Commercial Driver Medical Examinations

Thiese, Matthew S.; Moffitt, Gary; Hanowski, Richard J.; Kales, Stefanos N.; Porter, Richard J.; Hegmann, Kurt T.

doi:10.1097/jom.0000000000000422

Cited by 58 publications

(47 citation statements)

References 23 publications

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“…There are demonstrated relationships with increasing BMI and increasing counts of medical conditions. (41) Particularly, the relationship between increasing BMI and higher prevalence of OSA, which has repeatedly shown an association with crash risk, may be partially responsible for the increased risk of having a crash seen in these analyses. (49, 50) Similarly, age and male gender are associated with many of these health factors.…”

Section: Discussionmentioning

confidence: 91%

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Multiple Conditions Increase Preventable Crash Risks Among Truck Drivers in a Cohort Study

Thiese

Hanowski

Kales

et al. 2017

Journal of Occupational &Amp; Environmental Medicine

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Objective This study aims to quantify the crash risk for truck drivers with multiple comorbid medical conditions, after adjusting for confounders. Methods This retrospective cohort of 38,184 drivers evaluated concomitant medical conditions and subsequent crash data between 1/1/2005–10/31/2012. Hazard ratios (HRs) and 95% confidence intervals (95% CI) were calculated for any cause and preventable crashes of varying severity. Results Drivers with three or more medical conditions had significantly increased risk of preventable Department of Transportation (DOT) reportable crashes (HR=2.53, 95% CI=1.65–3.88) and preventable crashes with injuries (HR=2.23, 95% CI=1.09–5.31) after adjustment for covariates. Similarly, adjusted HRs were 2.55 (95% CI=1.37–4.73) for any cause DOT-reportable crashes and 3.21 (95% CI=1.18–8.75) for any cause crashes with injuries. Conclusions Having three concomitant medical conditions may be a statistically significant risk factor for preventable and any cause DOT-reportable crashes and crashes with injuries.

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Section: Discussionmentioning

confidence: 91%

“…Commercial Driver Medical Exam (CDME) methods for this study have been previously described (41, 42)and thus are only briefly described below. 25,36 Road Ready’s database is a large commercially-maintained dataset of CDMEs on drivers whose employers obtain CDMEs within the Road Ready network.…”

Section: Methodsmentioning

confidence: 99%

Multiple Conditions Increase Preventable Crash Risks Among Truck Drivers in a Cohort Study

Thiese

Hanowski

Kales

et al. 2017

Journal of Occupational &Amp; Environmental Medicine

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“…All these factors are present in the daily working life of bus drivers. Bus or truck driving is considered one of the most stressful occupations and is associated with increased risk of chronic diseases, in particular, cardiovascular risk factors and diseases (2). Occupational risk factors to which professional drivers are exposed may be shift work, long working hours, loud noise, carbon monoxide and chemical materials that may lead to cardiovascular diseases (CVD).…”

Section: Introductionmentioning

confidence: 99%

Workplace stress and its relation to cardiovascular disease risk factors among bus drivers in Egypt

Mohsen

Hakim

2019

East Mediterr Health J

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Background: Driving buses exposes the drivers to many stressors that can increase their cardiovascular risk factors. Aims: The objective of this study was to measure the prevalence of workplace stress and its association with cardiovascular risk factors among bus drivers in Egypt. Methods: A cross-sectional study was conducted on 234 bus drivers in Cairo, Egypt. Data were collected over a period of 6 months from August 2016 to January 2017. For all drivers, blood pressure, body weight and height and random blood sugar were measured. Professional driving duration/age ratio was calculated. Comparison between cardiovascular risk factors and workplace stress score was made. Unadjusted and adjusted odds ratios and 95% confidence intervals were calculated using logistic regression models. Results: A high prevalence of workplace stress (83.3%) was observed among bus drivers. Moreover, a high prevalence of cardiovascular risk factors, particularly tobacco smoking (65.0%), physical inactivity (93.6%) and hypertension (33.3%), was noted. After adjustment for age and other confounding factors, the risk factors associated with workplace stress were overweight/obesity and hypertension. Conclusions: There is a positive association between workplace stress and some cardiovascular risk factors, such as hypertension and overweight/obesity, among bus drivers in Egypt.

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“…In a large cohort of drivers (N=88,246) it was found that the prevalence of obese (25.3% to 28.2%) and morbidly obese (22.2% to 31.1%) drivers increased from the year 2005 to 2012 [26] . In addition it was found that the prevalence of drivers with four or more health conditions increased from 0.5% to 2.3% and the number of drivers with three or more health conditions increased from 2.7% to 8.8% [26] . Thus CMV drivers’ health appears to be getting worse, despite the medical examination all drivers take at least every 24 months.…”

Section: Discussionmentioning

confidence: 99%

The Association Between Cardiovascular Disease Risk Factors and Motor Vehicle Crashes Among Professional Truck Drivers

Ronna

Thiese

Ott

et al. 2016

Journal of Occupational &Amp; Environmental Medicine

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Objective This study assesses relationships between the Framingham Cardiovascular Disease Risk (CVD risk) Score and prevalence of US Department of Transportation (DOT)-reportable crashes in commercial motor vehicle (CMV) drivers, after controlling for potential confounders. Methods Data were analyzed from CMV drivers (N=797) in a large cross-sectional study. CVD risk was calculated for each driver. Adjusted odds ratios (OR) and 95% Confidence Intervals (95% CI) between CVD risk and DOT-reportable crashes were calculated. Results Drivers in the two highest CVD risk groups had significantly higher likelihood of crash (OR=2.08, 95% CI=1.20-3.63 and OR=1.99, 95% CI=1.05-3.77, respectively) after adjusting for confounders. There was a significant trend of increasing prevalence of crashes with an increasing CVD risk score (p=0.0298). Conclusion Drivers with high CVD risk had a higher likelihood of a crash after controlling for confounders.

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Commercial Driver Medical Examinations

Abstract: Supplemental Digital Content is Available in the Text.

Cited by 58 publications

References 23 publications

Multiple Conditions Increase Preventable Crash Risks Among Truck Drivers in a Cohort Study

Multiple Conditions Increase Preventable Crash Risks Among Truck Drivers in a Cohort Study

Workplace stress and its relation to cardiovascular disease risk factors among bus drivers in Egypt

The Association Between Cardiovascular Disease Risk Factors and Motor Vehicle Crashes Among Professional Truck Drivers

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