Obstructive Sleep Apnea Screening During Commercial Driver Medical Examinations: A Survey of ACOEM Members

Autor: Gerardo Durand, Stefanos N. Kales
Rok vydání: 2009
Předmět:
Zdroj: Journal of Occupational & Environmental Medicine. 51:1220-1226
ISSN: 1076-2752
DOI: 10.1097/jom.0b013e3181b8c16b
Popis: OBJECTIVE: To survey American College of Occupational and Environmental Medicine (ACOEM) members regarding recent consensus guidelines for screening commercial drivers for Obstructive Sleep Apnea (OSA). METHODS: A brief survey instrument was distributed electronically by the American College of Occupational and Environmental Medicine to its members during February 2008 to April 2008. RESULTS: Most (92%) of the 552 examiners opined that screening commercial drivers for OSA was important. Nevertheless, only 42% reported screening using consensus guidelines or another specific protocol. Common reasons for not applying the guidelines included unaware (36%), too complicated (12%), client retention (10%), and driver inconvenience (10%). Most would consider using the guidelines going forward but 39% wanted additional evidence and another 21% only if they became the "community standard." CONCLUSIONS: More education regarding OSA and drivers is needed. A Federal mandate and eliminating "doctor shopping" would likely increase examiners' compliance with screening. Language: en
Databáze: OpenAIRE