Costa Giovanni
Università degli Studi di Milano,.
Med Lav. 2017 Aug 28;108(4):251-259. doi: 10.23749/mdl.v108i4.6409.
Commission Directive 2104/85/EU on driving licenses highlighted significant issues related to the Obstructive Sleep Apnea Syndrome (OSAS). Due to the high incidence of this syndrome in the general population, it is important to precisely assess its impact on work and driving performance, in terms of employee and third-party safety, general health and related social costs (errors, accidents, absenteeism, presenteism, treatments). As occupational health physicians regularly check the workers in the age group in which the incidence of OSAS is higher, they are called upon to play a strategic role in the early detection of the disease and the prescription of an appropriate therapy, as well as in monitoring the treatment effectiveness in order to assess fitness to work and/or drive. The soundness and effectiveness of the occupational health physicians' work depend not only on their knowledge of and attention to the problem, but above all on the interaction with specialists from other disciplines, essential to arrive at a correct diagnosis and an effective treatment. Main goals of this activity are to maintain a satisfactory operating performance and to prevent possible deleterious health effects in the medium and long-term period.
欧盟关于驾驶执照的第2104/85/EU号委员会指令突出了与阻塞性睡眠呼吸暂停综合征（OSAS）相关的重大问题。鉴于该综合征在普通人群中的高发病率，从员工和第三方安全、总体健康以及相关社会成本（错误、事故、旷工、出勤主义、治疗）方面准确评估其对工作和驾驶表现的影响非常重要。由于职业健康医生定期检查OSAS发病率较高年龄段的工人，他们被要求在疾病的早期检测、适当治疗方案的开具以及监测治疗效果以评估工作和/或驾驶适宜性方面发挥战略作用。职业健康医生工作的合理性和有效性不仅取决于他们对该问题的了解和关注，更重要的是取决于与其他学科专家的互动，这对于做出正确诊断和有效治疗至关重要。这项活动的主要目标是保持令人满意的操作性能，并在中长期预防可能的有害健康影响。
