Assessment of the risk of obstructive sleep apnoea syndrome among healthcare workers

Güçlü, Özge Aydın; Karadağ, Mehmet; İntepe, Yavuz Selim; Acican, Turan; Arslan, Sertaç; Sertoğullarından, Bünyamin

doi:10.5578/tt.68166

Cited by 6 publications

(13 citation statements)

References 27 publications

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“…One study (Yazdi et al 2014) Table 2 presents the studies included for evaluating of the association between shift work and possible OSA. None of the five studies(Aydin Guclu et al 2019;Seyedmehdi et al 2016;Soylu et al 2014;Walia et al 2012;Yazdi et al 2014) shown a significant association between shift work and possible OSA. However, a multivariate logistic regression analysis by Aydin Guclu et al revealed a negative association of on-call shift with possible OSA (Aydin Guclu et al 2019).…”

Section: Discussionmentioning

confidence: 91%

“…Table 1 shows the six studies that met our inclusion criteria ( (Walia et al 2012). Three studies (Aydin Guclu et al 2019;Seyedmehdi et al 2016;Yazdi et al 2014) conducted assessment using the Berlin questionnaire, two studies via polysomnography (Soylu et al 2014;Walia et al 2012), and one study using the Stop-BANG questionnaire (Joorabbaf et al 2017). One study (Yazdi et al 2014) Table 2 presents the studies included for evaluating of the association between shift work and possible OSA.…”

Section: Discussionmentioning

confidence: 99%

“…They could be attributed to the varying definitions of shift work among the included studies: fixed evening/night shift, rotating shift, on-call shift, evening shift, or night shift. Furthermore, two studies (Soylu et al 2014;Walia et al 2012) used clinical diagnosis (polysomnography), while the other three (Aydin Guclu et al 2019;Seyedmehdi et al 2016;Yazdi et al 2014) used questionnaires as the risk assessment tool of OSA. Therefore, summarizing the associations reported by the studies assessing different types of shift work and different diagnostic tool could be an inaccurate estimate in case the effects vary across the types of shift work and risk of OSA.…”

Section: Discussionmentioning

confidence: 99%

“…Several studies have reported a strong association between obesity and OSA. Aydin Guclu et al reported significant differences in the prevalence of obesity and hypertension between the sleep apnea risk and non-risk groups (Aydin Guclu et al 2019). Soylu et al reported that individuals with OSA had significantly higher BMI than those without OSA (31.37 ± 4.75 vs. 23.69 ± 3.42, p < 0.01); however, they did not assess whether BMI confounds the association between shift work and OSA (Soylu et al 2014).…”

Section: Discussionmentioning

confidence: 99%

“…Seyedmehdi et al reported a 5.9% risk of OSA among night-shift workers with a crude OR of 0.714 (crude CI 95% 0.339-1.276) (Seyedmehdi et al 2016). Moreover, Aydin Guclu et al reported a 17.6% risk of OSA among on-call shift workers with an OR of 0.199 (95% CI 0.053-0.747) (Aydin Guclu et al 2019). On the other hand, among non-HCW, Walia et al and Yazdi reported that 55.2% and 7.1% of shift workers presented OSA, respectively (Walia et al 2012;Yazdi et al 2014).…”

Section: Discussionmentioning

confidence: 99%

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The association between shift work and possible obstructive sleep apnea: a systematic review and meta-analysis

Yang

Lee

Watanabe

et al. 2021

Int Arch Occup Environ Health

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Background Shift work is a workschedule, since industrial era and some employees work in shift. It causes a desynchronization of the biological clock with consequences on sleep amount and quality, such as insomnia and easy fatigue. Obstructive sleep apnea (OSA) is one of the sleep problems that are getting more and more attention, but studies on the association between shift work and OSA were rare. Herein, we aimed to conduct a systematic review and meta-analysis to investigate the association between shift work and possible OSA. Methods This study was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We queried PubMed, Embase, and Web of Science databases using a related set of keywords. The inclusion criteria were as follows: (1) participants were adult employees hired by a company or organization; (2) exposure was shift work; and (3) outcome was possible OSA according to examination or assessment. Results We included six studies in the systematic review and five studies were selected for further meta-analysis. A random-effects model showed an association of shift work with a small, non-significant increase in possible OSA cases (pooled prevalence relative risk = 1.05; 95% CI 0.85–1.30; p = 0.65). This association occurred in both healthcare and non-healthcare workers group. Conclusion The association between shift work and possible OSA remains inconclusive and could be small if not negligible. Future studies should assess the association between specific work schedules and specific OSA definitions. Trial registration number PROSPERO ID: CRD42020156837

