TY - JOUR
T1 - Management of obstructive sleep apnea in commercial motor vehicle operators
T2 - Recommendations of the AASM sleep and transportation safety awareness task force
AU - Gurubhagavatula, Indira
AU - Sullivan, Shannon
AU - Meoli, Amy
AU - Patil, Susheel
AU - Olson, Ryan
AU - Berneking, Michael
AU - Watson, Nathaniel F.
PY - 2017
Y1 - 2017
N2 - The American Academy of Sleep Medicine Sleep and Transportation Safety Awareness Task Force responded to the Federal Motor Carrier Safety Administration and Federal Railroad Administration Advance Notice of Proposed Rulemaking and request for public comments regarding the evaluation of safety-sensitive personnel for moderate-to-severe obstructive sleep apnea (OSA). The following document represents this response. The most salient points provided in our comments are that (1) moderate-to-severe OSA is common among commercial motor vehicle operators (CMVOs) and contributes to an increased risk of crashes; (2) objective screening methods are available and preferred for identifying at-risk drivers, with the most commonly used indicator being body mass index; (3) treatment in the form of continuous positive airway pressure (CPAP) is effective and reduces crashes; (4) CPAP is economically viable; (5) guidelines are available to assist medical examiners in determining whether CMVOs with moderate-tosevere OSA should continue to work without restrictions, with conditional certifcation, or be disqualifed from operating commercial motor vehicles.
AB - The American Academy of Sleep Medicine Sleep and Transportation Safety Awareness Task Force responded to the Federal Motor Carrier Safety Administration and Federal Railroad Administration Advance Notice of Proposed Rulemaking and request for public comments regarding the evaluation of safety-sensitive personnel for moderate-to-severe obstructive sleep apnea (OSA). The following document represents this response. The most salient points provided in our comments are that (1) moderate-to-severe OSA is common among commercial motor vehicle operators (CMVOs) and contributes to an increased risk of crashes; (2) objective screening methods are available and preferred for identifying at-risk drivers, with the most commonly used indicator being body mass index; (3) treatment in the form of continuous positive airway pressure (CPAP) is effective and reduces crashes; (4) CPAP is economically viable; (5) guidelines are available to assist medical examiners in determining whether CMVOs with moderate-tosevere OSA should continue to work without restrictions, with conditional certifcation, or be disqualifed from operating commercial motor vehicles.
KW - Motor vehicle operators
KW - OSA
KW - Obstructive sleep apnea
KW - Oral appliance therapy
KW - Transportation safety
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U2 - 10.5664/jcsm.6598
DO - 10.5664/jcsm.6598
M3 - Article
C2 - 28356173
AN - SCOPUS:85019257847
SN - 1550-9389
VL - 13
SP - 745
EP - 758
JO - Journal of Clinical Sleep Medicine
JF - Journal of Clinical Sleep Medicine
IS - 5
ER -