scholarly journals Obstructive Sleep Apnea, Excessive Daytime Sleepiness, and Road Traffic Accidents among Interstate Commercial Vehicle Drivers in Nigeria

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Daniel O. Obaseki ◽  
Gregory E. Erhabor ◽  
Josephine E. Obaseki ◽  
Ibukun Abidoye ◽  
Akinjide Adebisi ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Public Health Problem ◽  
Road Transport ◽  
Berlin Questionnaire ◽  
Accident Risk ◽  
Obstructive Sleep ◽  
Commercial Drivers

Introduction. Obstructive sleep apnea (OSA) is a growing public health problem in developing countries. However the burden among commercial drivers is not well described. Methods. The Epworth Sleepiness Scale (ESS) and Berlin questionnaire were administered to interstate commercial road transport drivers to assess the tendency to sleep in daytime and the risk of OSA, respectively. Body mass index (BMI), neck, and waist-hip circumferences were measured. Results. Out of 138 commercial drivers, 124 (90%) responded and provided complete data. The mean (SD) age, BMI, neck, and waist circumferences were 40.4 (9.3) years, 28.0 (4.6) kg/m2, 40.0 (3.0) cm, and 92.8 (11.1) cm, respectively. Twenty-two percent had ESS score above 11 and 36% of the respondents had a high risk for obstructive sleep apnea. Adjusting for age, BMI, and waist and neck circumferences, the key predictors of road accidents were ESS score above 11 (OR 3.77, 95% CI 1.18–12.06), self-reported diagnosis of hypertension (OR 4.63, 95% CI 1.46–14.69), and increasing hip circumference (OR 1.12, 95% CI 1.01–1.23). Conclusion. Obstructive sleep apnea is common among commercial interstate road drivers in Nigeria and ESS may be a simple tool for assessing accident risk.

Association of presence and severity of Obstructive sleep apnea syndrome with accident risk in city bus drivers

2020 ◽  
pp. 1-15
Author(s):  
Hakan Celikhisar ◽  
Gulay Dasdemir Ilkhan
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Obstructive Sleep Apnea Syndrome ◽  
Sleep Apnea Syndrome ◽  
Berlin Questionnaire ◽  
Accident Risk ◽  
Bus Drivers ◽  
City Bus ◽  
Obstructive Sleep ◽  
Apnea Syndrome

Abstract Objective: To determine the relationship between frequency of traffic accidents and presence and severity of the disease in bus drivers who are at risk of having obstructive sleep apnea syndrome (OSAS). Method: In the present study, polysomnography (PSG) was applied on 162 city bus drivers directed to the sleep laboratory from a total of 1450 drivers after being determined as risky with regard to OSAS symptoms according to the questionnaire results. Their demographic characteristics, health status and accidents were compiled. Statistical analyses were made for those diagnosed with OSAS according to the PSG result and those with a traffic accident after which comparisons were made. Results: Obstructive sleep apnea syndrome was detected in 127 out of the 162 drivers determined to be risky with regard to OSAS based on the Berlin questionnaire result. While 35% of the drivers were normal according to the polysomnography (PSG) results in the study, 39 (24.1%) were determined as light OSAS, 35 (21.6%) as moderate OSAS and 53 (32.7%) as severe OSAS. While 105 (64.8%) of the cases had no accident, 37 (22.8%) were almost involved in an accident due to sleepiness and 20 (12.3%) were actually involved in an accident. A statistically significant relationship was determined between accident rates and OSAS severity (p:0.009; p<0.05). Conclusion: It was concluded that presence and increased severity of OSAS is an important risk factor for being almost or directly involved in an accident among city bus drivers, even though they were not driving for long distances. 

