Sleep Apnea and Commercial Motor Vehicle Operators: Statement from the Joint Task Force of the American College of Chest Physicians, American College of Occupational and Environmental Medicine, and the National Sleep Foundation

Details

• Personal Author:
  Collop N ; Freedman N ; George CFP ; Gurubhagavatula I ; Hartenbaum N ; Leaman HM ; Moffitt GL ; Phillips B ; Rosen IM ; Rowley JA ; Strohl K ; Weaver TE
• Description:
  This report of the task force provides the detailed findings of the extensive reviews conducted of documents from diverse resources on many relevant topics. The detailed reviews address the following areas: (1) definition of sleep apnea; (2) current regulations, recommendations, and guidelines; (3) identification of patients at risk for sleep apnea and diagnosis; (4) objective assessment of sleepiness and performance; (5) identification of CMV drivers with sleep apnea who are at high risk for crashes; (6) management of sleep apnea in the CMV driver; (7) practical considerations; and (8) additional research questions. These findings formed the foundation for consensus recommendations regarding the diagnosis and management of OSA in commercial drivers. The information presented in the eight sections are not summarized here but are provided in detail with references in the report. The recommendation categories focus on the following: screening; diagnosis; treatment; compliance and efficacy; return to work after treatment for OSA; and follow-up. Tables 1,2 provide an overview of these recommendations. However, the task force recommends that the commercial driver medical examiner evaluate each driver individually and make a judgment about his or her fitness for duty based on specific criteria including those listed in the Tables 1,2. These criteria cannot predict every situation faced by the examiner, and the final judgment belongs to the commercial driver medical examiner. Additional testing is optional, based on clinical judgment, in order to document absence of excessive somnolence. [Description provided by NIOSH]
• Subjects:
  Automobiles Occupational Health Safety Transportation
• Keywords:
  Author Keywords: Commercial Drivers Continuous Positive Airway Pressure Drivers Equipment Operators Medical Examinations Medical Screening Sleep Apnea Transportation Workers Vehicle Safety
• ISSN:
  0012-3692
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Arkansas ; Kentucky ; Maryland ; Michigan ; Ohio ; OSHA Region 3 ; OSHA Region 4 ; OSHA Region 5 ; OSHA Region 6 ; OSHA Region 8 ; Pennsylvania ; Utah
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  130
• Issue:
  3
• NIOSHTIC Number:
  nn:20053540
• Citation:
  Chest 2006 Sep; 130(3):902-905
• Contact Point Address:
  Nancy Collop, MD, FCCP, Associate Professor of Medicine, Division of Pulmonary/Critical Care Medicine, Johns Hopkins University, 1830 East Monument St, Room 555, Baltimore, MD 21205
• Email:
  ncollop1@jhmi.edu
• Federal Fiscal Year:
  2006
• Performing Organization:
  University of Pennsylvania, Philadelphia
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Chest
• End Date:
  20290630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:a50651c1ad1e87c4a61626dcd725b9d1a2c5e015fcc2d6777798ff8b458b952582be39235ec54e561593d8054406b260e92b808c3df6a6b8b253c4433cb8ad9c
• Download URL:
  https://stacks.cdc.gov/view/cdc/216272/cdc_216272_DS1.pdf
• File Type:
  [PDF - 68.30 KB ]