Portable diagnostic devices for identifying obstructive sleep apnea among commercial motor vehicle drivers: Considerations and unanswered questions

Sleep

Volumn 35, Issue 11, 2012, Pages 1481-1489

  Zhang, Chunbai ^a,c,d   Berger, Mark ^b   Malhotra, Atul ^c,d   Kales, Stefanos N ^a,d,e  

^a HARVARD SCHOOL OF PUBLIC HEALTH   (United States)

^b Precision Pulmonary Diagnostics   (United States)

^c BRIGHAM AND WOMEN S HOSPITAL   (United States)

^d HARVARD MEDICAL SCHOOL   (United States)

^e CAMBRIDGE HEALTH ALLIANCE   (United States)

Author keywords

CMV operators; Diagnostic methodology; Obstructive sleep apnea; Portable monitoring

Indexed keywords

CAR DRIVER; COST BENEFIT ANALYSIS; DIAGNOSTIC ACCURACY; ELECTROCARDIOGRAM; EQUIPMENT DESIGN; EVIDENCE BASED MEDICINE; FOLLOW UP; HEART RATE; HUMAN; MEDICAL EXPERT; MONITOR; MOTOR VEHICLE; PHYSICAL EXAMINATION; POLYSOMNOGRAPHY; PORTABLE EQUIPMENT; PORTABLE MONITOR; PRACTICE GUIDELINE; PRIORITY JOURNAL; REVIEW; RISK ASSESSMENT; SCREENING; SENSITIVITY AND SPECIFICITY; SIGNAL DETECTION; SLEEP DISORDERED BREATHING; SLEEP WAKING CYCLE; TRAFFIC ACCIDENT; TRAFFIC SAFETY;

AUTOMOBILE DRIVING; COST-BENEFIT ANALYSIS; FATIGUE; HUMANS; MOTOR VEHICLES; POLYSOMNOGRAPHY; RISK FACTORS; SENSITIVITY AND SPECIFICITY; SLEEP APNEA, OBSTRUCTIVE;

EID: 84868268289     PISSN: 01618105     EISSN: 15509109     Source Type: Journal    
DOI: 10.5665/sleep.2194     Document Type: Review

References (67)

