Screening for Obstructive Sleep Apnea During Commercial Driver Medical Examinations
Objective: To evaluate consensus criteria for screening commercial drivers for obstructive sleep apnea (OSA). Methods: Consecutive drivers underwent OSA screening using Joint Task Force consensus criteria at commercial driver medical examinations. Outcomes included: clinical yield of screening; and...
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| Published in: | Journal of occupational and environmental medicine Vol. 51; no. 3; pp. 275 - 282 |
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| Main Authors: | , , , , |
| Format: | Journal Article |
| Language: | English |
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Hagerstown, MD
Lippincott Williams & Wilkins
01-03-2009
The American College of Occupational and Environmental Medicine Lippincott Williams & Wilkins Ovid Technologies |
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| Abstract | Objective: To evaluate consensus criteria for screening commercial drivers for obstructive sleep apnea (OSA). Methods: Consecutive drivers underwent OSA screening using Joint Task Force consensus criteria at commercial driver medical examinations. Outcomes included: clinical yield of screening; and drivers ' compliance with polysomnography (PSG) referrals and OSA treatment. Results: Among 456 drivers, 53 (12%) were referred for PSG, and 20/20 were confirmed to have OSA, supporting a high positive predictive value. The other 33 drivers referred for PSG were lost to follow-up but demonstrated no significant differences from those with confirmed OSA. After diagnosis, only one of 20 drivers with confirmed OSA demonstrated treatment compliance. Conclusions: Drivers identified by the consensus criteria have a high likelihood of OSA. Drivers' poor compliance with PSGs and OSA reatment support federally mandated screening of commercial drivers. |
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| AbstractList | OBJECTIVE:To evaluate consensus criteria for screening commercial drivers for obstructive sleep apnea (OSA).
METHODS:Consecutive drivers underwent OSA screening using Joint Task Force consensus criteria at commercial driver medical examinations. Outcomes includedclinical yield of screening; and drivers’ compliance with polysomnography (PSG) referrals and OSA treatment.
RESULTS:Among 456 drivers, 53 (12%) were referred for PSG, and 20/20 were confirmed to have OSA, supporting a high positive predictive value. The other 33 drivers referred for PSG were lost to follow-up but demonstrated no significant differences from those with confirmed OSA. After diagnosis, only one of 20 drivers with confirmed OSA demonstrated treatment compliance.
CONCLUSIONS:Drivers identified by the consensus criteria have a high likelihood of OSA. Drivers’ poor compliance with PSGs and OSA treatment support federally mandated screening of commercial drivers. Objective: To evaluate consensus criteria for screening commercial drivers for obstructive sleep apnea (OSA). Methods: Consecutive drivers underwent OSA screening using Joint Task Force consensus criteria at commercial driver medical examinations. Outcomes included: clinical yield of screening; and drivers' compliance with polysomnography (PSG) referrals and OSA treatment. Results: Among 456 drivers, 53 (12%) were referred for PSG, and 20/20 were confirmed to have OSA, supporting a high positive predictive value. The other 33 drivers referred for PSG were lost to follow-up but demonstrated no significant differences from those with confirmed OSA. After diagnosis, only one of 20 drivers with confirmed OSA demonstrated treatment compliance. Conclusions: Drivers identified by the consensus criteria have a high likelihood of OSA. Drivers' poor compliance with PSGs and OSA treatment support federally mandated/screening of commercial drivers. Objective: To evaluate consensus criteria for screening commercial drivers for obstructive sleep apnea (OSA). Methods: Consecutive drivers underwent OSA screening using Joint Task Force consensus criteria at commercial driver medical examinations. Outcomes included: clinical yield of screening; and drivers ' compliance with polysomnography (PSG) referrals and OSA treatment. Results: Among 456 drivers, 53 (12%) were referred for PSG, and 20/20 were confirmed to have OSA, supporting a high positive predictive value. The other 33 drivers referred for PSG were lost to follow-up but demonstrated no significant differences from those with confirmed OSA. After diagnosis, only one of 20 drivers with confirmed OSA demonstrated treatment compliance. Conclusions: Drivers identified by the consensus criteria have a high likelihood of OSA. Drivers' poor compliance with PSGs and OSA reatment support federally mandated screening of commercial drivers. OBJECTIVETo evaluate consensus criteria for screening commercial drivers for obstructive sleep apnea (OSA).METHODSConsecutive drivers underwent OSA screening using Joint Task Force consensus criteria at commercial driver medical examinations. Outcomes included: clinical yield of screening; and drivers' compliance with polysomnography (PSG) referrals and OSA treatment.RESULTSAmong 456 drivers, 53 (12%) were referred for PSG, and 20/20 were confirmed to have OSA, supporting a high positive predictive value. The other 33 drivers referred for PSG were lost to follow-up but demonstrated no significant differences from those with confirmed OSA. After diagnosis, only one of 20 drivers with confirmed OSA demonstrated treatment compliance.CONCLUSIONSDrivers identified by the consensus criteria have a high likelihood of OSA. Drivers' poor compliance with PSGs and OSA treatment support