Celik Yeliz, Arbatli Semih, Balcan Baran, Peker Yuksel
Koc University Research Center for Translational Medicine (KUTTAM), Koc University, Istanbul 34010, Turkey.
Graduate School of Health Sciences, Koc University, Istanbul 34450, Turkey.
J Clin Med. 2024 Oct 8;13(19):5976. doi: 10.3390/jcm13195976.
(1) 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. The aim of the current study was to investigate the diagnostic performance of the EUROSAS to predict risk of OSA in professional male drivers. (2) Fifty-eight drivers were included in the current study. All participants were asked to fill out the EUROSAS before an overnight polysomnography (PSG) in the hospital. OSA was defined as an apnea-hypopnea index (AHI) 5 events/hour on the PSG. (3) Out of 58 participants, the EUROSAS correctly identified 39 (67.2%) cases as having high-risk OSA and one patient as having low-risk OSA, using AHI ≥ 5 events/h. The results indicated that the EUROSAS has a sensitivity of 67.2%, a specificity of 33.3%, a positive predictive value of 94.8%, and a negative predictive value of 5.2%. Similar results were obtained using AHI cut-offs of 15 and 30 events/h. (4) The EUROSAS provides a moderate level of accuracy for the screening of OSA in the professional male drivers. It seems that the diagnostic performance of the EUROSAS is not promising as an alternative questionnaire to identify professional drivers with OSA, probably due to participant response bias. Despite its limited evidence, the EUROSAS might have potential as a clinical screening tool in the general population.
(1) 欧盟驾照委员会最近开发了一份问卷，作为阻塞性睡眠呼吸暂停（OSA）的筛查工具，名为欧洲阻塞性睡眠呼吸暂停驾驶员筛查（EUROSAS）问卷。本研究的目的是调查EUROSAS预测职业男性驾驶员患OSA风险的诊断性能。(2) 本研究纳入了58名驾驶员。所有参与者在医院进行夜间多导睡眠图（PSG）检查前被要求填写EUROSAS问卷。OSA被定义为PSG上呼吸暂停低通气指数（AHI）≥5次/小时。(3) 在58名参与者中，EUROSAS以AHI≥5次/小时正确识别出39例（67.2%）为高风险OSA病例，1例为低风险OSA病例。结果表明，EUROSAS的灵敏度为67.2%，特异度为33.3%，阳性预测值为94.8%，阴性预测值为5.2%。使用AHI截断值为15次/小时和30次/小时时也得到了类似结果。(4) EUROSAS在职业男性驾驶员OSA筛查中提供了中等水平的准确性。作为识别患有OSA的职业驾驶员的替代问卷，EUROSAS的诊断性能似乎不太理想，可能是由于参与者的反应偏差。尽管证据有限，但EUROSAS可能有潜力作为一般人群的临床筛查工具。
