Sleep Apnea Screening for Commercial Drivers: Retrospective Comparison of the 2016 FMCSA MRB Recommendations and the 2006 Joint Task Force Consensus Guidelines

Details

• Personal Author:
  Chen P-H ; Filler R ; Hyun YJ ; Kales SN ; Rielly A ; Wilcox C ; Yang J
• Description:
  Objective: Compare the 2016 Federal Motor Carrier Safety Administration (FMCSA) and 2006 Joint Task Force (JTF) Guidelines for commercial drivers' obstructive sleep apnea (OSA) screening. Methods: Retrospective review of all commercial driver medical examinations performed in 2017 at an academic occupational medicine clinic. Screening criteria from both the JTF and FMCSA were applied, separately, and jointly. Statistical tests were applied as appropriate. Results: Applying the FMCSA or JTF criteria separately to 706 commercial drivers, the positive OSA screening yields were 15.7% and 16.9%, respectively. Using both criteria produced an overall positive OSA screen yield of 20.1%. Positive predictive values for applying both guidelines ranged from 72.7% to 95.5%. Conclusions: The combined use of the 2016 FMCSA and 2006 JTF OSA screening criteria in series has a higher screening yield than using either guideline individually. [Description provided by NIOSH]
• Subjects:
  Occupational Health Safety Transportation
• Keywords:
  Author Keywords: DOT Medical Examinations Federal Motor Carrier Safety Administration Medical Examinations Medical Screening Obstructive Sleep Apnea Obstructive Sleep Apnea Screening Sleep Apnea Transportation Workers Truck Drivers Trucking
• ISSN:
  1076-2752
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Florida ; Massachusetts ; OSHA Region 1 ; OSHA Region 4
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  62
• Issue:
  8
• NIOSHTIC Number:
  nn:20062241
• Citation:
  J Occup Environ Med 2020 Aug; 62(8):e442-e448
• Contact Point Address:
  Stefanos N. Kales, MD, MPH, FACP, FACOEM, The Cambridge Health Alliance - Occupational Medicine, Macht Building Suite 427, 1493 Cambridge Street, Cambridge, MA 02139
• Email:
  skales@hsph.harvard.edu
• Federal Fiscal Year:
  2020
• Performing Organization:
  Harvard School of Public Health
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Journal of Occupational and Environmental Medicine
• End Date:
  20280630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:b1edfec73247f49fbcb58a40aaca5e95d216ce4bf641dc415338a19c5ebb00682e125181b74f86f8722a9dce4726460813483d2e29ab7197f80a3b0aa4b33748
• Download URL:
  https://stacks.cdc.gov/view/cdc/225530/cdc_225530_DS1.pdf
• File Type:
  [PDF - 234.26 KB ]