Investigation of obstructive sleep apnoea syndrome prevalence among long-distance drivers from Zonguldak, Turkey

Akkoyunlu, Muhammed Emin; Altın, Remzi; Kart, Levent; Atalay, Figen; Örnek, Tacettin; Bayram, Mehmet; Tor, Meltem

doi:10.1186/2049-6958-8-10

Cited by 16 publications

(5 citation statements)

References 21 publications

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“…A research conducted with shift workers detected that those who reported poor sleep or excessive diurnal somnolence symptoms had their working activities compromised and had four times more risk of suffering work-related accidents 27 . In addition, a significant relationship has been evidenced between the rates of accidents with professional long-distance drivers with AHI, thus showing that the severity of OSAS is directly proportional to the risk of accidents 28 .…”

Section: Discussionmentioning

confidence: 97%

When adherence to CPAP fails, how do we treat workers with obstructive sleep apnea?

Guimarães¹,

Azevedo²,

Barros-Vieira³

et al. 2022

Sleep Sci

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Aims:A cross-sectional study was designed to evaluate the effectiveness of a mandibular advancement device (MAD) with respect to respiratory and sleep parameters among miners with obstructive sleep apnea syndrome (OSAS) and primary snore. Methods: The target sample was composed by 102 Brazilian miners with a history of non-adherence to continuous positive airway pressure. All patients were treated with a MAD and underwent pre and post-treatment full-night polysomnography. Ethical approval and consents were obtained. Bivariate and logistic regression analyses were conducted. The level of statistical significance was set at 5%. Results: After the treatment with MAD, 71.8% of patients presented a decrease ≥ 50% in the basal apnea-hypopnea index (AHI), 51.2% presented an AHI < 5 events/h and 83.3% reached an AHI<10/h, whereas 22.5% did not show any changes and 7.5% of the sample presented an increase in the AHI (p<0.05). There was an increase in the mean SpO2 nadir (p<0.001) and in the baseline duration of the REM sleep stage (p<0.05). The MAD significantly decreased snore events (p<0.05). Multivariate analysis did not identify predictive factors related to therapy success (decrease ≥ 50% of AHI). However, basal AHI was a significant predictor related to the secondary endpoint (AHI<10/h) (OR= 1.06, IC 95%1.00-1.13, p=0.007). Conclusions:The MAD therapy showed significant improvements in AHI, minimum oxygen saturation, REM sleep and snoring.

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Section: Discussionmentioning

confidence: 97%

When adherence to CPAP fails, how do we treat workers with obstructive sleep apnea?

Guimarães¹,

Azevedo²,

Barros-Vieira³

et al. 2022

Sleep Sci

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“…Furthermore, EDS was detected in bus drivers working shifts (11). In a study conducted by Akkoyunlu et al (12) in our clinic, the all-night PSG test was performed for 241 long-distance drivers and the prevalence of OSAS was found to be 14.1%. In another study involving 410 long-distance bus drivers in Hong Kong, 17 people were selected from each shift and were exposed to PSG.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Snoring and Obstructive Sleep Apnea Syndrome among Nurses and Resident Doctors Working in a University Hospital

