@article{ref1,
title="Yield of overnight pulse oximetry in screening commercial drivers for obstructive sleep apnea",
journal="Sleep and Breathing",
year="2023",
author="Adami, Alessandro and Tonon, Davide and Corica, Antonio and Trevisan, Deborah and Thijs, Vincent and Rossato, Gianluca",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="PURPOSE: To assess the efficacy of overnight pulse oximetry in screening male commercial drivers (CDs) for obstructive sleep apnea (OSA). <br><br>METHODS: Consecutive male CDs undergoing their annual scheduled occupational health visit were enrolled from ten transportation facilities. All subjects underwent a home sleep apnea test (HSAT) to determine the Respiratory Event Index (REI). Oxygen desaturation indices (ODIs) below the 3% and 4% thresholds were computed using the built-in HSAT pulse oximeter. We then assessed the association between ODI values and the presence of OSA (defined as an REI ≥ 5 events/hour) as well as moderate to severe OSA (REI ≥ 15 events/hour). <br><br>RESULTS: Of 331 CDs recruited, 278 (84%) completed the study protocol and 53 subjects were excluded due to inadequate HSAT quality. The included and excluded subjects were comparable in demographics and clinical characteristics. The included CDs had a median age of 49 years (interquartile range (IQR) = 15 years) and a median body mass index of 27 kg/m(2) (IQR = 5 kg/m(2)). One hundred ninety-nine (72%) CDs had OSA, of which 48 (17%) were with moderate OSA and 45 (16%) with severe OSA. The ODI(3) and ODI(4) receiving operating characteristic curve value were 0.95 for predicting OSA and 0.98-0.96 for predicting moderate to severe OSA. <br><br>CONCLUSION: Overnight oxygen oximetry may be an effective means to screen CDs for OSA.<p /> <p>Language: en</p>",
language="en",
issn="1520-9512",
doi="10.1007/s11325-023-02814-3",
url="http://dx.doi.org/10.1007/s11325-023-02814-3"
}