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原文传递 Screening for Obstructive Sleep Apnea in Commercial Drivers.

题名：	Screening for Obstructive Sleep Apnea in Commercial Drivers.
作者：	Gurubhagavatula, I.
关键词：	Sleep disorders, Transportation workers, Occupational Safety and Health Act, Sleep apnea syndrome, Respiratory function, Obesity, Drivers, Brain function, Medical screening, Cohort studies, National Institute for Occupational Safety and Health ( NIOSH)
摘要：	Our preliminary analysis indicates that sleep apnea is extremely common in this group of community-based commercial drivers' license holders in the Philadelphia area. The group was largely male and self-referred, and had extremely high rates of obesity/overweight (90%) and very high rates of sleep apnea (91%). Comparative data using a prior study we completed in commercial drivers' license holders showed that this group had a higher prevalence of obesity than the prior cohort, which was also self-referred. Additionally, we found that assuring confidentiality improved the utility of screening measures based on subjectively-reported criteria, whereas prior reports have indicated that self-reported data relating to sleep apnea symptom experience were unreliable in this group. We also found that unattended Type 2 sleep studies identified cases of obstructive sleep apnea with reasonable accuracy in this cohort; the Type 2 monitors we used included the recording of brain wave signals to ascertain sleep and its architecture. Additional analyses will include the value of using combinations of these tests, as compared with the use of screening criteria singly, to determine an optimal screening strategy for obstructive sleep apnea.
报告类型：	科技报告