Evaluation of Candidate Measures for Home-Based Screening of Sleep Disordered Breathing in Taiwanese Bus Drivers
Background: Sleepiness-at-the-wheel has been identified as a major cause of highway accidents. The aim of our study is identifying the candidate measures for home-based screening of sleep disordered breathing in Taiwanese bus drivers, instead of polysomnography. Methods: Overnight polysomnography ac...
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doaj-877b5ec461d347c0b92484bfe483e1092020-11-25T02:28:46ZengMDPI AGSensors1424-82202014-05-011458126814910.3390/s140508126s140508126Evaluation of Candidate Measures for Home-Based Screening of Sleep Disordered Breathing in Taiwanese Bus DriversHua Ting0Ren-Jing Huang1Ching-Hsiang Lai2Shen-Wen Chang3Ai-Hui Chung4Teng-Yao Kuo5Ching-Haur Chang6Tung-Sheng Shih7Shin-Da Lee8Department of Physical Medicine and Rehabilitation, Chung-Shan Medical University Hospital, Chung-Shan Medical University, Taichung 40201, TaiwanCenter of Sleep Medicine, Chung-Shan Medical University Hospital, Chung-Shan Medical University, Taichung 40245, TaiwanDepartment of Medical Informatics, Chung Shan Medical University, Taichung 40201, TaiwanCenter of Sleep Medicine, Chung-Shan Medical University Hospital, Chung-Shan Medical University, Taichung 40245, TaiwanCenter of Sleep Medicine, Chung-Shan Medical University Hospital, Chung-Shan Medical University, Taichung 40245, TaiwanPhD Program of Mechanical and Aeronautical Engineering, Feng Chia University, Taichung 40724, TaiwanDepartment of Photonics and Communication Engineering, Asia University, Taichung 41354, TaiwanInstitute of Labor Policy and Occupational Safety and Health, Ministry of Labor Affairs, Executive Yuan, Taipei 22143, TaiwanSchool of Rehabilitation Medicine, Shanghai University of TCM, Shanghai 201203, ChinaBackground: Sleepiness-at-the-wheel has been identified as a major cause of highway accidents. The aim of our study is identifying the candidate measures for home-based screening of sleep disordered breathing in Taiwanese bus drivers, instead of polysomnography. Methods: Overnight polysomnography accompanied with simultaneous measurements of alternative screening devices (pulse oximetry, ApneaLink, and Actigraphy), heart rate variability, wake-up systolic blood pressure and questionnaires were completed by 151 eligible participants who were long-haul bus drivers with a duty period of more than 12 h a day and duty shifting. Results: 63.6% of professional bus drivers were diagnosed as having sleep disordered breathing and had a higher body mass index, neck circumference, systolic blood pressure, arousal index and desaturation index than those professional bus drivers without evidence of sleep disordered breathing. Simple home-based candidate measures: (1) Pulse oximetry, oxygen-desaturation indices by ≥3% and 4% (r = 0.87~0.92); (2) Pulse oximetry, pulse-rising indices by ≥7% and 8% from a baseline (r = 0.61~0.89); and (3) ApneaLink airflow detection, apnea-hypopnea indices (r = 0.70~0.70), based on recording-time or Actigraphy-corrected total sleep time were all significantly correlated with, and had high agreement with, corresponding polysomnographic apnea-hypopnea indices [(1) 94.5%~96.6%, (2) 93.8%~97.2%, (3) 91.1%~91.3%, respectively]. Conversely, no validities of SDB screening were found in the multi-variables apnea prediction questionnaire, Epworth Sleepiness Scale, night-sleep heart rate variability, wake-up systolic blood pressure and anthropometric variables. Conclusions: The indices of pulse oximetry and apnea flow detection are eligible criteria for home-based screening of sleep disordered breathing, specifically for professional drivers.http://www.mdpi.com/1424-8220/14/5/8126diagnostic techniques and procedurespolysomnographyoximetryobstructive sleep apnea |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Hua Ting Ren-Jing Huang Ching-Hsiang Lai Shen-Wen Chang Ai-Hui Chung Teng-Yao Kuo Ching-Haur Chang Tung-Sheng Shih Shin-Da Lee |
