Obstructive sleep apnea and World Trade Center exposure

Details

• Personal Author:
  Appel DW ; Cohen HW ; Glaser MS ; Hall CB ; Jaber N ; Kelly K ; Prezant D ; Shah N ; Shulman L ; Weakley J ; Webber MP ; Zeig-Owens R
• Description:
  OBJECTIVES: To describe the proportion of at-risk World Trade Center (WTC)-exposed rescue/recovery workers with polysomnogram-confirmed obstructive sleep apnea (OSA) and examine the relationship between WTC exposure, physician-diagnosed gastroesophageal reflux disease (GERD), and rhinosinusitis and OSA. METHODS: A total of 636 male participants completed polysomnography from September 24, 2010, to September 23, 2012. Obstructive sleep apnea was classified as mild, moderate, or severe. Associations were tested using nominal polytomous logistic regression. RESULTS: Eighty-one percent of workers were diagnosed with OSA. Using logistic regression models, severe OSA was associated with WTC exposure on September 11, 2001 (odds ratio, 1.91; 95% confidence interval, 1.15 to 3.17), GERD (odds ratio, 2.75; 95% confidence interval, 1.33 to 5.70), and comorbid GERD/rhinosinusitis (odds ratio, 2.31; 95% confidence interval, 1.22 to 4.40). CONCLUSIONS: We found significant associations between severe OSA and WTC exposure, and with diseases prevalent in this population. Accordingly, we recommend clinical evaluation, including polysomnography, for patients with high WTC exposure, other OSA risk factors, and a physician diagnosis of GERD or comorbid GERD and rhinosinusitis. [Description provided by NIOSH]
• Subjects:
  Occupational Health Safety September 11 Terrorist Attacks
• Keywords:
  Gastroesophageal Reflux Disease GERD Sleep Apnea World Trade Center WTC
• ISSN:
  1076-2752
• Document Type:
  Text
• Funding:
  Contract
• Genre:
  Journal Article
• Place as Subject:
  New York ; OSHA Region 2
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  56
• NIOSHTIC Number:
  nn:20047474
• Citation:
  J Occup Environ Med 2014 Oct; 56(Suppl 10):S30-S34
• Contact Point Address:
  Mayris P. Webber, DrPH, Bureau of Health Services, Fire Department of the City of New York, 9 Metrotech Center, Brooklyn, NY 11201
• Email:
  webberm@fdny.nyc.gov
• Federal Fiscal Year:
  2015
• Performing Organization:
  New York City Fire Department
• Peer Reviewed:
  True
• Start Date:
  20110701
• Source Full Name:
  Journal of Occupational and Environmental Medicine
• Supplement:
  10
• End Date:
  20170331
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:12666e1d3c52875aa9d52e78c0c0adf1ab8ed8ce3afb247528eb26099be9223b7a845cd58186bef0ef27c86223c1d22b343066dd4305010e8d3808be9cd17dff
• Download URL:
  https://stacks.cdc.gov/view/cdc/202530/cdc_202530_DS1.pdf
• File Type:
  [PDF - 101.26 KB ]