Polysomnographic diagnoses among former World Trade Center rescue workers and volunteers.
de la Hoz-RE; Mallea-JM; Kramer-SJ; Bienenfeld-LA; Wisnivesky-JP; Aurora-RN
Arch Environ Occup Health 2012 Oct; 67(4):239-242
An increased risk for obstructive sleep apnea (OSA) has been suggested for World Trade Center (WTC)-exposed workers. The authors reviewed the results from nocturnal polysomnograms (PSGs), to investigate diagnostic differences between WTC-exposed and -unexposed subjects. Six hundred fifty-six nocturnal PSGs performed at our sleep center were reviewed, 272 of them in former WTC workers. Seven diagnostic categories were compared between the 2 groups by bivariate and logistic regression analyses. The WTC group had a significantly higher predominance of the male gender, but slightly lower body mass index (BMI). There was no significant difference in the distribution of PSG diagnoses between the 2 groups in unadjusted (p = .56) or adjusted (p = .49) analyses. The authors did not identify a significant difference in PSG diagnoses between the WTC-exposed and -unexposed subjects. OSA was significantly associated with age, BMI, and gender in this patient population.
Medical-care; Medical-monitoring; Emergency-responders; Rescue-workers; Risk-factors; Clinical-diagnosis; Sleep-disorders; Employee-exposure; Employee-health; Worker-health; Age-factors; Sex-factors; Body-weight; Respiratory-system-disorders; Breathing; Diagnostic-tests;
Author Keywords: occupational medicine; respiratory diseases; sleep apnea; World Trade Center
R.Nisha Aurora, MD, Department of Medicine, Johns Hopkins University, Baltimore, MD 21224, USA
Archives of Environmental & Occupational Health
Mount Sinai School of Medicine of New York University