Occupational screening for obstructive sleep apnea in commercial drivers

American Journal of Respiratory and Critical Care Medicine

Volumn 170, Issue 4, 2004, Pages 371-376

  Gurubhagavatula, Indira ^a   Maislin, Greg ^b   Nkwuo, Jonathan E ^b   Pack, Allan I ^b  

^a HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA   (United States)

^b NONE

Author keywords

Nocturnal pulse oximetry; Polysomnography; Questionnaire

Indexed keywords

ACCIDENT PRONENESS; ADULT; ARTICLE; BODY MASS; COHORT ANALYSIS; DRIVER; DRIVING ABILITY; FEMALE; HUMAN; INTERMETHOD COMPARISON; MAJOR CLINICAL STUDY; MALE; OCCUPATIONAL DISEASE; POLYSOMNOGRAPHY; PRIORITY JOURNAL; PULSE OXIMETRY; SCREENING; SLEEP APNEA SYNDROME; SYMPTOM; TRAFFIC ACCIDENT;

ADULT; AUTOMOBILE DRIVING; BODY MASS INDEX; COHORT STUDIES; FEMALE; HUMANS; MALE; MASS SCREENING; MIDDLE AGED; MULTIVARIATE ANALYSIS; OCCUPATIONAL HEALTH SERVICES; PENNSYLVANIA; PROSPECTIVE STUDIES; SENSITIVITY AND SPECIFICITY; SLEEP APNEA, OBSTRUCTIVE;

EID: 4544224006     PISSN: 1073449X     EISSN: None     Source Type: Journal    
DOI: 10.1164/rccm.200307-968OC     Document Type: Article

References (42)

