East universities. Cranio. 2016;34(3):163-8. http://doi.org/bnxq.
Polanía-Dussan I, Escobar-Córdoba F, Eslava-Schmalbach J, Netzer N. Validación colombiana del cuestionario de Berlin. Rev Fac Med. 2013;61(3):231-8.
Chica-Urzola HL, Escobar-Córdoba F, Eslava-Schmalbach J. Validación de la Escala de Somnolencia de Epworth. Rev. Salud Pública. 2007;9(4):558-67. http://doi.org/cpnqpz.
Licencia
Derechos de autor 2017 Revista de la Facultad de Medicina

Esta obra está bajo una licencia Creative Commons Reconocimiento 3.0 Unported.
-