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The Pre-Registry Commercial Driver Medical Examination Screening Sensitivity and Certification Lengths for Two Safety-Related Medical Conditions

机译:预注册管理机构商业司机医学检查筛选敏感性和认证长度为两个安全相关的医疗条件

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Objective: Use independent diagnostic data to analyze the screening effectiveness of the pre-Registry commercial driver medical examination (CDME) for obstructive sleep apnea (OSA), and its sensitivity for hypertension; analyze certification lengths where relevant. Methods: CDME screening results for 1668 drivers were compared to polysomnogram diagnostic test results, and CDME screening results were evaluated for 1155 drivers with at least one insurance claim with a hypertension diagnostic code. Any CDME documentation of the medical condition was considered as detection by screening. Results: CDME sensitivity was 20.7% for moderate OSA (AHI >= 15). While sensitivity was 77.5% for hypertension, 93.3% of drivers with Stage 3 hypertension were certified, contrary to Federal Motor Carrier Safety Administration standards. Conclusions: The pre-Registry CDME was ineffective in screening commercial drivers for OSA. Screening was better for hypertension; incorrect certifications were given to many hypertensive drivers.
机译:目的:使用独立诊断数据来分析预注册管理休眠呼吸暂停(OSA)的预登记商业驾驶员体检(CDME)的筛选效果及其对高血压的敏感性;分析相关的认证长度。方法:将CDME筛选为1668例司机的筛选结果与多肌瘤诊断测试结果进行比较,并评估CDME筛查结果,为1155名司机评估了至少一个带有高血压诊断规范的保险索赔。任何CDME文档都被筛选被视为检测。结果:中等OSA(AHI> = 15)的CDME敏感性为20.7%。虽然高血压的敏感性为77.5%,但93.3%的司机具有阶段的3阶段高血压,与联邦汽车承运人安全管理标准相反。结论:预注册表CDME在筛选OSA的商业司机方面无效。筛选更好的高血压;许多高血压司机的认证不正确。

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