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Yield of overnight pulse oximetry in screening commercial drivers for obstructive sleep apnea.
- Source :
- Sleep & Breathing; Dec2023, Vol. 27 Issue 6, p2175-2180, 6p
- Publication Year :
- 2023
-
Abstract
- Purpose: To assess the efficacy of overnight pulse oximetry in screening male commercial drivers (CDs) for obstructive sleep apnea (OSA). Methods: Consecutive male CDs undergoing their annual scheduled occupational health visit were enrolled from ten transportation facilities. All subjects underwent a home sleep apnea test (HSAT) to determine the Respiratory Event Index (REI). Oxygen desaturation indices (ODIs) below the 3% and 4% thresholds were computed using the built-in HSAT pulse oximeter. We then assessed the association between ODI values and the presence of OSA (defined as an REI ≥ 5 events/hour) as well as moderate to severe OSA (REI ≥ 15 events/hour). Results: Of 331 CDs recruited, 278 (84%) completed the study protocol and 53 subjects were excluded due to inadequate HSAT quality. The included and excluded subjects were comparable in demographics and clinical characteristics. The included CDs had a median age of 49 years (interquartile range (IQR) = 15 years) and a median body mass index of 27 kg/m<superscript>2</superscript> (IQR = 5 kg/m<superscript>2</superscript>). One hundred ninety-nine (72%) CDs had OSA, of which 48 (17%) were with moderate OSA and 45 (16%) with severe OSA. The ODI<subscript>3</subscript> and ODI<subscript>4</subscript> receiving operating characteristic curve value were 0.95 for predicting OSA and 0.98–0.96 for predicting moderate to severe OSA. Conclusion: Overnight oxygen oximetry may be an effective means to screen CDs for OSA. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 15209512
- Volume :
- 27
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- Sleep & Breathing
- Publication Type :
- Academic Journal
- Accession number :
- 173726397
- Full Text :
- https://doi.org/10.1007/s11325-023-02814-3