Department of Pulmonary Medicine, School of Medicine, Koc University, Davutpasa cad, No 4 TR-34010 Zeytinburnu, Istanbul, Turkey.
Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Sleep Breath. 2021 Jun;25(2):907-913. doi: 10.1007/s11325-020-02201-2. Epub 2020 Oct 8.
The European Union Driver License Committee recently developed a questionnaire as a screening tool for obstructive sleep apnea (OSA) named the European Obstructive Sleep Apnea Screening (EUROSAS) questionnaire for drivers. We sought to address the reliability of the Turkish version of this questionnaire.
The EUROSAS was translated into Turkish. Using a "test-retest approach", data were collected twice with a 15-day interval among 150 participants (50 professional male drivers [PMD], 50 non-professional male drivers [NPMD], and 50 non-professional female drivers [NPFD]). The EUROSAS score ranges between 2 and 25, with scores ≥ 10 suggesting the presence of OSA.
The median EUROSAS scores in the first test were 8.0 (interquartile range [IQR] 6.8-12.0) in PMD, 8.0 (IQR 6.0-11.0) in NPMD, and 5.0 (IQR 4.0-8.0) in NPFD (p < 0.001). Corresponding values in the retest were 9.5 (IQR 7.0-13.0), 8.0 (IQR 6.0-10.0), and 5.0 (IQR 4.0-8.0), respectively (p < 0.001). The EUROSAS score ≥ 10 was found among 34% in the first test and 50% in the retest in PMD (ns), 34% vs 24% in NPMD (ns), and 8% vs 16% in NPFD (ns). There was a positive correlation between the tests (r = 0.864, p < 0.001), and Cronbach's alpha value for the whole group was 0.477 (0.514 for PMD, 0.512 for NPMD, and 0.543 NPFD, respectively).
The EUROSAS-Turkish version is easy to understand and is reproducible. However, the test-retest reliability level is poor among the Turkish drivers. Further validation of the questionnaire by objective sleep studies and fitness-to-drive testing is necessary.
最近，欧盟驾驶员许可证委员会开发了一种名为欧洲阻塞性睡眠呼吸暂停筛查问卷（EUROSAS）的问卷，作为阻塞性睡眠呼吸暂停（OSA）的筛查工具。我们旨在评估该问卷土耳其语版本的可靠性。
EUROSAS 被翻译成土耳其语。使用“测试-重测方法”，在 150 名参与者（50 名职业男性驾驶员[PMD]、50 名非职业男性驾驶员[NPMD]和 50 名非职业女性驾驶员[NPFD]）中，两次采集数据，间隔 15 天。EUROSAS 评分范围为 2 至 25 分，得分≥10 分提示存在 OSA。
PMD 中首次测试的 EUROSAS 评分中位数为 8.0（四分位距[IQR] 6.8-12.0），NPMD 为 8.0（IQR 6.0-11.0），NPFD 为 5.0（IQR 4.0-8.0）（p<0.001）。复测中的对应值分别为 9.5（IQR 7.0-13.0）、8.0（IQR 6.0-10.0）和 5.0（IQR 4.0-8.0）（p<0.001）。PMD 中首次测试 EUROSAS 评分≥10 的比例为 34%，复测中为 50%（无统计学差异），NPMD 中为 34%与 24%（无统计学差异），NPFD 中为 8%与 16%（无统计学差异）。两次测试之间存在正相关（r=0.864，p<0.001），整个组的 Cronbach's alpha 值为 0.477（PMD 为 0.514，NPMD 为 0.512，NPFD 为 0.543）。
EUROSAS-土耳其语版本易于理解且具有可重复性。然而，土耳其驾驶员的测试-重测可靠性水平较差。需要通过客观睡眠研究和驾驶适应性测试进一步验证问卷。