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The association between shift work and possible obstructive sleep apnea: a systematic review and meta-analysis

Yang

Lee

Watanabe

et al. 2021

Int Arch Occup Environ Health

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Risk of obstructive sleep apnea among health workers: results of a screening in a large Italian University Hospital

Spiteri,

Monaco,

Carta

et al. 2023

Int Arch Occup Environ Health

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Purpose Obstructive sleep apnea (OSA) is a common respiratory sleep disorder, related to increased mortality, poor quality of life, and higher risk of work accidents and injuries. Studies on the risk of OSA (rOSA) among health workers (HW) are scant. The aims of this study were to investigate this issue in a large University Hospital and to assess the effectiveness of a screening program. Methods The STOP-BANG questionnaire (SBQ) was sent via e-mail to the 5031 HW employed at the University Hospital of Verona. HW who completed the SBQ were classified at low, moderate, and high rOSA. HW at high rOSA were invited to undergo nocturnal polygraphy. The determinants of rOSA were studied by non-parametric Kruskal–Wallis test, Pearson's chi-squared, and multinomial logistic model. Results Of 5031 HW, 1564 (31.1%) completed the online questionnaire. Responders with low, moderate, and high rOSA were 72.7%, 13.7%, and 13.6%. Male gender, older age, and higher body mass index (BMI) were significant predictors of high rOSA, as expected. Physicians had the lowest probability of being in the high-risk category. Polygraphy was performed in 64 subjects. The positive predictive value of the self-administered SBQ was 68.8% (95%C.I. 55.9–79.8%) but raised to 96.9% (95%C.I. 89.2–99.6%) when re-administered by medical staff. Conclusion SBQ showed its effectiveness as a screening tool in detecting undiagnosed OSA in HW. Systematic screening for OSA in work settings could allow early diagnosis and treatment, reducing short- and long-term health effects of OSA.

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Evaluation of sleep quality, insomnia severity and OSAS risk in primary care population: A descriptive study

Gümüştakım¹,

Başer

Çevik³

et al. 2020

Int J Clin Pract

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Purpose In our study, we aimed to evaluate the sleep quality, insomnia presence and severity, obstructive sleep apnoea syndrome (OSAS) risk of the patients who applied to family health centres and to determine the situations that might be related with these features. Methods This study is a descriptive research and conducted in Ankara Güdül, Antalya Değirmenözü, Bursa Sırameşeler, Gaziantep Family Health Centre policlinics. The study population consisted of all patients over 18 years of age who were admitted to the family health centres for any reason. A 10‐question questionnaire, Berlin questionnaire, Pittsburgh sleep quality questionare and insomnia severity questionare were applied by the researchers from October to December 2017 by using face‐to‐face interview method. Results Two hundred nineteen nine people participated in study and 54.5% of them were women. According to the results of Pittsburgh Sleep Quality Questionare, it was found that 27.1% of the participants' sleep quality was good; according to the Berlin sleep questionnaire, 27.4% of the participants had high OSAS risk. According to Insomnia Severity Questionare, 27.1% of them had insomnia lower threshold, 15.4% had moderate insomnia and 3.7% severe insomnia. Conclusions In this context, it will be very effective in terms of the quality of life of patients in order to determine the conditions that disrupt sleep hygiene and to perform the necessary interventions which can be intervened in the primary healthcare institutions and the other patients to be delivered to the related upper levels.

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Assessment of the risk of obstructive sleep apnoea syndrome among healthcare workers

Cited by 6 publications

References 27 publications

The association between shift work and possible obstructive sleep apnea: a systematic review and meta-analysis

The association between shift work and possible obstructive sleep apnea: a systematic review and meta-analysis

Risk of obstructive sleep apnea among health workers: results of a screening in a large Italian University Hospital

Evaluation of sleep quality, insomnia severity and OSAS risk in primary care population: A descriptive study

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