Factors associated with obstructive sleep apnea among commercial motor vehicle drivers.
Xie W; Chakrabarty S; Levine R; Johnson R; Talmage JB
J Occup Environ Med 2011 Feb; 53(2):169-173
OBJECTIVE: Identify factors associated with obstructive sleep apnea (OSA) risk during commercial driver medical examinations. METHODS: A case-control study was conducted at an occupational health clinic by reviewing the commercial driver medical examinations medical records performed from January 2007 to December 2008. The magnitude of association with OSA was estimated with logistic regression. RESULTS: Among 1890 commercial motor vehicle drivers, 51 were confirmed positive for OSA by polysomnography after initial screening by Joint Task Force guidelines, yielding estimated positive predictive values of 78.5 percent for the screening criteria. Multivariable logistic regression showed that body mass index = 30 (odds ratio: 26.86), hypertension (odds ratio: 2.57), and diabetes (odds ratio: 2.03) were independently associated with OSA. CONCLUSION: Medical examiners' use of objectively measurable risk factors, such as obesity, history of hypertension, and/or diabetes, rather than symptoms, may be more effective in identifying undiagnosed OSA in commercial drivers during the commercial driver medical examinations.
Sleep-disorders; Sleep-deprivation; Motor-vehicles; Drivers; Breathing; Airway-obstruction; Medical-examinations; Medical-screening; Diagnostic-tests; Mathematical-models; Body-weight; Hypertension; Risk-analysis; Risk-factors
Wen Xie, MD, PhD, MSPH, Corporate Health Service, Saratoga Hospital, Saratoga Springs, NY 12866
Journal of Occupational and Environmental Medicine
Meharry Medical College, Nashville, Tennessee