Environmental & Occupational Medicine & Epidemiology Program, Department of Environmental Health, Harvard School of Public Health, Boston, MA, USA.
J Occup Environ Med. 2009 Oct;51(10):1220-6. doi: 10.1097/JOM.0b013e3181b8c16b.
To survey American College of Occupational and Environmental Medicine (ACOEM) members regarding recent consensus guidelines for screening commercial drivers for Obstructive Sleep Apnea (OSA).
A brief survey instrument was distributed electronically by the American College of Occupational and Environmental Medicine to its members during February 2008 to April 2008.
Most (92%) of the 552 examiners opined that screening commercial drivers for OSA was important. Nevertheless, only 42% reported screening using consensus guidelines or another specific protocol. Common reasons for not applying the guidelines included unaware (36%), too complicated (12%), client retention (10%), and driver inconvenience (10%). Most would consider using the guidelines going forward but 39% wanted additional evidence and another 21% only if they became the "community standard."
More education regarding OSA and drivers is needed. A Federal mandate and eliminating "doctor shopping" would likely increase examiners' compliance with screening.
调查美国职业与环境卫生医学院（ACOEM）的成员对最近用于筛查职业驾驶人员阻塞性睡眠呼吸暂停（OSA）的共识指南的看法。
2008 年 2 月至 4 月期间，美国职业与环境卫生医学院以电子方式向其成员分发了一份简短的调查工具。
552 名检查者中，大多数（92%）认为筛查职业驾驶人员 OSA 很重要。然而，只有 42%的人报告使用共识指南或其他特定方案进行筛查。不应用这些指南的常见原因包括不知道（36%）、太复杂（12%）、客户保留（10%）和驾驶员不便（10%）。大多数人会考虑在未来使用这些指南，但 39%的人希望有更多的证据，另外 21%的人只希望这些指南成为“社区标准”。
需要对 OSA 和驾驶员进行更多的教育。联邦授权和消除“医生购物”行为可能会增加检查者对筛查的遵守程度。
