在商业驾驶员体检期间筛查阻塞性睡眠呼吸暂停。
Screening for obstructive sleep apnea during commercial driver medical examinations.
作者信息
Parks Philip, Durand Gerardo, Tsismenakis Antonios J, Vela-Bueno Antonio, Kales Stefanos
机构信息
Department of Environmental and Occupational Medicine and Epidemiology, Harvard School of Public Health, Boston, MA, USA.
出版信息
J Occup Environ Med. 2009 Mar;51(3):275-82. doi: 10.1097/jom.0b013e31819eaaa4.
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.
目的
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。
方法
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。
结果
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。
结论
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。
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