在使用雇主授权的远程管理程序的商业司机中实现对正气道压力的坚持
Elizabeth Kneeland1,2,3, Nadia Ali2,3, David G Maislin2
1Kneeland Consulting, Philadelphia, PA, USA.
ERJ open research
|December 3, 2024
概括
远程医疗有效地选商业司机的阻塞性睡眠呼吸暂停 (OSA),并通过正气道压力 (PAP) 管理治疗. 这种方法提高了依从性,并且对于高风险人群的安全至关重要.
科学领域:
- 睡眠医学 睡眠医学
- 职业健康 职业健康 职业健康
- 远程医疗服务是远程医疗服务.
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 在商业司机中很普遍.
- 未经治疗的OSA会增加车祸的风险,在这个群体中需要诊断和治疗.
研究的目的:
- 评估一项远程医疗和远程监测计划,用于在新招聘的商业司机中进行OSA查和阳性气道压力 (PAP) 管理.
- 在一家大型卡车运输公司中评估这种远程方法的可行性和有效性.
主要方法:
- 一项涉及975名商用驾驶员的临床计划的回顾性分析.
- 利用远程医疗来进行OSA查和远程监测PAP遵守情况.
- 不符合评估或PAP的司机被从驾驶角色中删除.
主要成果:
- 35.5%在没有睡眠研究的情况下清除; 15.0%在研究后清除; 22.1%轻度OSA; 27.4%中度至重度OSA.
- 在开始PAP的269名司机中,59.5%的司机保持了优秀的参与度 (平均持守率). 5.27小时/晚).
- 中度至重度的OSA与更高的肥胖和并发症有关.
结论:
- 在商业司机中对OSA进行远程评估和PAP管理是可行的和有效的.
- 这种远程医疗模式提供了一个可扩展的解决方案,特别是在缺乏睡眠专家的服务不足地区.
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