1. Young T, Palta M, Dempsey J, Skatrud J, Weber S, Badr S. The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med 1993;328:1230-1235.
2. Mitler M. Daytime sleepiness and cognitive functioning in sleep apnea. Sleep 1993;16:S68-S70.
3. Kim H, Young T, Matthews C, Weber S, Woodward A, Palta M. Sleep-disordered breathing and neuropsychological deficits: a population-based study. Am J Respir Crit Care Med 1997;156:1813-1819.
4. George CF, Boudreau AC, Smiley A. Simulated driving performance in patients with obstructive sleep apnea. Am J Respir Crit Care Med 1996;154:175-181.
5. American Thoracic Society. Sleep apnea, sleepiness, and driving risk. Am J Respir Crit Care Med 1994;150:1463-1473.
6. Young T, Blustein J, Finn L, Palta M. Sleep-disordered breathing and motor vehicle accidents in a population-based sample of employed adults. Sleep 1997;20:608-613.
7. Teran-Santos J, Jimenez-Gomez A, Cordero-Guevara J. Cooperative Group Burgos-Santander. The association between sleep apnea and the risk of traffic accidents. N Engl J Med 1999;340:847-851.
8. American Academy of Sleep Medicine Task Force. Sleep-related breathing disorders in adults: recommendations for syndrome definition and measurement techniques in clinical research. Sleep 1999;22:667-689.
9. Pack AI, Maislin G, Staley B, George C, Pack FM, Dinges DF. Factors associated with daytime sleepiness and performance in a sample of commercial drivers [abstract]. Sleep 2001;24:A427.
10. Sullivan C, Issa F, Berthon-Jones M, Eves L. Reversal of obstructive sleep apnea by continuous positive airways pressure applied through the nares. Lancet 1982;1:862-865.
11. Jenkinson C, Davies RJ, Mullins R, Stradling JR. Comparison of therapeutic and subtherapeutic continuous positive airway pressure for obstructive sleep apnoea: a randomised prospective parallel trial. Lancet 1999;353:2100-2105.
12. George CF. Reduction in motor vehicle collisions following treatment of sleep apnoea with nasal CPAP. Thorax 2001;56:508-512.
13. Hack M, Davies RJ, Mullins R, Choi SJ, Ramdassingh-Dow S, Jenkinson C, Stradling JR. Randomised prospective parallel trial of therapeutic versus subtherapeutic nasal continuous positive airway pressure on simulated steering performance in patients with obstructive sleep apnoea. Thorax 2000;55:224-231.
14. Barnes M, Houston D, Worsnop C, Neill A, Mykytyn I, Kay A, Trinder J, Saunders N, McEvoy D, Pierce R. A randomized controlled trial of continuous positive airway pressure in mild obstructive sleep apnea. Am J Respir Crit Care Med 2002;165:773-780.
15. Engleman H, Martin S, Deary I, Douglas N. Effect of CPAP therapy on daytime function in patients with mild sleep apnoea/hypopnoea syndrome. Thorax 1997;52:114-119.
16. Engleman H, Kingshott R, Wraith P, Mackay T, Deary I, Douglas N. Randomized placebo-controlled crossover trial of continuous positive airway pressure for mild sleep apnea/hypopnea syndrome. Am J Respir Crit Care Med 1999;159:461-467.
17. Monasterio C, Vidal S, Duran J, Ferrer M, Carmona C, Barbe F, Mayos M, Gonzalez-Mangado N, Juncadella M, Navarro A, et al. Effectiveness of continuous positive airway pressure in mild sleep apnea-hypopnea syndrome. Am J Respir Crit Care Med 2001;164:939-943.
18. Redline S, Adams N, Strauss M, Roebuck T, Winters M, Rosenberg C. Improvement of mild sleep-disordered breathing with CPAP compared with conservative therapy. Am J Respir Crit Care Med 1998;157:858-865.
19. Block AJ, Cohn MA, Conway WA, Hudgel DW, Powles AC, Sanders MH, Smith PL. Indications and standards for cardiopulmonary sleep studies. Sleep 1985;8:371-379.
20. Pack A. Obstructive sleep apnea. Adv Intern Med 1994;39:517-567.
21. Maislin G, Pack A, Kribbs N, Smith P, Schwartz A, Kline L, Schwab R, Dinges D. A survey screen for prediction of apnea. Sleep 1995;18:158-166.
22. Pack AI, Maislin G, Staley B, Pack FM, Dinges DF. Determinants of prevalence of sleep apnea in commercial drivers [abstract]. Am J Respir Crit Care Med 2001;163:A932.
23. Gurubhagavatula I, Maislin G, Pack AI. Economics of obstructive sleep apnea (OSA) screening in commercial drivers [abstract]. Am J Respir Crit Care Med 2000;161:A353.
24. Maislin G, Gurubhagavatula I, Hachadoorian R, Pack F, O'Brien E, Bogage A, Staley B, Dinges DF, Pack AI. Operating characteristics of the multivariable apnea prediction index in non-clinic populations [abstract]. Sleep 2003;26:A247.
25. Pack AI, Maislin G, Staley B, Pack FM, Dinges DF. Obstructive sleep apnea (OSA) in commercial drivers [abstract]. Am J Respir Crit Care Med 2000;161:A714.
26. Gislason T, Almqvist M, Eriksson G, Taube A, Boman G. Prevalence of sleep apnea syndrome among Swedish men: an epidemiological study. J Clin Epidemiol 1988;41:571-576.
27. Rechtschaffen A, Kales A. A manual of standardized terminology techniques and scoring system for sleep stages of human subjects. Washington, DC: U.S. Government Printing Office; 1968. p. 2-12.
28. Young T, Peppard PE, Gottlieb DJ. Epidemiology of obstructive sleep apnea: a population health perspective. Am J Respir Crit Care Med 2002;165:1217-1239.
29. Gurubhagavatula I, Maislin G, Pack AI. An algorithm to stratify sleep apnea risk in a sleep disorders clinic population. Am J Respir Crit Care Med 2001;164:1904-1909.
30. Hanley J, McNeil B. The meaning and use of area under a receiver operating characteristic (ROC) curve. Radiology 1982;143:29-36.
31. Harrell F, Lee K, Mark D. Tutorial in biostatistics: issues in developing models, evaluating assumptions and adequacy, and measuring and reducing errors. Stat Med 1996;15:361-387.
32. Metz CE. ROCKIT software. Chicago, IL: Biological Sciences Division, Department of Radiology, University of Chicago; 1998. Available online at: http://xray.bsd.uchicago.edu/krl/KRL_ROC/software_index. htm (accessed June 11, 2004)
33. McNeil B, Keeler E, Adelstein S. Primer on certain elements of medical decision making. N Engl J Med 1975;293:211-215.
34. Efron B, Tibshirani R. Bootstrap methods for standard errors, confidence intervals, and other measures of statistical accuracy. Stat Sci 1986;1:54-77.
35. Fagan T. Letter: nomogram for Bayes theorem. N Engl J Med 1975;293:257.
36. Jaeschke R, Guyatt G. Sackett DL. Users' guides to the medical literature. III. How to use an article about a diagnostic test. B. What are the results and will they help me in caring for my patients? JAMA 1994;271:703-707.
37. National Center for Statistics and Analysis of the National Highway Traffic Safety Administration, U.S. Department of Transportation. Traffic safety facts 2001: large trucks. Washington, DC: U.S. Government Printing Office; 2001. DOT HS 809 472. URL: http://www-nrd.nhtsa.dot.gov/pdf/nrd-30/NCSA/TSF2001/ 2001largetrk.pdf (accessed June 11, 2004).
38. National Transportation Safety Board. Fatigue, alcohol, other drugs, and medical factors in fatal-to-the-driver heavy truck crashes. Vol. 1. Washington, DC: U.S. Government Printing Office; 1990. Safety Study NTSB/SS-90/01.
39. AAA Foundation for Traffic Safety. A Report on the determination and evaluation of the role of fatigue in heavy truck accidents. Washington, D.C.: Transportation Research and Marketing; 1985.
40. Stoohs R, Bingham L, Itoi A, Guilleminault C, Dement W. Sleep and sleep-disordered breathing in commercial long-haul truck drivers. Chest 1995;107:1275-1282.
41. Levy P, Pepin JL, Deschaux-Blanc C, Paramelle B, Brambilla C. Accuracy of oximetry for detection of respiratory disturbances in sleep apnea syndrome. Chest 1996;109:395-399.
42. Bland J, Altman D. Regression towards the mean. BMJ 1994;308:1499.