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Updated: Jun 24, 2026

Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
Screening for obstructive sleep apnea during commercial driver medical examinations
Philip Parks1, Gerardo Durand, Antonios J Tsismenakis
1Department of Environmental and Occupational Medicine and Epidemiology, Harvard School of Public Health, Boston, MA, USA.
Objective:
To evaluate consensus criteria for screening commercial drivers for obstructive sleep apnea (OSA).
Methods:
Consecutive drivers underwent OSA screening using Joint Task Force consensus criteria at commercial driver medical examinations. Outcomes included: clinical yield of screening; and drivers' compliance with polysomnography (PSG) referrals and OSA treatment.
Results:
Among 456 drivers, 53 (12%) were referred for PSG, and 20/20 were confirmed to have OSA, supporting a high positive predictive value. The other 33 drivers referred for PSG were lost to follow-up but demonstrated no significant differences from those with confirmed OSA. After diagnosis, only one of 20 drivers with confirmed OSA demonstrated treatment compliance.
Conclusions:
Drivers identified by the consensus criteria have a high likelihood of OSA. Drivers' poor compliance with PSGs and OSA treatment support federally mandated screening of commercial drivers.
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