Correlation Between Screening for Obstructive Sleep Apnea Using a Portable Device Versus Polysomnography Testing in a Commercial Driving Population
Abstract
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.
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Six studies evaluated the performance of single channel HSAT against attended or unattended PSG.
“Six studies evaluated the performance of single channel HSAT against attended or unattended PSG”
From Clinical Practice Guideline for Diagnostic Testing for Adult Obstructive Sleep Apnea: An American Academy of Sleep Medicine Clinical Practice Guideline (2017) · cites this paper as [103]
Cites
Antic, N. A., Buchan, C., Esterman, A., Hensley, M., Naughton, M. T., Rowland, S., Williamson, B., Windler, S., Eckermann, S., & McEvoy, R. D. (2009) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200810-1558oc · Cited by 227 · see citing works
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Kapur, V. K., Auckley, D. H., Chowdhuri, S., Kuhlmann, D. C., Mehra, R., Ramar, K., & Harrod, C. G. (2017) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.6506 · Cited by 3,253 · see citing works
Factors associated with obstructive sleep apnea among commercial motor vehicle drivers
Xie, W., Chakrabarty, S., Levine, R., Johnson, R., & Talmage, J. B. (2011) · Journal of Occupational & Environmental Medicine · doi:10.1097/jom.0b013e3182068ceb · Cited by 67 · see citing works
Self-citation
- Authors
- Watkins, M. R., Talmage, J. B., Thiese, M. S., Hudson, T. B., & Hegmann, K. T.
- Affiliations
- Meharry Medical College (US)
- Corresponding author
- Watkins, Marc R.
- Venue
- Journal of Occupational & Environmental Medicine
- Published
- 2009-10
- Volume
- 51
- Issue
- 10
- Pages
- 1145-1150
- ISSN
- 1076-2752 (ISSN-L)
- OpenAlex
- W2051235989
- Cited by
- 28
- References
- 1
- Citations by year
- 2024: 1 · 2023: 2 · 2021: 1 · 2018: 1 · 2017: 2 · 2016: 3 · 2015: 1 · 2014: 5 · 2013: 3 · 2012: 5
- FWCI
- 1.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Occupational and Environmental Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Keywords
- obstructive sleep apnea, home sleep monitoring, polysomnography, commercial drivers, OSA screening, apnea-hypopnea index, diagnostic accuracy, positive predictive value, risk stratification
- MeSH terms
- Adult, Automobile Driving, Humans, Middle Aged, Occupations, Prospective Studies, Transportation, Polysomnography, Monitoring, Ambulatory, Motor Vehicles, Sleep Apnea, Obstructive
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