Soylu¹,

Erboy²,

Örnek³

et al. 2014

Eurasian J Pulmonol

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Objective: Sleep disorders are important public health issues that decrease the individuals' quality of life by affecting their productivity and performance in a negative way. The frequency of sleep disorders among people who work shifts with irregular sleep patterns is apparent. For healthcare providers, most of whom work shifts, the available data related to obstructive sleep apnea syndrome (OSAS) are insufficient. Also, this is the first study that has been conducted using an all-night polysomnography (PSG) for health staff in our country. In our study, we aimed to investigate the prevalence of snoring and OSAS among the nurses and resident doctors working at our hospital.Methods: Face-to-face interviews were performed with all nurses and resident doctors who worked at our hospital and agreed to participate in our study. All-night PSG examination was recommended to participants with concurrent witnessed apnea and/or excessive daytime sleepiness (EDS) with snoring. The frequency of OSAS was evaluated in cases exposed to polysomnography, and those with and without OSAS were compared in terms of shift rates. Results:The study included 257 participants. Of these, 63% were nurses and 37% were resident doctors; overall, 34.2% of the cases were male. The mean age was 28. 8±3.7 (19-39) years and the mean body mass index was 24.03±3.85 kg/m 2 . Among the participants, the mean number of monthly night shifts was 7.6±3.8. Also, 28.8% of the participants (n=74) experienced snoring, 2.7% (n=7) had witnessed apnea, and 7.8% (n=20) had EDS (Epworth sleepiness scale≥11). Four (1.6%) of the 20 participants who were proposed to undergo PSG refused this examination. Sixteen cases were exposed to PSG (6.2%). According to the PSG results, the prevalence of OSAS was 4.7% among all healthcare providers and 5.1% among the health staff working shifts. Of the cases with OSAS, 91.7% (11/12) were working shifts while 83.3% (204/245) of those without OSAS were working shifts (p=0.697). All of the cases diagnosed with OSAS were male, but 31% of the cases without OSAS were male (p<0.001). Conclusion:For those healthcare providers who are engaged in duties requiring significant amounts of attention and concentration, the symptoms related to sleep disorders should be questioned and diagnostic evaluation and treatment should be performed for suspected cases.Keywords: Health care providers, OSAS, sleep disorders, shift work INTRODUCTIONObstructive Sleep Apnea Syndrome (OSAS) is characterised by the episodes of complete or partial upper respiratory airway obstruction recurring during sleep and often a reduction in blood oxygen saturation (1). The gold standard diagnostic method for this syndrome is polysomnography (PSG).Although PSG is the final diagnostic method for OSAS, most OSAS prevalence studies have been conducted based on symptoms rather than PSG results. However, there are some studies in which symptoms and PSG test results have been evaluated together in order to estimate the prevalence of OSAS. In a widespread prevalence stu...

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“…A cross-sectional study with bus drivers revealed that sleep problems were frequent among drivers and had a significant relationship with prior crash history [ 79 ]. Akkoyunlu et al discovered a positive correlation between bus drivers’ subjective sleepiness and crash rate [ 80 ]. Pack et al evaluated the role of prolonged short sleep and OSA in subjective and objective assessments of sleepiness and driving performance tasks in a sample of CMV drivers at low and high risk for OSA [ 81 ].…”

Section: Impacts Of Fatigue and Sleepiness On Driving Performance And...mentioning

confidence: 99%

Unravelling the Complexity of Irregular Shiftwork, Fatigue and Sleep Health for Commercial Drivers and the Associated Implications for Roadway Safety

Mabry

Camden

Miller

et al. 2022

IJERPH

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Fatigue can be a significant problem for commercial motor vehicle (CMV) drivers. The lifestyle of a long-haul CMV driver may include long and irregular work hours, inconsistent sleep schedules, poor eating and exercise habits, and mental and physical stress, all contributors to fatigue. Shiftwork is associated with lacking, restricted, and poor-quality sleep and variations in circadian rhythms, all shown to negatively affect driving performance through impaired in judgment and coordination, longer reaction times, and cognitive impairment. Overweight and obesity may be as high as 90% in CMV drivers, and are associated with prevalent comorbidities, including obstructive sleep apnea, hypertension, and cardiovascular and metabolic disorders. As cognitive and motor processing declines with fatigue, driver performance decreases, and the risk of errors, near crashes, and crashes increases. Tools and assessments to determine and quantify the nature, severity, and impact of fatigue and sleep disorders across a variety of environments and populations have been developed and should be critically examined before being employed with CMV drivers. Strategies to mitigate fatigue in CMV operations include addressing the numerous personal, health, and work factors contributing to fatigue and sleepiness. Further research is needed across these areas to better understand implications for roadway safety.

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Investigation of obstructive sleep apnoea syndrome prevalence among long-distance drivers from Zonguldak, Turkey

Cited by 16 publications

References 21 publications

When adherence to CPAP fails, how do we treat workers with obstructive sleep apnea?

When adherence to CPAP fails, how do we treat workers with obstructive sleep apnea?

Prevalence of Snoring and Obstructive Sleep Apnea Syndrome among Nurses and Resident Doctors Working in a University Hospital

Unravelling the Complexity of Irregular Shiftwork, Fatigue and Sleep Health for Commercial Drivers and the Associated Implications for Roadway Safety

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