Screening for obstructive sleep apnea during commercial driver medical examinations

J Occup Environ Med. 2009 Mar;51(3):275-82. doi: 10.1097/jom.0b013e31819eaaa4.


Objective: To evaluate consensus criteria for screening commercial drivers for obstructive sleep apnea (OSA).

Methods: Consecutive drivers underwent OSA screening using Joint Task Force consensus criteria at commercial driver medical examinations. Outcomes included: clinical yield of screening; and drivers' compliance with polysomnography (PSG) referrals and OSA treatment.

Results: Among 456 drivers, 53 (12%) were referred for PSG, and 20/20 were confirmed to have OSA, supporting a high positive predictive value. The other 33 drivers referred for PSG were lost to follow-up but demonstrated no significant differences from those with confirmed OSA. After diagnosis, only one of 20 drivers with confirmed OSA demonstrated treatment compliance.

Conclusions: Drivers identified by the consensus criteria have a high likelihood of OSA. Drivers' poor compliance with PSGs and OSA treatment support federally mandated screening of commercial drivers.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Anthropometry
  • Body Mass Index
  • Consensus*
  • Female
  • Humans
  • Male
  • Mass Screening / methods*
  • Mass Screening / standards
  • Middle Aged
  • Occupational Medicine
  • Physical Examination
  • Retrospective Studies
  • Sleep Apnea, Obstructive / diagnosis*
  • Sleep Apnea, Obstructive / epidemiology
  • Transportation*
  • United States / epidemiology
  • Young Adult