Validation of the European Obstructive Sleep Apnea Screening (EUROSAS) in Professional Male Drivers
(2024) In Journal of Clinical Medicine 13(19).- Abstract
(1) Background: The European Union Driver License Committee recently developed a questionnaire as a screening tool for obstructive sleep apnea (OSA), named the European Obstructive Sleep Apnea Screening (EUROSAS) questionnaire for drivers. The aim of the current study was to investigate the diagnostic performance of the EUROSAS to predict risk of OSA in professional male drivers. (2) Methods: Fifty-eight drivers were included in the current study. All participants were asked to fill out the EUROSAS before an overnight polysomnography (PSG) in the hospital. OSA was defined as an apnea-hypopnea index (AHI) 5 events/hour on the PSG. (3) Results: Out of 58 participants, the EUROSAS correctly identified 39 (67.2%) cases as having high-risk... (More)
(1) Background: The European Union Driver License Committee recently developed a questionnaire as a screening tool for obstructive sleep apnea (OSA), named the European Obstructive Sleep Apnea Screening (EUROSAS) questionnaire for drivers. The aim of the current study was to investigate the diagnostic performance of the EUROSAS to predict risk of OSA in professional male drivers. (2) Methods: Fifty-eight drivers were included in the current study. All participants were asked to fill out the EUROSAS before an overnight polysomnography (PSG) in the hospital. OSA was defined as an apnea-hypopnea index (AHI) 5 events/hour on the PSG. (3) Results: Out of 58 participants, the EUROSAS correctly identified 39 (67.2%) cases as having high-risk OSA and one patient as having low-risk OSA, using AHI ≥ 5 events/h. The results indicated that the EUROSAS has a sensitivity of 67.2%, a specificity of 33.3%, a positive predictive value of 94.8%, and a negative predictive value of 5.2%. Similar results were obtained using AHI cut-offs of 15 and 30 events/h. (4) Conclusions: The EUROSAS provides a moderate level of accuracy for the screening of OSA in the professional male drivers. It seems that the diagnostic performance of the EUROSAS is not promising as an alternative questionnaire to identify professional drivers with OSA, probably due to participant response bias. Despite its limited evidence, the EUROSAS might have potential as a clinical screening tool in the general population.
(Less)
- author
- Celik, Yeliz ; Arbatli, Semih ; Balcan, Baran and Peker, Yuksel LU
- organization
- publishing date
- 2024
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- drivers, EUROSAS, motor vehicle accident, OSA
- in
- Journal of Clinical Medicine
- volume
- 13
- issue
- 19
- article number
- 5976
- publisher
- MDPI AG
- external identifiers
-
- pmid:39408036
- scopus:85206592836
- ISSN
- 2077-0383
- DOI
- 10.3390/jcm13195976
- language
- English
- LU publication?
- yes
- id
- 45d84052-2c49-4d3d-968b-ba3d72e64b8d
- date added to LUP
- 2024-12-16 16:20:49
- date last changed
- 2025-07-01 08:18:33
@article{45d84052-2c49-4d3d-968b-ba3d72e64b8d,
abstract = {{<p>(1) Background: The European Union Driver License Committee recently developed a questionnaire as a screening tool for obstructive sleep apnea (OSA), named the European Obstructive Sleep Apnea Screening (EUROSAS) questionnaire for drivers. The aim of the current study was to investigate the diagnostic performance of the EUROSAS to predict risk of OSA in professional male drivers. (2) Methods: Fifty-eight drivers were included in the current study. All participants were asked to fill out the EUROSAS before an overnight polysomnography (PSG) in the hospital. OSA was defined as an apnea-hypopnea index (AHI) 5 events/hour on the PSG. (3) Results: Out of 58 participants, the EUROSAS correctly identified 39 (67.2%) cases as having high-risk OSA and one patient as having low-risk OSA, using AHI ≥ 5 events/h. The results indicated that the EUROSAS has a sensitivity of 67.2%, a specificity of 33.3%, a positive predictive value of 94.8%, and a negative predictive value of 5.2%. Similar results were obtained using AHI cut-offs of 15 and 30 events/h. (4) Conclusions: The EUROSAS provides a moderate level of accuracy for the screening of OSA in the professional male drivers. It seems that the diagnostic performance of the EUROSAS is not promising as an alternative questionnaire to identify professional drivers with OSA, probably due to participant response bias. Despite its limited evidence, the EUROSAS might have potential as a clinical screening tool in the general population.</p>}},
author = {{Celik, Yeliz and Arbatli, Semih and Balcan, Baran and Peker, Yuksel}},
issn = {{2077-0383}},
keywords = {{drivers; EUROSAS; motor vehicle accident; OSA}},
language = {{eng}},
number = {{19}},
publisher = {{MDPI AG}},
series = {{Journal of Clinical Medicine}},
title = {{Validation of the European Obstructive Sleep Apnea Screening (EUROSAS) in Professional Male Drivers}},
url = {{http://dx.doi.org/10.3390/jcm13195976}},
doi = {{10.3390/jcm13195976}},
volume = {{13}},
year = {{2024}},
}