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Screening for obstructive sleep apnoea in professional drivers

Sophia E. Schiza, Izolde Bouloukaki
Breathe 2020 16: 29364; DOI: 10.1183/20734735.0364-2019
Sophia E. Schiza
Sleep Disorders Center, Dept of Respiratory Medicine, School of Medicine, University of Crete, Heraklion, Greece
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  • For correspondence: schiza@med.uoc.gr
Izolde Bouloukaki
Sleep Disorders Center, Dept of Respiratory Medicine, School of Medicine, University of Crete, Heraklion, Greece
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    Figure 1

    A proposed clinical care pathway of OSA diagnosis in professional drivers.

Tables

  • Figures
  • Table 1

    Key features of screening questionnaires for OSA

    ESS
    How likely are you to doze off or fall asleep in the following situations, in contrast to feeling just tired?
    SituationChance of dozing (0–3)
    Sitting and reading
    Watching TV
    Sitting inactive in a public place (e.g. a theatre or meeting)
    As a passenger in a car for an hour without a break
    Lying down to rest in the afternoon when circumstances permit
    Sitting and talking to someone
    Sitting quietly after a lunch without alcohol
    In a car while stopped for a few minutes in the traffic
    Berlin questionnaire
    Age ______ Gender______Weight _______ Height ______
    Category 1Category 2
    1. Do you snore?6. How often do you feel tired or fatigued after your sleep?
    2. Your snoring is:7. During your waking time do you feel tired, fatigued, or not up to par?
     a) Slightly louder than breathing8. Have you ever nodded off or fallen asleep while driving a vehicle? If yes:
     b) As loud as talking9. How often does this occur?
     c) Louder than talkingCategory 3
    3. How often do you snore?10. Do you have high blood pressure?
    4. Has your snoring ever bothered other people?BMI=
    5. Has anyone noticed that you quit breathing during your sleep?
    STOP–BANG questionnaire
    STOPBANG
    SnoringBMI >35 kg·m−2
    TirednessAge >50 years
    Observed you stop breathingNeck circumference >40 cm (15.7 inches)
    Blood PressureGender Male
  • Table 2

    Common symptoms of OSA

    Daytime symptomsNight-time symptoms
    Excessive daytime sleepinessSnoring, gasping or choking in sleep
    FatigueWitnessed apnoea in sleep
    Non-restorative sleepInsomnia
    Cognitive impairmentRestless sleep
    Mood disordersNight-time awakenings, dry mouth
    Morning headachesNocturia
    Impotence, erectile dysfunctionNocturnal gastro-oesophageal reflux
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Screening for obstructive sleep apnoea in professional drivers
Sophia E. Schiza, Izolde Bouloukaki
Breathe Mar 2020, 16 (1) 29364; DOI: 10.1183/20734735.0364-2019

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Screening for obstructive sleep apnoea in professional drivers
Sophia E. Schiza, Izolde Bouloukaki
Breathe Mar 2020, 16 (1) 29364; DOI: 10.1183/20734735.0364-2019
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Jump To

  • Article
    • Abstract
    • Abstract
    • Diagnostic evaluation of OSA
    • Screening tools
    • Principles of OSA evaluation in professional drivers
    • Driving-related parameters
    • Clinical parameters
    • Clinical assessment in professional drivers
    • The role of home sleep studies
    • Conclusion
    • Footnotes
    • References
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