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Employer-mandated sleep apnea screening and diagnosis in commercial drivers



Employer-mandated sleep apnea screening and diagnosis in commercial drivers



Journal of Occupational and Environmental Medicine 54(8): 1017-1025



Obstructive sleep apnea (OSA) is common among commercial drivers and associated with health/safety risks, leading several trucking firms to mandate OSA screening. A total of 19,371 commercial drivers were screened for OSA with an online questionnaire (Somni-Sage reg) through employer mandates. Questionnaire and polysomnography results were analyzed retrospectively. Screening categorized 5908 drivers (30%) as higher risk. To date, employers have sent 2103 higher-risk drivers for polysomnography, demonstrating that 68% of high-risk drivers tested had an apnea-hypopnea index (AHI) greater than 10 and 80% had an AHI of 5 or more. A conservative prevalence estimate for OSA (AHI > 10) was 21% among the drivers studied. Online screening followed by polysomnography for high-risk drivers demonstrates as many as 21% of commercial drivers may have OSA. Mandatory screening can have a high yield among commercial drivers.

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Accession: 052951514

Download citation: RISBibTeXText

PMID: 22850349

DOI: 10.1097/jom.0b013e3182572e16


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