1. Department of Health and Human Services, Center for Medicare and Medicaid Services. Decision Memo for Continuous Positive Airway Pres-sure (CPAP) Therapy for Obstructive Sleep Apnea (OSA). CAG#0093R. 2008.
2. Tregear S, Reston J, Schoelles K, Phillips B. Obstructive sleep apnea and risk of motor vehicle crash: systematic review and meta-analysis. J Clin Sleep Med 2009;5:573-81.
3. George CF, Smiley A. Sleep apnea & automobile crashes. Sleep 1999;22:790-5.
4. Pack A, Dinges D, Maislin G. A study of prevalence of sleep apnea among commercial truck drivers. Publication No. DOT-RT-02-030. Washington, DC, Federal Motor Carrier Safety Administration, 2002.
5. Collop NA, Tracy SL, Kapur V, et al. Obstructive sleep apnea devices for out-of-center (OOC) testing: technology evaluation. J Clin Sleep Med 2011;7:531-48.
6. Gurubhagavatula I, Maislin G, Nkwuo JE, Pack AI. Occupational screen-ing for obstructive sleep apnea in commercial drivers. Am J Respir Crit Care Med 2004;170:371-6.
7. Talmage JB, Hudson TB, Hegmann KT, Thiese MS. Consensus criteria for screening commercial drivers for obstructive sleep apnea: evidence of effcacy J Occup Environ Med 2008;50:324-9.
8. Ferguson KA, Ono T, Lowe AA, Ryan CF, Fleetham JA. The relation-ship between obesity and craniofacial structure in obstructive sleep apnea. Chest 1995;108:375-81.
9. Gopal M, Duntley S, Uhles M, Attarian H. The role of obesity in the in-creased prevalence of obstructive sleep apnea syndrome in patients with polycystic ovarian syndrome. Sleep Med 2002;3:401-4.
10. Nishimura Y, Nishimura T, Hattori H, Hattori C, Yonekura A, Suzuki K. Obesity and obstructive sleep apnea syndrome. Acta Otolaryngol Suppl 2003;550:22-4.
11. Smith B, Phillips BA. Truckers drive their own assessment for obstruc-tive sleep apnea: a collaborative approach to online self-assessment for obstructive sleep apnea. J Clin Sleep Med 2011;7:241-5.
12. Xie W, Chakrabarty S, Levine R, Johnson R, Talmage JB. Factors as-sociated with obstructive sleep apnea among commercial motor vehicle drivers. J Occup Environ Med 2011;53:169-73.
13. Wiegand DM, Hanowski RJ, McDonald SE. Commercial drivers' health: a naturalistic study of body mass index, fatigue, and involvement in safe-ty-critical events. Traffc Inj Prev 2009;10:573-9.
14. Howard ME, Desai AV, Grunstein RR, et al. Sleepiness, sleep-disordered breathing, and accident risk factors in commercial vehicle drivers. Am J Respir Crit Care Med 2004;170:1014-21.
15. 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.
16. Tippin J, Sparks J, Rizzo M. Visual vigilance in drivers with obstructive sleep apnea. J Psychosom Res 2009;67:143-51.
17. Vakulin A, Baulk SD, Catcheside PG, et al. Effects of alcohol and sleep restriction on simulated driving performance in untreated patients with obstructive sleep apnea. Ann Intern Med 2009;151:447-55.
18. US Department of Transportation, FMCSA. Federal Motor Carrier Safety Administration Medical Examination Report (649-F). URL: https://www. fmcsa.dot.gov/documents/safetyprograms/Medical-Report.pdf Accessed on Oct 1, 2012.
19. Parks P, Durand G, Tsismenakis AJ, Vela-Bueno A, Kales S. Screening for obstructive sleep apnea during commercial driver medical examinations. J Occup Environ Med 2009;51:275-82.
20. Medical Expert Panel Recommendations: obstructive sleep apnea and commercial motor vehicle driver safety. Washington DC Federal Motor Carrier Safety Administration, 2008.
21. 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;164:1904-9.
22. US Department of Transportation FMCSA. Federal Motor Carrier Safety Administration Medical Review Board Meeting Summary. In: Transpor-tation Dept, Salt Lake City, Utah, 2008. URL: http://www.mrb.fmcsa.dot.gov/documents/Final- Meeting-Minutes-Jan-2808-MRB-Meeting-Re-vised-Updated-93008.pdf (Accessed September 19, 2012).
23. Dagan Y, Doljansky JT, Green A, Weiner A. Body mass index (BMI) as a frst-line screening criterion for detection of excessive daytime sleepiness among professional drivers. Traffc Inj Prev 2006;7:44-8.
24. Hartenbaum N, Collop N, Rosen IM, et al. Sleep apnea and commercial motor vehicle operators: statement from the joint task force of the Ameri-can College of Chest Physicians, the American College of Occupational and Environmental Medicine, and the National Sleep Foundation. Chest 2006;130:902-5.
