Department of Chest Deseases, İzmir Metropolitan Municipality Hospital, İzmir 35110, Turkey.
Department of Chest Diseases, Okmeydanı Training and Research Hospital, Istanbul 34384, Turkey.
Medicina (Kaunas). 2019 Sep 17;55(9):599. doi: 10.3390/medicina55090599.
: Obstructive sleep apnea syndrome (OSAS) is the most frequent sleep disorder, characterized by the repeated collapse of the upper respiratory tract during sleep. In this study, we aimed to determine the prevalence of OSAS in heavy equipment operators and to determine the relationship between the work accidents that these operators were involved in and the OSAS symptoms and severity. In doing this, we aimed to emphasize the association of OSAS, which is a treatable disease, and these accidents, which cause loss of manpower, financial hampering, and even death. : STOP BANG questionnaire was provided to 965 heavy equipment operators and polysomnography (PSG) was performed, in Izmir Esrefpasa Municipality Hospital, to the operators at high risk for OSAS. Demographic data, health status, and accidents of these operators were recorded. : All operators who participated in the study were male. The ages of the cases ranged from 35 to 58 and the mean age was 45.07 ± 5.54 years. The mean STOP BANG questionnaire results were 4.36 ± 3.82. In total, 142 operators were identified with high risk for OSAS and PSG could be performed on 110 of these 142 operators. According to the PSG results of the operators, 41 (37.3%) patients had normal findings, while 35 (31.8%) had mild, 20 (18.2%) had moderate, and 14 (12.7%) had severe OSAS. Among those 110 patients, 71 (64.5%) of the cases had no history of any accidents, 25 (22.8%) were almost involved in an accident due to sleepiness, and 14 (12.7%) were actually involved in an accident. There was a statistically significant relationship between the accident rate and OSAS severity (: 0.009). : Based on the data acquired in the present study, a positive correlation was determined between the accident statuses of drivers with OSAS severity. We want to attract attention to the necessity of evaluating the OSAS symptoms in professional heavy equipment operators during the certification period and at various intervals afterwards, and to carry out OSAS evaluations by PSG for those having a certain risk.
阻塞性睡眠呼吸暂停综合征（OSAS）是最常见的睡眠障碍，其特征是睡眠期间上呼吸道反复塌陷。在这项研究中，我们旨在确定重型设备操作人员中 OSAS 的患病率，并确定这些操作人员所涉及的工作事故与 OSAS 症状和严重程度之间的关系。这样做的目的是强调 OSAS 的相关性，OSAS 是一种可治疗的疾病，而这些事故会导致人力损失、财务受阻，甚至死亡。
我们向伊兹密尔埃斯雷夫帕萨市立医院的 965 名重型设备操作人员发放了 STOP BANG 问卷，并对 OSAS 高危操作人员进行了多导睡眠图（PSG）检查。记录了这些操作人员的人口统计学数据、健康状况和事故情况。
所有参与研究的操作人员均为男性。病例年龄为 35 至 58 岁，平均年龄为 45.07 ± 5.54 岁。STOP BANG 问卷结果的平均值为 4.36 ± 3.82。共有 142 名操作人员被确定为 OSAS 高危人群，其中 110 名操作人员可进行 PSG 检查。根据操作人员的 PSG 结果，41 名（37.3%）患者的检查结果正常，35 名（31.8%）为轻度 OSAS，20 名（18.2%）为中度 OSAS，14 名（12.7%）为重度 OSAS。在这 110 名患者中，71 名（64.5%）无任何事故史，25 名（22.8%）因嗜睡几乎发生事故，14 名（12.7%）实际发生事故。事故发生率与 OSAS 严重程度之间存在显著的统计学关系（: 0.009）。
根据本研究获得的数据，确定了 OSAS 严重程度与驾驶员事故状态之间存在正相关关系。我们希望引起人们对重型设备操作人员在认证期间和以后的各个间隔进行 OSAS 症状评估的必要性的关注，并对具有一定风险的人员进行 PSG 评估 OSAS。
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