spellingShingle |
Hua Ting Ren-Jing Huang Ching-Hsiang Lai Shen-Wen Chang Ai-Hui Chung Teng-Yao Kuo Ching-Haur Chang Tung-Sheng Shih Shin-Da Lee Evaluation of Candidate Measures for Home-Based Screening of Sleep Disordered Breathing in Taiwanese Bus Drivers Sensors diagnostic techniques and procedures polysomnography oximetry obstructive sleep apnea |
author_facet |
Hua Ting Ren-Jing Huang Ching-Hsiang Lai Shen-Wen Chang Ai-Hui Chung Teng-Yao Kuo Ching-Haur Chang Tung-Sheng Shih Shin-Da Lee |
author_sort |
Hua Ting |
title |
Evaluation of Candidate Measures for Home-Based Screening of Sleep Disordered Breathing in Taiwanese Bus Drivers |
title_short |
Evaluation of Candidate Measures for Home-Based Screening of Sleep Disordered Breathing in Taiwanese Bus Drivers |
title_full |
Evaluation of Candidate Measures for Home-Based Screening of Sleep Disordered Breathing in Taiwanese Bus Drivers |
title_fullStr |
Evaluation of Candidate Measures for Home-Based Screening of Sleep Disordered Breathing in Taiwanese Bus Drivers |
title_full_unstemmed |
Evaluation of Candidate Measures for Home-Based Screening of Sleep Disordered Breathing in Taiwanese Bus Drivers |
title_sort |
evaluation of candidate measures for home-based screening of sleep disordered breathing in taiwanese bus drivers |
publisher |
MDPI AG |
series |
Sensors |
issn |
1424-8220 |
publishDate |
2014-05-01 |
description |
Background: Sleepiness-at-the-wheel has been identified as a major cause of highway accidents. The aim of our study is identifying the candidate measures for home-based screening of sleep disordered breathing in Taiwanese bus drivers, instead of polysomnography. Methods: Overnight polysomnography accompanied with simultaneous measurements of alternative screening devices (pulse oximetry, ApneaLink, and Actigraphy), heart rate variability, wake-up systolic blood pressure and questionnaires were completed by 151 eligible participants who were long-haul bus drivers with a duty period of more than 12 h a day and duty shifting. Results: 63.6% of professional bus drivers were diagnosed as having sleep disordered breathing and had a higher body mass index, neck circumference, systolic blood pressure, arousal index and desaturation index than those professional bus drivers without evidence of sleep disordered breathing. Simple home-based candidate measures: (1) Pulse oximetry, oxygen-desaturation indices by ≥3% and 4% (r = 0.87~0.92); (2) Pulse oximetry, pulse-rising indices by ≥7% and 8% from a baseline (r = 0.61~0.89); and (3) ApneaLink airflow detection, apnea-hypopnea indices (r = 0.70~0.70), based on recording-time or Actigraphy-corrected total sleep time were all significantly correlated with, and had high agreement with, corresponding polysomnographic apnea-hypopnea indices [(1) 94.5%~96.6%, (2) 93.8%~97.2%, (3) 91.1%~91.3%, respectively]. Conversely, no validities of SDB screening were found in the multi-variables apnea prediction questionnaire, Epworth Sleepiness Scale, night-sleep heart rate variability, wake-up systolic blood pressure and anthropometric variables. Conclusions: The indices of pulse oximetry and apnea flow detection are eligible criteria for home-based screening of sleep disordered breathing, specifically for professional drivers. |
topic |
diagnostic techniques and procedures polysomnography oximetry obstructive sleep apnea |
url |
http://www.mdpi.com/1424-8220/14/5/8126 |
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