Screening Commercial Vehicle Drivers for Obstructive Sleep Apnea: Tools, Barriers, and Recommendations.

Journal Article (Journal Article)

Obstructive sleep apnea (OSA) is a disorder characterized by a cessation of breathing during sleep, leading to poor sleep patterns and daytime somnolence. Daytime somnolence is of particular concern for commercial vehicle drivers, whose crash risk increases 50% with untreated OSA. The process of diagnosing and treating OSA in commercial drivers begins with effective and consistent screening. Therefore, the researchers screened drivers with both the STOP-Bang Questionnaire and the Obstructive Sleep Apnea Evaluation Worksheet (OSAEW) and compared the two tools. Drivers screening positive on the STOP-Bang Questionnaire, OSAEW, and both questionnaires were 28%, 23%, and 13%, respectively. Sleep study referrals were made for 50 drivers; 12 drivers were scheduled for sleep tests within 3 months. Health care provider referral rates for drivers screening at high risk (37%) and commercial driver monitoring rates (24%) were both low. Recommendations to improve OSA screening and testing practices include Federal Motor Carrier Safety Administration-mandated screening and referral guidelines, employee-facilitated sleep testing, and OSA awareness campaigns.

Full Text

Duke Authors

Cited Authors

  • Evans, KA; Yap, T; Turner, B

Published Date

  • October 2017

Published In

Volume / Issue

  • 65 / 10

Start / End Page

  • 487 - 492

PubMed ID

  • 28414584

Electronic International Standard Serial Number (EISSN)

  • 2165-0969

International Standard Serial Number (ISSN)

  • 2165-0799

Digital Object Identifier (DOI)

  • 10.1177/2165079917692597


  • eng