Analysis of Sleep Questionnaires of Commercial Vehicle Operators in Korea
10.3342/kjorl-hns.2018.00724
- Author:
Yoonjae SONG
1
;
Han Gyeol PARK
;
Seulki SONG
;
Dong Han LEE
;
Gene HUH
;
Se Jin HYUN
;
Goun CHOE
;
Sun A HAN
;
Jeong Yeon JI
;
Jin Kook KIM
;
Hyun Jik KIM
Author Information
1. Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea. hyunjerry@snu.ac.kr
- Publication Type:Original Article
- Keywords:
Motor vehicles;
Obstructive sleep apnea;
Polysomnography;
Surveys and questionnaires
- MeSH:
Diagnosis;
Humans;
Korea;
Mass Screening;
Medical Records;
Methods;
Motor Vehicles;
Polysomnography;
Prevalence;
Retrospective Studies;
Risk Factors;
ROC Curve;
Sensitivity and Specificity;
Sleep Apnea, Obstructive;
Surveys and Questionnaires
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2019;62(4):221-227
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND OBJECTIVES: Obstructive sleep apnea (OSA) is highly prevalent in commercial vehicle operators (CMVOs). This study aimed to evaluate the poor sleep quality, daytime sleepiness, and the prevalence of self-reported OSA in CMVOs. SUBJECTS AND METHOD: We performed a retrospective review of the medical records of patients who visited a single institution with sleep problems from 2011 January to 2016 December. Among the patients, a total of 38 CMVOs was analyzed. Clinical information, questionnaires about sleep quality (Pittsburg sleep questionnaire, PSQI), excessive daytime sleepiness (Epworth sleepiness scale, ESS) and risk factors for OSA (STOP-Bang) were analyzed. The frequency of motor vehicle accidents and near accidents was assessed, and polysomnography (PSG) was used for OSA diagnosis purposes. RESULTS: The mean age of the study population was 45.3±11.8 years. The average score of PSQI, ESS, and STOP-Bang were 6.75±4.22, 10.79±7.12, and 4.62±3.34, respectively. A significant association between near accidents and high-risk group of OSA was observed [odds ratio (OR)=2.73, 95% confidence interval (CI)=1.08–4.48]. Subjects with poor sleep quality showed significantly increased risk of near accidents (OR=2.34, 95% CI=1.01–3.56). Receiver operating characteristic curves of STOP-Bang questionnaire using apnea-hypopnea index (cut-off value=5) indicates that suspected OSA group predicted by STOP-Bang score was significantly correlated with OSA severity (area under curve=0.72, sensitivity 77.1%, specificity 59.4%). CONCLUSION: Administration of STOP-Bang questionnaire before a PSG can identify high-risk subjects, supporting its further use in OSA screening of CMVOs.
