Sensors 2014, 14(5), 8126-8149; doi:10.3390/s140508126
Evaluation of Candidate Measures for Home-Based Screening of Sleep Disordered Breathing in Taiwanese Bus Drivers
1
Department of Physical Medicine and Rehabilitation, Chung-Shan Medical University Hospital, Chung-Shan Medical University, Taichung 40201, Taiwan
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Center of Sleep Medicine, Chung-Shan Medical University Hospital, Chung-Shan Medical University, Taichung 40245, Taiwan
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Institute of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan
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Department of Medical Image and Radiological Science, Chung-Shan Medical University, Taichung 40201, Taiwan
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Department of Medical Informatics, Chung Shan Medical University, Taichung 40201, Taiwan
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PhD Program of Mechanical and Aeronautical Engineering, Feng Chia University, Taichung 40724, Taiwan
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Department of Photonics and Communication Engineering, Asia University, Taichung 41354, Taiwan
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Institute of Labor Policy and Occupational Safety and Health, Ministry of Labor Affairs, Executive Yuan, Taipei 22143, Taiwan
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Department of Public Health, College of Public Health, China Medical University, Taichung 40402, Taiwan
10
School of Rehabilitation Medicine, Shanghai University of TCM, Shanghai 201203, China
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Department of Physical Therapy, Graduate Institute of Rehabilitation Science, China Medical University, Taichung 40202, Taiwan
12
Department of Healthcare Administration, Asia University, Taichung 41354, Taiwan
†
These authors contributed equally to this work.
*
Authors to whom correspondence should be addressed.
Received: 15 September 2013 / Revised: 19 April 2014 / Accepted: 25 April 2014 / Published: 5 May 2014
(This article belongs to the Section Physical Sensors)
Abstract
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. View Full-Text
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MDPI and ACS Style
Ting, H.; Huang, R.-J.; Lai, C.-H.; Chang, S.-W.; Chung, A.-H.; Kuo, T.-Y.; Chang, C.-H.; Shih, T.-S.; Lee, S.-D. Evaluation of Candidate Measures for Home-Based Screening of Sleep Disordered Breathing in Taiwanese Bus Drivers. Sensors 2014, 14, 8126-8149.