close
close

Reviewing screening thresholds in health assessments for obstructive sleep apnea using operational and safety incident data

  • Vakulin, A. et al. Individual variability and predictors of driving simulator impairment in patients with obstructive sleep apnea. J. Clin. Sleep med. 10647–655 (2014).

    Article PubMed PubMed Central Google Scholar

  • George, CFP Sleep Apnea, Attention and Car Accidents. Am. J. Breathing. Crit. Care Med. 176954–956 (2007).

    Article PubMed Google Scholar

  • Alhejaili, F. et al. Prevalence of obstructive sleep apnea in Saudi pilots. Nat. Science. Sleep 13537–545 (2021).

    Article PubMed PubMed Central Google Scholar

  • Gurubhagavatula, I., Tan, M. & Jobanputra, AM OSA in professional transportation operations: Safety, regulatory and economic implications. Breast 1582172–2183 (2020).

    Article PubMed Google Scholar

  • Chapman, J., Naweed, A., Wilson, C. & Dorrian, J. Sleep for heart health: examining the association between workday sleep, sleep-free days and cardiovascular risk in Australian train drivers. Indian Health 57691–700 (2019).

    Article PubMed PubMed Central Google Scholar

  • Filtness, AJ & Naweed, A. Causes, consequences and countermeasures of driver fatigue in the railway industry: The train driver’s perspective. Appl. Ergon. 6012–21 (2017).

    Article CAS PubMed Google Scholar

  • Dorrian, J., Chapman, J., Bowditch, L., Balfe, N. & Naweed, A. A survey of train drivers’ schedules, sleep, well-being and driving performance in Australia and New Zealand. Science. Rep. 121–11 (2022).

    Article Google Scholar

  • Abeyaratne, M., Casolin, A. & Luscombe, G. Safety incidents and obstructive sleep apnea in railway workers. Occupy. Med. 73(2), 97-102 (2023).

    Article CAS Google Scholar

  • Hocking, B. The Waterfall Train Accident Investigation: Implications for Medical Examinations of Safety-Critical Workers. Med. J. Aust. 184126–128 (2006).

    Article PubMed Google Scholar

  • National Transport Commission. National Standard for Health Assessment of Railroad Safety Workers. (2017).

  • Johns, MW A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep 14540-545 (1991).

    Article CAS PubMed Google Scholar

  • Babor, TF, Higgins-Biddle, JC, Saunders, JB & Monteiro, MG Audit. The Alcohol Use Disorders Identification Test (AUDIT): Guidelines for use in primary care (2001).

  • Kessler, R.C et al. Brief screening scales to monitor population prevalence and trends in nonspecific psychological distress. Psychol. Med. 32959-976 (2002).

    Article CAS PubMed Google Scholar

  • Mina, R. & Casolin, A. The Australian national standard for railway workers five years later. Occupy. Med. 62642–647 (2012).

    Article CAS Google Scholar

  • Mina, R. & Casolin, A. National standard for health assessment of railway safety workers: the first year. Med. J. Aust. 187394–397 (2007).

    Article PubMed Google Scholar

  • Naweed, A., Chapman, J. & Trigg, J. Tell ’em what they want to hear and get back to work: Insights into the utility of current occupational health assessments from the perspective of train drivers. Transp. Res. Part A: Political Practice. 118234–244 (2018).

    Google Scholar

  • Colquhoun, CP & Casolin, A. Impact of the medical splint standard on the prevalence of obstructive sleep apnea. Occupy. Med. 6662–68 (2016).

    Article CAS Google Scholar

  • McArdle, N. et al. Prevalence of common sleep disorders in a middle-aged community sample. J. Clin. Sleep med. 181503–1514 (2022).

    Article PubMed PubMed Central Google Scholar

  • Punjabi, NM et al. Sleep-disordered breathing, glucose intolerance, and insulin resistance: The Sleep Heart Health Study. Am. J. Epidemiol. 160521–530 (2004).

    Article PubMed Google Scholar

  • Lechat, B. et al. High night-to-night variability in sleep apnea severity is associated with uncontrolled hypertension. NPJ digit. Med. 657 (2023).

    Article PubMed PubMed Central Google Scholar

  • Nieto, FJ et al. Association between sleep-disordered breathing, sleep apnea and hypertension in a large community-based study. Sleep-Heart Health Study. JAMA 2831829–1836 (2000).

    CAS PubMed Google Scholar

  • Gottlieb, DJ et al. Prospective study of obstructive sleep apnea and coronary artery disease and heart failure: the Sleep Heart Health Study. Traffic 122352–360 (2010).

    Article PubMed PubMed Central Google Scholar

  • Hsieh, H.-F. & Shannon, SE Three approaches to qualitative content analysis. Qual. Health Res. 151277–1288 (2005).

