PURPOSE: Commercial motor vehicle drivers (CMVDs) have increased risk for Obstructive Sleep Apnea (OSA). The Federal Motor Carrier Safety Administration (FMCSA) Medical Review Board has recommended that CMVDs undergo testing for OSA if they have a positive Berlin Questionnaire or a BMI >/= 30 kg/m2. It also recommended one month conditional certification for those with a BMI > 33 kg/m2. We developed an online screening tool to be used anonymously by CMVDs to assess their risk of OSA prior to their required FMCSA physicals.
METHODS: We adapted the Berlin Sleep Questionnaire to be taken online. The survey was hosted on the Truckers for a Cause Chapter of Alert Well and Keeping Energetic of the American Sleep Apnea Association (TFAC-A.W.A.K.E.) organization website, and was promoted through the TFAC’ s XM radio, word of mouth and trucking industry press contacts. IP addresses were collected to ensure that each participant only took the survey once, but anonymity was assured because the tracing of an IP address to an individual can only be done by an internet service provider. This study was granted an exemption from the University of KY IRB.
RESULTS: 401 individuals took the survey. Of these, 228(56.8%) scored positive on the Berlin survey overall, but 79.0 % were positive on the objective (blood pressure and BMI) part. 277 (69.1%) had a BMI >/=30 kg/m2, and 48.1 % had a BMI over 33 kg/m2.
CONCLUSION: Truckers will assess their OSA risk anonymously online, and more than two-thirds of those who do so would be required to undergo polysomnography (PSG) if suggested guidelines become regulation. Further, half would need PSG within a month of their examination to avoid suspension of their medical certification for interstate commerce. Objective rather than subjective findings may be more reliable indicators of OSA risk in this population.
CLINICAL IMPLICATIONS: Sleep health professionals need to develop expedient, non-punitive tools to keep CMVDs healthy and driving.
DISCLOSURE: Benjamin Smith, Grant monies (from sources other than industry) Benjamin Smith has received grant funding from the National Science Foundation under CAREER Grant No. 0346903. Any opinions expressed in this material are thoseof the author(s) and do not necessarily reflect the views of theNational Science Foundation.; Grant monies (from industry related sources) Benjamin Smith has received grant funding from International Business Machines.; Employee Gary Hull has been employed by Safety First Sleep Solution, a Division of Boardman Medical Supply.; Consultant fee, speaker bureau, advisory committee, etc. Barbara Phillips has consulted Sanofi Aventis (through the ACCP), and Cephalon, received speaking honoraria from ResMed and Respironics (through PriMed), and served on the Medical Advisory Board of the FMCSA. Robert Stanton has consulted with Safety First Sleep Solution, a Division of Boardman Medical Supply.; No Product/Research Disclosure Information