TY - JOUR PY - 2021// TI - What medical conditions limit or medically disqualify truck drivers: a large cross sectional study JO - Journal of Occupational and Environmental Medicine A1 - Thiese, Matthew S. A1 - Moffitt, Gary A1 - Hanowski, Richard J. A1 - Kales, Stefanos N. A1 - Porter, Richard J. A1 - Hartenbaum, Natalie A1 - Hegmann, Kurt T. SP - 139 EP - 146 VL - 63 IS - 2 N2 - Commercial Motor Vehicle drivers must be medically certified to obtain/maintain a commercial driver license. 88,246 exams from 2005 to 2012 were analyzed for relationships between health and certification length. Relationships were quantified using adjusted odds ratios (ORs). Most conditions and/or examination findings had statically significantly limited medical certification. Obesity > 35 kg/m2, hypertension and diabetes mellitus requiring medication were most common. Significant and meaningful relationships were found for opioid or benzodiazepine use (OR = 7.30), heart disease (OR = 5.19), musculoskeletal conditions (OR = 5.13), seizures (10.18), stroke (OR = 6.73), neurological (OR = 18.51) and vascular (OR = 11.83). Drivers with 2 or more of 13 medical conditions were statistically significantly more likely to have limited medical certification (OR = 122.35) or disqualification (OR = 4.91). Drivers with any condition are more likely to have limited medical certification. There is variability in medical certification lengths related to medical conditions and differences between examiners.

Language: en

LA - en SN - 1076-2752 UR - http://dx.doi.org/10.1097/JOM.0000000000002101 ID - ref1 ER -