Evaluatıng osa rısk in drıvers: polysomnography and anthropometric measurements.

IF 2 4区医学 Q3 CLINICAL NEUROLOGY

Sleep and Breathing Pub Date : 2025-03-08 DOI:10.1007/s11325-025-03290-7

Gönül Akdağ, Mustafa Çetiner

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引用次数: 0

Abstract

Background: Sleepiness significantly contributes to traffic accidents, with obstructive sleep apnea syndrome (OSA) being the leading medical cause. Effective treatment of OSA has been shown to reduce accident-related deaths and injuries. Turkish legislation has been updated to address driver's license issues for individuals with OSA, but implementation challenges and debates persist.

Methods: Data from 159 patients who applied to obtain or renew their driver's licenses and underwent polysomnography between January 2020 and January 2024 were evaluated retrospectively.

Results: The body mass index of 126 patients (79.24%) exceeded 33 kg per meter of height squared. OSA (apnea hypopnea index greater than 5) was detected in 85.5% of our patients, and the rate of severe OSA was 31.4%. We evaluated the presence of severe OSA using logistic regression analysis. Among the variables, the most important factor was neck circumference Receiver operating characteristic curve analysis identified severe OSA risk thresholds as neck circumference of 42.5 cm or greater and waist circumference of 122 cm or greater.

Conclusions: Considering neck and waist circumference rather than body mass index may facilitate informed decisions based on empirical measurements to identify OSA in driver's license applicants who require overnight polysomnography assessment.

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Evaluatıng osa rısk in drıvers：多导睡眠图和人体测量。

背景：嗜睡与交通事故有很大关系，阻塞性睡眠呼吸暂停综合征（OSA）是交通事故的主要医学原因。对阻塞性睡眠呼吸暂停的有效治疗已被证明可以减少与事故有关的死亡和伤害。土耳其的立法已经更新，以解决OSA患者的驾驶执照问题，但实施方面的挑战和争论仍然存在。方法：回顾性分析2020年1月至2024年1月期间159例申请或更新驾驶执照并接受多导睡眠图检查的患者的数据。结果：体重指数超过33 kg / m²者126例（79.24%）。85.5%的患者存在OSA（呼吸暂停低通气指数大于5），重度OSA占31.4%。我们使用logistic回归分析评估严重OSA的存在。在变量中，最重要的因素是颈围。受试者工作特征曲线分析确定颈围≥42.5 cm、腰围≥122 cm为严重OSA风险阈值。结论：考虑颈部和腰围而不是身体质量指数可能有助于根据经验测量来确定需要过夜多导睡眠仪评估的驾驶执照申请人的OSA。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Sleep and Breathing 医学-呼吸系统

CiteScore

5.20

自引率

4.00%

发文量

222

审稿时长

3-8 weeks

期刊介绍： The journal Sleep and Breathing aims to reflect the state of the art in the international science and practice of sleep medicine. The journal is based on the recognition that management of sleep disorders requires a multi-disciplinary approach and diverse perspectives. The initial focus of Sleep and Breathing is on timely and original studies that collect, intervene, or otherwise inform all clinicians and scientists in medicine, dentistry and oral surgery, otolaryngology, and epidemiology on the management of the upper airway during sleep. Furthermore, Sleep and Breathing endeavors to bring readers cutting edge information about all evolving aspects of common sleep disorders or disruptions, such as insomnia and shift work. The journal includes not only patient studies, but also studies that emphasize the principles of physiology and pathophysiology or illustrate potentially novel approaches to diagnosis and treatment. In addition, the journal features articles that describe patient-oriented and cost-benefit health outcomes research. Thus, with peer review by an international Editorial Board and prompt English-language publication, Sleep and Breathing provides rapid dissemination of clinical and clinically related scientific information. But it also does more: it is dedicated to making the most important developments in sleep disordered breathing easily accessible to clinicians who are treating sleep apnea by presenting well-chosen, well-written, and highly organized information that is useful for patient care.