25. Hartenbaum N, Collop N, Rosen IM, et al. Sleep apnea and commercial motor vehicle operators: statement from the joint Task Force of the Amer-ican College of Chest Physicians, American College of Occupational and Environmental Medicine, and the National Sleep Foundation. J Occup Environ Med 2006;48:S4-37.
26. Durand G, Kales SN. Obstructive sleep apnea screening during commer-cial driver medical examinations: a survey of ACOEM members. J Occup Environ Med 2009;51:1220-6.
27. Gurubhagavatula I, Nkwuo J, Maislin G, Pack A. Estimated cost of crash-es in commercial drivers supports screening and treatment of obstructive sleep apnea. Accid Anal Prev 2008;40:104-15.
28. Johns M. New method for measuring daytime sleepiness: the Epworth Sleepiness Scale. Sleep 1991;14:540-5.
29. Parra O, Garcia-Esclasans N, Montserrat JM, et al. Should patients with sleep apnoea/hypopnoea syndrome be diagnosed and managed on the ba-sis of home sleep studies? Eur Respir J 1997;10:1720-4.
30. Important Message About Examiner Certifcation., Federal Motor Carrier Safety Administration.2011; URL: http://nrcme.fmcsa.dot.gov/disclaim-er.aspx. Accessed October 20, 2011.
31. GAO-08-1030TUnited States Government Accountability Offce: Testi-mony before the committee on transportation and infrastructure, House of Representatives. Commercial drivers certifcation process for drivers with serious medical conditions. 2008. URL: http://www.gao.gov/new.items/ d081030t.pdf (accessed Sept. 19, 2012).
32. American Academy of Sleep Medicine: The AASM Manual for the Scor-ing of Sleep and Associated Events: Rules, Terminology and Technical Specifcations. American Academy of Sleep Medicine, Westchester, IL. 2007.
33. Patel NP, Ahmed M, Rosen I. Split-night polysomnography. Chest 2007;132:1664-71.
34. Chesson AL Jr, Berry RB, Pack A. Practice parameters for the use of portable monitoring devices in the investigation of suspected obstructive sleep apnea in adults. Sleep 2003;26:907-13.
35. Hartenbaum N. The DOT Medical Examination-A Guide to Commer-cial Drivers' Medical Certifcation. 5th edition. Beverly Farm, MA: OEM Press, 2008.
36. Technology Assessment Program, Home diagnosis of obstructive sleep apnea-hypopnea syndrome. 2007. Center for Medicare & Medicaid Ser-vices. URL: http://www.cms.gov/Medicare/Coverage/DeterminationPro-cess/downloads/ id48TA.pdf (accessed Sept 19, 2012).
37. Berry RB, Hill G, Thompson L, McLaurin V Portable monitoring and autotitration versus polysomnography for the diagnosis and treatment of sleep apnea. Sleep 2008;31:1423-31.
38. Shahar E, Whitney CW, Redline S, et al. Sleep-disordered breathing and cardiovascular disease: cross-sectional results of the Sleep Heart Health Study. Am J Respir Crit Care Med 2001;163:19-25.
39. Bresler M, Sheffy K, Pillar G, Preiszler M, Herscovici S. Differentiating between light and deep sleep stages using an ambulatory device based on peripheral arterial tonometry Physiol Meas 2008;29:571-84.
40. Zou D, Grote L, Peker Y Lindblad U, Hedner J. Validation a portable monitoring device for sleep apnea diagnosis in a population based cohort using synchronized home polysomnography. Sleep 2006;29:367-74.
41. Bar A, Pillar G, Dvir I. Evaluation of a portable device based on peripheral arterial tone for unattended home sleep studies. Chest 2003;123:435-42.
42. Ayas NT, Pittman SD, MacDonald M, White DP Assessment of a wrist-worn device in the detection of obstructive sleep apnea. Sleep Med 2003;4:435-42.
43. Penzel T, Kesper K, Pinnow I. Peripheral arterial tonometry, oximetry and actigraphy for ambulatory recording of sleep apnea. Physiol Meas 2004;25:1025-36.
44. Pittman SD, Ayas NT, MacDonald MM, Malhotra A, Fogel RB, White DP Using a wrist-worn device based on peripheral arterial tonometry to diagnose obstructive sleep apnea: in-laboratory and ambulatory valida-tion. Sleep 2004;27:923-33.
45. Hedner J, White DP, Malhotra A, et al. Sleep staging based on autonomic signals: a multi-center validation study. J Clin Sleep Med 2011;7:301.
