Parks Philip, Durand Gerardo, Tsismenakis Antonios J, Vela-Bueno Antonio, Kales Stefanos
Department of Environmental and Occupational Medicine and Epidemiology, Harvard School of Public Health, Boston, MA, USA.
J Occup Environ Med. 2009 Mar;51(3):275-82. doi: 10.1097/jom.0b013e31819eaaa4.
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.
评估用于筛查商业司机阻塞性睡眠呼吸暂停（OSA）的共识标准。
连续的司机在商业司机体检时使用联合特遣部队共识标准进行OSA筛查。结果包括：筛查的临床收益；以及司机对多导睡眠图（PSG）转诊和OSA治疗的依从性。
在456名司机中，53名（12%）被转诊进行PSG检查，其中20/20被确诊患有OSA，支持了较高的阳性预测值。其他33名被转诊进行PSG检查的司机失访，但与确诊OSA的司机无显著差异。确诊后，20名确诊OSA的司机中只有1名表现出治疗依从性。
通过共识标准识别出的司机患OSA的可能性很高。司机对PSG检查和OSA治疗的依从性较差，这支持了联邦政府强制要求对商业司机进行筛查。