    Article PubMed Google Scholar

  • Naweed, A., Bowditch, L., Chapman, J., Dorrian, J. & Balfe, N. In good shape? Analysis of rail signals passing hazard areas and the extent to which they capture system influences following incidents. Secure. Science. 151105726 (2022).

    Article Google Scholar

  • R core team. RStudio: Integrated development environment for R v3.6.2. R Foundation for Statistical Computing, Vienna, Austria. URL https://www.r-project.org/ (2019).

  • Mathew, J. & Benekohal, RF Accident prediction at highway and railway crossings using zero-inflated negative binomial and empirical Bayes methods. J. Security Res. 79211–236 (2021).

    Article PubMed Google Scholar

  • Jiroutek, MR & Turner, JR Why it makes no sense to use retrospective performance analyzes to conduct a post-mortem of your study. J. Clin. Hypertensive. 20408–410 (2018).

    Article Google Scholar

  • Australasian Railway Association. Human resources development report – data on the workforce in rail transport 2014. (2014).

  • Nagappa, M. et al. Validation of the STOP-Bang questionnaire as a screening tool for obstructive sleep apnea in diverse populations: A systematic review and meta-analysis. Plus one 10e0143697 (2015).

    Article PubMed PubMed Central Google Scholar

  • de Menezes-Júnior, LAA et al. The predictive values ​​of BOAH and no-apnea score for screening obstructive sleep apnea in rotating shift drivers. Sleep Med X 6100084 (2023).

    Article PubMed PubMed Central Google Scholar

  • de Menezes Junior, LAA et al. Diagnostic accuracy of the Berlin questionnaire and the NoSAS score in detecting the risk of obstructive sleep apnea in rotating shift workers. Sleep breathing. 26743–751 (2022).

    Article PubMed Google Scholar

  • McKay, MP Fatal consequences: Obstructive sleep apnea in a train driver. Ann. Family Med. 13583–586 (2015).

    Article PubMed PubMed Central Google Scholar

  • Reynolds, A.C et al. Sickness absence is associated with sleep problems independent of sleep disorders: Findings from the Sleep Health Foundation’s 2016 national survey. Sleep Health 3357–361 (2017).

    Article PubMed Google Scholar

  • Bjornsdottir, E. et al. Quality of life of untreated sleep apnea patients compared to the general population and changes after treatment with positive airway pressure. J. Schlafres. 24328–338 (2015).

    Article PubMed Google Scholar

  • Edwards, C., Almeida, OP & Ford, AH Obstructive sleep apnea and depression: A systematic review and meta-analysis. Maturitas 14245–54 (2020).

    Article PubMed Google Scholar

  • Azarbarzin, A. et al. Sleep apnea hypoxic stress predicts cardiovascular disease-related mortality: the Osteoporotic Fractures in Men Study and the Sleep Heart Health Study. EUR. Heart J. 401149–1157 (2019).

    Article PubMed Google Scholar

  • Azarbarzin, A. et al. Sleep apnea-specific hypoxic stress is an indication of heart failure. Breast 158739–750 (2020).

    Article PubMed PubMed Central Google Scholar

  • Lechat, B. et al. New and novel approaches to better define sleep disorders and their consequences. Front. Neurosci. 15751730 (2021).

    Article PubMed PubMed Central Google Scholar

  • Lechat, B. et al. A novel electroencephalogram-derived measure of disrupted delta wave activity during sleep predicts all-cause mortality risk. Ann. Am. Thorak. Soc. 19649–658 (2022).

    Article PubMed Google Scholar

  • Azarbarzin, A. et al. Sleep apnea-specific pulse rate response predicts cardiovascular morbidity and mortality. Am. J. Breathing. Crit. Care Med. 2031546–1555 (2021).

    Article CAS PubMed PubMed Central Google Scholar

  • Solelhac, G. et al. Pulse wave amplitude decay index: A biomarker of cardiovascular risk in obstructive sleep apnea. Am. J. Breathing. Crit. Nursing Med. https://doi.org/10.1164/rccm.202206-1223OC (2023).

    Article PubMed PubMed Central Google Scholar

  • Lechat, B. et al. Multi-night prevalence, variability and diagnostic misclassification of obstructive sleep apnea. Am. J. Breathing. Crit. Care Med. https://doi.org/10.1164/rccm.202107-1761OC (2021).

    Article PubMed Central Google Scholar

  • Punjabi, NM, Patil, S., Crainiceanu, C. & Aurora, RN Variability and misclassification of sleep apnea severity based on testing over multiple nights. Breast 158365–373 (2020).

    Article PubMed PubMed Central Google Scholar

  • Lechat, B. et al. Diagnosing sleep apnea in just one night contributes to inconsistent cardiovascular outcomes. Breast https://doi.org/10.1016/j.chest.2023.01.027 (2023).

    Article PubMed Google Scholar

  • Paciorek, M. et al. Obstructive sleep apnea in shift workers. Sleep med. 12274–277 (2011).

    Article PubMed Google Scholar