federally mandated screening of commercial drivers. To evaluate consensus criteria for screening commercial drivers for obstructive sleep apnea (OSA). Consecutive drivers underwent OSA screening using Joint Task Force consensus criteria at commercial driver medical examinations. Outcomes included: clinical yield of screening; and drivers' compliance with polysomnography (PSG) referrals and OSA treatment. Among 456 drivers, 53 (12%) were referred for PSG, and 20/20 were confirmed to have OSA, supporting a high positive predictive value. The other 33 drivers referred for PSG were lost to follow-up but demonstrated no significant differences from those with confirmed OSA. After diagnosis, only one of 20 drivers with confirmed OSA demonstrated treatment compliance. Drivers identified by the consensus criteria have a high likelihood of OSA. Drivers' poor compliance with PSGs and OSA treatment support federally mandated screening of commercial drivers. To evaluate consensus criteria for screening commercial drivers for obstructive sleep apnea (OSA). Consecutive drivers underwent OSA screening using Joint Task Force consensus criteria at commercial driver medical examinations. Outcomes included: clinical yield of screening; and drivers' compliance with polysomnography (PSG) referrals and OSA treatment. Among 456 drivers, 53 (12%) were referred for PSG, and 20/20 were confirmed to have OSA, supporting a high positive predictive value. The other 33 drivers referred for PSG were lost to follow-up but demonstrated no significant differences from those with confirmed OSA. After diagnosis, only one of 20 drivers with confirmed OSA demonstrated treatment compliance. Drivers identified by the consensus criteria have a high likelihood of OSA. Drivers' poor compliance with PSGs and OSA treatment support federally mandated screening of commercial drivers. |
| Author | Parks, Philip D. Tsismenakis, Antonios J. Kales, Stefanos N. Durand, Gerardo Vela-Bueno, Antonio |
| AuthorAffiliation | From the Department of Environmental and Occupational Medicine and Epidemiology (Dr Parks, Dr Durand, Mr Tsismenakis, Dr Kales), Harvard School of Public Health, Boston, Mass; Department of Medicine (Dr Parks), Rhode Island Hospital, Lifespan Corporation, Providence, RI; Boston University School of Medicine (Mr Tsismenakis), Boston, Mass; The Cambridge Health Alliance (Mr Tsismenakis, Dr Kales), Harvard Medical School, Cambridge, Mass; Department of Psychiatry (Dr Vela-Bueno), Autonomous University of Madrid, Madrid, Spain |
| AuthorAffiliation_xml | – name: From the Department of Environmental and Occupational Medicine and Epidemiology (Dr Parks, Dr Durand, Mr Tsismenakis, Dr Kales), Harvard School of Public Health, Boston, Mass; Department of Medicine (Dr Parks), Rhode Island Hospital, Lifespan Corporation, Providence, RI; Boston University School of Medicine (Mr Tsismenakis), Boston, Mass; The Cambridge Health Alliance (Mr Tsismenakis, Dr Kales), Harvard Medical School, Cambridge, Mass; Department of Psychiatry (Dr Vela-Bueno), Autonomous University of Madrid, Madrid, Spain |
| Author_xml | – sequence: 1 givenname: Philip D. surname: Parks fullname: Parks, Philip D. – sequence: 2 givenname: Gerardo surname: Durand fullname: Durand, Gerardo – sequence: 3 givenname: Antonios J. surname: Tsismenakis fullname: Tsismenakis, Antonios J. – sequence: 4 givenname: Antonio surname: Vela-Bueno fullname: Vela-Bueno, Antonio – sequence: 5 givenname: Stefanos N. surname: Kales fullname: Kales, Stefanos N. |
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| Copyright | Copyright © 2009 American College of Occupational and Environmental Medicine 2009The American College of Occupational and Environmental Medicine 2009 INIST-CNRS Copyright Lippincott Williams & Wilkins Mar 2009 |
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| Keywords | Vehicle driver Human Nervous system diseases Sleep apnea syndrome Respiratory disease Traffic safety Traffic accident Road safety Medical screening Detection Occupational exposure Occupational medicine |
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| Snippet | Objective: To evaluate consensus criteria for screening commercial drivers for obstructive sleep apnea (OSA). Methods: Consecutive drivers underwent OSA... OBJECTIVE:To evaluate consensus criteria for screening commercial drivers for obstructive sleep apnea (OSA). METHODS:Consecutive drivers underwent OSA... To evaluate consensus criteria for screening commercial drivers for obstructive sleep apnea (OSA). Consecutive drivers underwent OSA screening using Joint Task... To evaluate consensus criteria for screening commercial drivers for obstructive sleep apnea (OSA). Consecutive drivers underwent OSA screening using Joint Task... OBJECTIVETo evaluate consensus criteria for screening commercial drivers for obstructive sleep apnea (OSA).METHODSConsecutive drivers underwent OSA screening... |
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| SubjectTerms | Adolescent Adult Aged Airway management Anthropometry Automobile drivers Biological and medical sciences Body Mass Index Consensus FAST TRACK ARTICLE Female Humans Male Mass Screening - methods Mass Screening - standards Medical sciences Middle Aged Occupational health Occupational Medicine Physical Examination Physical examinations Pneumology Respiratory system : syndromes and miscellaneous diseases Retrospective Studies Sleep apnea Sleep Apnea, Obstructive - diagnosis Sleep Apnea, Obstructive - epidemiology Transportation United States - epidemiology Young Adult |
| Title | Screening for Obstructive Sleep Apnea During Commercial Driver Medical Examinations |
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