دورية أكاديمية
Commercial Motor Vehicle Driver Positive Airway Pressure Therapy Adherence in a Sleep Center.
| العنوان: | Commercial Motor Vehicle Driver Positive Airway Pressure Therapy Adherence in a Sleep Center. |
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| المؤلفون: | Colvin LJ; Maryville University, St. Louis, MO.; Clayton Sleep Institute, St. Louis, MO., Dace GA; Southeast Health, St. Louis, MO., Colvin RM; Washington University, St. Louis, MO., Ojile J; Clayton Sleep Institute, St. Louis, MO., Collop N; Emory Sleep Center, Emory University, Atlanta, GA. |
| المصدر: | Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine [J Clin Sleep Med] 2016 Apr 15; Vol. 12 (4), pp. 477-85. Date of Electronic Publication: 2016 Apr 15. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: American Academy of Sleep Medicine Country of Publication: United States NLM ID: 101231977 Publication Model: Electronic Cited Medium: Internet ISSN: 1550-9397 (Electronic) Linking ISSN: 15509389 NLM ISO Abbreviation: J Clin Sleep Med Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Darien, IL : American Academy of Sleep Medicine, 2005- |
| مواضيع طبية MeSH: | Automobile Driving*, Continuous Positive Airway Pressure/*statistics & numerical data , Patient Compliance/*statistics & numerical data , Sleep Apnea, Obstructive/*therapy, Adult ; Female ; Humans ; Male ; Middle Aged ; Motor Vehicles ; Polysomnography/statistics & numerical data ; Retrospective Studies ; Treatment Outcome |
| مستخلص: | Study Objectives: To assess positive airway pressure (PAP) therapy adherence in commercial motor vehicle (CMV) drivers presenting to a sleep center. Methods: A retrospective chart review of 120 drivers evaluated for obstructive sleep apnea OSA and 53 initiated on PAP therapy in a single sleep center over a one-year period (2012); PAP therapy data were collected up to 1 year. Results: Early PAP usage best predicted adherence up to 1 year (p < 0.0001) compared to patient factors, OSA disease characteristics, and treatment elements analyzed. The proportion of participants adherent to therapy was 68.0% at 1 week, decreasing to 39.6% at 1 year, with 31.1% lost to follow-up by 1 year. In the group categorized based on adherence at week 1, 80.6% were adherent at 1 month, decreasing to 52.8% at 1 year. For the group non-adherent at 1 week, 29.4% were adherent at 1 month, decreasing to 11.7% at 1 year. Participants were predominantly male (75.8%), middle-aged (median 50.5 years), and African American (71.7%). Of those referred to the sleep center, 86.7% had OSA (median apnea-hypopnea index [AHI] or respiratory event index [REI] 20.1), with 51.0% of the OSA group having an AHI or REI > 20 and initiating PAP therapy. Conclusions: Early PAP utilization patterns predicted one year adherence for our CMV driver population within a sleep clinic setting. OSA testing of these CMV drivers after occupational health referral identifies high proportions of undiagnosed OSA, with approximately half requiring PAP therapy based on current published treatment recommendations. (© 2016 American Academy of Sleep Medicine.) |
| References: | Curr Opin Pulm Med. 2011 Nov;17(6):412-8. (PMID: 21921796) Sleep Med Rev. 2011 Dec;15(6):341-2. (PMID: 21620744) Sleep Med Rev. 2011 Dec;15(6):343-56. (PMID: 21652236) J Occup Environ Med. 2012 Aug;54(8):1017-25. (PMID: 22850349) J Clin Sleep Med. 2013 Mar 15;9(3):199-205. (PMID: 23493772) Am J Respir Crit Care Med. 2013 Jun 1;187(11):1259-66. (PMID: 23725615) Chest. 2013 Aug;144(2):680-93. (PMID: 23918114) J Occup Environ Med. 2013 Sep;55(9):1035-40. (PMID: 23969501) Sleep. 2013 Dec;36(12):1929-37. (PMID: 24293768) J Occup Environ Med. 2014 Feb;56(2):119-21. (PMID: 24504243) Chest. 2014 Sep;146(3):600-10. (PMID: 24810282) Sleep. 2015 Mar;38(3):341-9. (PMID: 25325460) J Clin Sleep Med. 2015 Apr;11(4):413-8. (PMID: 25580608) J Clin Sleep Med. 2016 Jan;12(1):113-25. (PMID: 26094916) Am J Respir Crit Care Med. 2004 Nov 1;170(9):1014-21. (PMID: 15317672) Sleep. 1997 Apr;20(4):278-83. (PMID: 9231953) J Occup Environ Med. 2006 Sep;48(9 Suppl):S4-37. (PMID: 16985410) Respirology. 2006 Nov;11(6):723-30. (PMID: 17052300) Sleep. 2007 Mar;30(3):320-4. (PMID: 17425228) J Clin Sleep Med. 2006 Apr 15;2(2):193-200. (PMID: 17557495) Sleep. 2007 Jun;30(6):711-9. (PMID: 17580592) Behav Sleep Med. 2007;5(3):229-40. (PMID: 17680733) Proc Am Thorac Soc. 2008 Feb 15;5(2):173-8. (PMID: 18250209) J Occup Environ Med. 2008 Mar;50(3):324-9. (PMID: 18332782) Eur Respir J. 2008 Sep;32(3):710-7. (PMID: 18417510) J Occup Environ Med. 2009 Mar;51(3):275-82. (PMID: 19280762) Indian J Med Res. 2010 Feb;131:245-58. (PMID: 20308750) J Clin Sleep Med. 2009 Dec 15;5(6):573-81. (PMID: 20465027) Sleep. 2010 Oct;33(10):1373-80. (PMID: 21061860) J Occup Environ Med. 2011 Feb;53(2):169-73. (PMID: 21270659) |
| فهرسة مساهمة: | Keywords: Federal Motor Carrier Safety Administration; adherence; commercial motor vehicle; continuous positive airway pressure; driver; obstructive sleep apnea; positive airway pressure; sleep apnea |
| تواريخ الأحداث: | Date Created: 20151231 Date Completed: 20170130 Latest Revision: 20181113 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC4795273 |
| DOI: | 10.5664/jcsm.5670 |
| PMID: | 26715403 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1550-9397 |
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| DOI: | 10.5664/jcsm.5670 |