Screening commercial drivers for obstructive sleep apnea: translation and validation of Serbian version of Berlin Questionnaire

2015 ◽  
Vol 25 (2) ◽  
pp. 343-349 ◽  
Author(s):  
Martin B. Popević ◽  
Anđela Milovanović ◽  
Ljudmila Nagorni-Obradović ◽  
Dejan Nešić ◽  
Jovica Milovanović ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Berlin Questionnaire ◽  
Obstructive Sleep ◽  
Commercial Drivers ◽  
Serbian Version ◽  
Translation And Validation

scholarly journals COST-EFFECTIVENESS OF TREATMENTS FOR MILD-TO-MODERATE OBSTRUCTIVE SLEEP APNEA IN FRANCE

2016 ◽  
Vol 32 (1-2) ◽  
pp. 37-45 ◽  
Author(s):  
Anne-Isabelle Poullié ◽  
Magali Cognet ◽  
Aline Gauthier ◽  
Marine Clementz ◽  
Sylvain Druais ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Cost Effectiveness ◽  
Sleep Apnea ◽  
Daytime Sleepiness ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Quality Adjusted Life Year ◽  
Lifetime Horizon ◽  
Obstructive Sleep ◽  
Increased Risk

Objectives: Untreated obstructive sleep apnea-hypopnea syndrome (OSAHS) is associated with excessive daytime sleepiness, increased risk of cardiovascular (CV) disease, and road traffic accidents (RTAs), which impact survival and health-related quality of life. This study, funded by the French National Authority for Health (HAS), aimed to assess the cost-effectiveness of different treatments (i.e., continuous positive airway pressure [CPAP], dental devices, lifestyle advice, and no treatment) in patients with mild-to-moderate OSAHS in France.Methods: A Markov model was developed to simulate the progression of two cohorts, stratified by CV risk, over a lifetime horizon. Daytime sleepiness and RTAs were taken into account for all patients while CV events were only considered for patients with high CV risk.Results: For patients with low CV risk, incremental cost-effectiveness ratio (ICER) of dental devices versus no treatment varied between 32,976 EUR (moderate OSAHS) and 45,579 EUR (mild OSAHS) per quality-adjusted life-year (QALY), and CPAP versus dental devices, above 256,000 EUR/QALY. For patients with high CV risk, CPAP was associated with a gain of 0.62 QALY compared with no treatment, resulting in an ICER of 10,128 EUR/QALY.Conclusion: The analysis suggests that it is efficient to treat all OSAHS patients with high CV risk with CPAP and that dental devices are more efficient than CPAP for mild-to-moderate OSAHS with low CV risk. However, out-of-pocket costs are currently much higher for dental devices than for CPAP (i.e., 3,326 EUR versus 2,430 EUR) as orthodontic treatment is mainly non-refundable in France.

Poor performance of screening questionnaires for obstructive sleep apnea in male commercial drivers

2021 ◽  
Author(s):  
Alessandro Adami ◽  
Davide Tonon ◽  
Antonio Corica ◽  
Deborah Trevisan ◽  
Giovanni Cipriano ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Poor Performance ◽  
Obstructive Sleep ◽  
Screening Questionnaires ◽  
Commercial Drivers

Association between obstructive sleep apnea and persistent-postural perceptual dizziness

2021 ◽  
pp. 1-6
Author(s):  
Anand K. Bery ◽  
Jayson Lee Azzi ◽  
Andre Le ◽  
Naomi S. Spitale ◽  
Judith Leech ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Sensitivity And Specificity ◽  
Berlin Questionnaire ◽  
Future Studies ◽  
Obstructive Sleep ◽  
Chronic Dizziness ◽  
Patients At Risk ◽  
The Mean ◽  
The Relationship

BACKGROUND: Obstructive sleep apnea (OSA) has been linked to vestibular dysfunction, but no prior studies have investigated the relationship between Persistent Postural Perceptual Dizziness (PPPD), a common cause of chronic dizziness, and OSA. OBJECTIVE AND METHODS: We determined the frequency of OSA in an uncontrolled group of PPPD patients from a tertiary dizziness clinic based on polysomnogram (PSG). We then assessed the sensitivity and specificity of common OSA questionnaires in this population. RESULTS: Twenty-five patients with PPPD underwent PSG (mean age 47, 60% female, mean BMI 29.5). A majority, or 56%, of patients were diagnosed with OSA, and in most, the OSA was severe. OSA patients were older (56 years versus 40 years, p = 0.0006) and had higher BMI (32 versus 26, p = 0.0078), but there was no clear gender bias (56% versus 64% female, p = 1.00). The mean sensitivity and specificity of the STOP BANG questionnaire for detecting OSA was 86% and 55%, respectively. Sensitivity and specificity of the Berlin Questionnaire was 79% and 45%, respectively. CONCLUSIONS: The prevalence of OSA was much higher in our small PPPD group than in the general population. Screening questionnaires appear to demonstrate good sensitivity to detect PPPD patients at risk of OSA in this small study. Future studies should confirm these findings and determine whether treatment of OSA improves symptoms in PPPD.

