Correlation Between Screening for Obstructive Sleep Apnea Using a Portable Device Versus Polysomnography Testing in a Commercial Driving Population

Details

• Personal Author:
  Hegmann KT ; Hudson TB ; Talmage JB ; Thiese MS ; Watkins MR
• Description:
  OBJECTIVE: To compare the accuracy of portable monitoring for obstructive sleep apnea (OSA) with polysomnography (PSG) in commercial drivers. METHODS: A consecutive case series of drivers were screened for OSA using recent validated consensus conference criteria at a single occupational medicine clinic; those screening positive were tested with a portable OSA screening device while awaiting PSG. RESULTS: Three hundred forty-six drivers were screened and 34 completed PSG and portable monitoring. Comparing the portable device to PSG at a definition of OSA as an apnea hypopnea index (AHI) >or=15, positive predictive value is 0.64 with a 0.87 negative predictive value. Positive likelihood ratio is 4.20. Linear regression model found statistically significant relationship (P = 0.0004) between the portable device and PSG AHI values. CONCLUSION: Although not perfect, portable monitoring may be useful in further stratifying risk in drivers who have a high probability of having OSA. [Description provided by NIOSH]
• Subjects:
  Automobiles Occupational Health Safety Transportation
• Keywords:
  Drivers Monitoring Systems Motor Vehicles Screening Methods Sleep Apnea Transportation Workers
• ISSN:
  1076-2752
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  OSHA Region 4 ; Tennessee
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  51
• Issue:
  10
• NIOSHTIC Number:
  nn:20049860
• Citation:
  J Occup Environ Med 2009 Oct; 51(10):1145-1150
• Contact Point Address:
  Marc R. Watkins, MD, 1005 Dr. D. B. Todd, Jr. Blvd, Nashville, TN 37208
• Email:
  marcwatkins@comcast.net
• Federal Fiscal Year:
  2010
• Performing Organization:
  Meharry Medical College, Nashville, Tennessee
• Peer Reviewed:
  True
• Start Date:
  20080701
• Source Full Name:
  Journal of Occupational and Environmental Medicine
• End Date:
  20270630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:01561815de7b0574a034e4412d40e53b9104c1cd74e16acaa74a0261502a09747ab138b42a3fbebdf6c469fe6a5c48f084c5639ae59062a4a44ccbd198ba9367
• Download URL:
  https://stacks.cdc.gov/view/cdc/210459/cdc_210459_DS1.pdf
• File Type:
  [PDF - 174.74 KB ]