46. Ayappa I, Norman RG, Seelall V, Rapoport DM. Validation of a self-applied unattended monitor for sleep disordered breathing. J Clin Sleep Med 2008;4:26-37.
47. Popovic D, King C, Guerrero M, Levendowski DJ, Henninger D, West-brook PR. Validation of forehead venous pressure as a measure of re-spiratory effort for the diagnosis of sleep apnea. J Clin Monit Comput 2009;23:1-10.
48. Nigro C, Dibur E, Aimaretti S, Gonzalez S, Rhodius E. Comparison of the automatic analysis versus the manual scoring from ApneaLink de-vice for the diagnosis of obstructive sleep apnea syndrome. Sleep Breath 2010;15:679-86.
49. Nigro C, Malnis S, Dibur E, Rhodius E. How reliable is the manual correction of the autoscoring of a level IV sleep study (ApneaLink ™) by an observer without experience in polysomnography? Sleep Breath 2012;16275-9.
50. Hedner J, White DP, Malhotra A, et al. Sleep staging based on autonomic signals: a multi-center validation study. J Clin Sleep Med 2011;7:301-6.
51. Whitelaw WA, Brant RF, Flemons WW. Clinical usefulness of home ox-imetry compared with polysomnography for assessment of sleep apnea. Am J Respir Crit Care Med 2005;171:188-93.
52. Reichert JA, Bloch DA, Cundiff E, Votteri BA. Comparison of the Nova-Som QSG, a new sleep apnea home-diagnostic system, and polysomnog-raphy. Sleep Med 2003;4:213-8.
53. Ayas NT, Fox J, Epstein L, Ryan CF, Fleetham JA. Initial use of por-table monitoring versus polysomnography to confrm obstructive sleep apnea in symptomatic patients: an economic decision model. Sleep Med 2010;11:320-4.
54. Pietzsch JB, Garner A, Cipriano LE, Linehan JH. An integrated health-economic analysis of diagnostic and therapeutic strategies in the treatment of moderate-to-severe obstructive sleep apnea. Sleep 2011;34:695-709.
55. Tonelli de Oliveira AC, Martinez D, Vasconcelos LF, et al. Diagnosis of obstructive sleep apnea syndrome and its outcomes with home portable monitoring. Chest 2009;135:330-6.
56. Santos-Silva R, Sartori DE, Truksinas V et al. Validation of a portable monitoring system for the diagnosis of obstructive sleep apnea syndrome. Sleep 2009;32:629-36.
57. Nakayama-Ashida Y, Takegami M, Chin K, et al. Sleep-disordered breathing in the usual lifestyle setting as detected with home monitoring in a population of working men in Japan. Sleep 2008;31:419-25.
58. Yin M, Miyazaki S, Ishikawa K. Evaluation of type 3 portable monitoring in unattended home setting for suspected sleep apnea: factors that may affect its accuracy. Otolaryngol Head Neck Surg 2006;134:204-9.
59. Westbrook P, Levendowski D, Cvetinovic M, et al. Description and vali-dation of the apnea risk evaluation system: a novel method to diagnose sleep apnea-hypopnea in the home. Chest 2005;128:2166-75.
60. Quintana-Gallego E, Villa-Gil M, Carmona-Bernal C, et al. Home respi-ratory polygraphy for diagnosis of sleep-disordered breathing in heart failure. Eur Respir J 2004;24:443-8.
61. Dingli K, Coleman EL, Vennelle M, et al. Evaluation of a portable de-vice for diagnosing the sleep apnoea/hypopnoea syndrome. Eur Respir J 2003;21:253-9.
62. Whittle AT, Finch SP, Mortimore IL, MacKay TW, Douglas NJ. Use of home sleep studies for diagnosis of the sleep apnoea/hypopnoea syn-drome. Thorax 1997;52:1068-73.
63. Ancoli-Israel S, Mason W, Coy TV, Stepnowsky C, Clausen JL, Dimsdale J. Evaluation of sleep disordered breathing with unattended recording: the Nightwatch System. J Med Eng Technol 1997;21:10-14.
64. Carrasco O, Montserrat JM, Lloberes P, et al. Visual and different auto-matic scoring profles of respiratory variables in the diagnosis of sleep apnoea-hypopnoea syndrome. Eur Respir J 1996;9:125-30.
65. Lloberes P, Montserrat JM, Ascaso A, et al. Comparison of partially at-tended night time respiratory recordings and full polysomnography in patients with suspected sleep apnoea/hypopnoea syndrome. Thorax 1996;51:1043-7.
66. White DP, Gibb TJ, Wall JM, Westbrook PR. Assessment of accuracy and analysis time of a novel device to monitor sleep and breathing in the home. Sleep 1995;18:115-26.
67. Watkins MR, Talmage JB, Thiese MS, Hudson TB, Hegmann KT. Cor-relation between screening for obstructive sleep apnea using a portable device versus polysomnography testing in a commercial driving popula-tion. J Occup Environ Med 2009;51:1145-50.