The Validity of the Berlin Questionnaire in Obstructive Sleep Apnea

CHEST Journal ◽  
2011 ◽  
Vol 140 (4) ◽  
pp. 818A
Author(s):  
Hyeon Hui Kang ◽  
Chan Kwon Park ◽  
Ji Young Kang ◽  
Ju Sang Kim ◽  
Myung Sook Kim ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Berlin Questionnaire ◽  
Obstructive Sleep

Diagnostic accuracy of the Berlin questionnaire and the NoSAS score in detecting risk for obstructive sleep apnea in rotating shift workers

2021 ◽  
Author(s):  
Luiz Antônio Alves de Menezes Júnior ◽  
Virgínia Capistrano Fajardo ◽  
Raimundo Marques do Nascimento Neto ◽  
Sílvia Nascimento de Freitas ◽  
Fernando Luiz Pereira de Oliveira ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Diagnostic Accuracy ◽  
Berlin Questionnaire ◽  
Shift Workers ◽  
Obstructive Sleep

Abstract TP221: Using Berlin Questionnaire and Epworth Sleepiness Scale to Identify Stroke Patients at Risk for the Sleep Apnea Syndrome

Stroke ◽  
2013 ◽  
Vol 44 (suppl_1) ◽  
Author(s):  
Millene Camilo ◽  
Alan Eckeli ◽  
Heidi Sander ◽  
Regina Fernandes ◽  
Joao Leite ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Ischemic Stroke ◽  
Sleep Apnea ◽  
Positive Predictive Value ◽  
Negative Predictive Value ◽  
Predictive Value ◽  
Epworth Sleepiness Scale ◽  
Berlin Questionnaire ◽  
Stroke Patients ◽  
Obstructive Sleep

Background: Sleep-disordered breathing (SDB) is frequent in the acute phase of stroke. Obstructive sleep apnea (OSA) has been found in 62% of stroke patients. The impact of OSA is significant after ischemic stroke, including early neurological deterioration, poor functional outcome and increased long-term mortality. However, performing polysomnography (PSG) for all patients with acute stroke for diagnose OSA is still impracticable. Therefore clinical tools to select patients at higher risk for OSA would be essential. The aim of this study was to determine the validity of the Berlin Questionnaire (BQ) and the Epworth Sleepiness Scale (ESS) to identify stroke patients in whom the PSG would be indicated. Methods: Subjects with ischemic stroke were stratified into high and low risk groups for SDB using a BQ. The ESS ≥ 10 was used to define excessive daytime sleepiness. The BQ and ESS were administered to the relatives of stroke patients at hospital admission. All patients were submitted to a full overnight PSG at the first night after symptoms onset. OSA severity was measured by the apnea-hypopnea index (AHI). Results: We prospectively studied 40 ischemic stroke patients. The mean age was 62 ± 12.1 years and the obstructive sleep apnea (AHI ≥ 15) was present in 67.5%. On stratifying risk of OSA in these patients based on the QB, 77.5% belonged to the high-risk and 50% to the ESS ≥ 10. The sensitivity of QB was 85%, the specificity 35%, the positive predictive value 74% and the negative predictive value 55%. For ESS was respectively 63%, 85%, 89% and 52%. The diagnostic value of the BQ and ESS in combination to predict OSA had a sensitivity of 58%, a specificity of 89%, a positive predictive value of 95% and a negative predictive value of 38%. Conclusions: The QB even applied to the bed-partners of stroke patients is a useful screening tool for OSA.

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