{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T04:14:55Z","timestamp":1728360895610},"reference-count":16,"publisher":"Aerospace Medical Association","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["aerosp med hum perform"],"published-print":{"date-parts":[[2023,2,1]]},"abstract":"<jats:p><jats:bold>BACKGROUND:<\/jats:bold> Obstructive sleep apnea syndrome (OSAS) is a major problem in aviation medicine because it is responsible for sleepiness and high cardiovascular risk, which could jeopardize flight safety. Residual sleepiness after the treatment is not a rare phenomenon and its management\n is not homogenous in aviation medicine. Thus, we decided to perform a study to describe this management and propose guidelines with the help of the literature.<jats:bold>METHODS:<\/jats:bold> This is a retrospective study including all aircrew members with a history of OSAS who visited our aeromedical\n center between 2011 and 2018. Residual sleepiness assessment was particularly studied.<jats:bold>RESULTS:<\/jats:bold> Our population was composed of 138 aircrew members (mean age 50.1 \u00b1 9.6 yr, 76.8% civilians, 80.4% pilots); 65.4% of them had a severe OSAS with a mean Epworth Sleepiness Scale\n (ESS) at 8.5 \u00b1 4.7 and a mean apnea hypopnea index of 36.2 \u00b1 19.2\/h. Of our population, 59.4% performed maintenance of wakefulness tests (MWT) and 10.1% had a residual excessive sleepiness. After the evaluation, 83.1% of our population was fit to fly.<jats:bold>DISCUSSION:<\/jats:bold> An\n evaluation of treatment efficiency is required in aircrew members with OSAS. Furthermore, it is important to have an objective proof of the absence of sleepiness. In this case, ESS is not sufficient and further evaluation is necessary. Many tests exist, but MWT are generally performed and\n the definition of a normal result in aeronautics is important. This evaluation should not be reserved to solo pilots only.<jats:bold>Monin J, Rebiere E, Guiu G, Bisconte S, Perrier E, Manen O. <jats:italic>Residual sleepiness risk in aircrew members with obstructive sleep apnea syndrome<\/jats:italic>. Aerosp Med\n Hum Perform. 2023; 94(2):74\u201378.<\/jats:bold><\/jats:p>","DOI":"10.3357\/amhp.6033.2023","type":"journal-article","created":{"date-parts":[[2023,2,9]],"date-time":"2023-02-09T04:31:53Z","timestamp":1675917113000},"page":"74-78","source":"Crossref","is-referenced-by-count":0,"title":["Residual Sleepiness Risk in Aircrew Members with \u00adObstructive Sleep Apnea Syndrome"],"prefix":"10.3357","volume":"94","author":[{"given":"Jonathan","family":"Monin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erik","family":"Rebiere","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ga\u00ebtan","family":"Guiu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S\u00e9bastien","family":"Bisconte","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric","family":"Perrier","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivier","family":"Manen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1911","reference":[{"year":"2019","key":"B1"},{"volume-title":"International classification of sleep disorders","year":"2014","key":"B2"},{"volume-title":"Diagnostic and statistical manual of mental disorders","year":"2013","key":"B3"},{"key":"B4"},{"issue":"2","key":"B5","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1046\/j.1365-2869.1997.00039.x","article-title":"A behavioural test to assess daytime sleepiness in obstructive sleep apnoea","volume":"6","year":"1997","journal-title":"J Sleep Res"},{"year":"2019","key":"B6"},{"issue":"2","key":"B7","first-page":"193","article-title":"Systematic review of motor vehicle crash risk in persons with sleep apnea","volume":"2","year":"2006","journal-title":"J Clin Sleep Med"},{"year":"2022","key":"B8"},{"issue":"11","key":"B9","doi-asserted-by":"crossref","first-page":"1479","DOI":"10.1001\/jama.1989.03430110069030","article-title":"Epidemiologic study of sleep disturbances and psychiatric disorders. An opportunity for prevention?","volume":"262","year":"1989","journal-title":"JAMA"},{"issue":"4","key":"B10","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1111\/jsr.12039","article-title":"Residual \u00adsleepiness in sleep apnea patients treated by continuous positive airway pressure","volume":"22","year":"2013","journal-title":"J Sleep Res"},{"issue":"1","key":"B11","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1093\/sleep\/28.1.113","article-title":"\u00adPractice parameters for clinical use of the multiple sleep latency test and the maintenance of wakefulness test","volume":"28","year":"2005","journal-title":"Sleep"},{"issue":"5","key":"B12","doi-asserted-by":"crossref","first-page":"1062","DOI":"10.1183\/09031936.00016808","article-title":"Prevalence of residual excessive sleepiness in CPAP-treated sleep-apnea patients: the French multicentre study","volume":"33","year":"2009","journal-title":"Eur Respir J"},{"issue":"4","key":"B13","doi-asserted-by":"crossref","first-page":"410","DOI":"10.1002\/ana.21448","article-title":"Maintenance of Wakefulness Test, obstructive sleep apnea syndrome, and driving risk","volume":"64","year":"2008","journal-title":"Ann Neurol"},{"issue":"2","key":"B14","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1177\/155005949903000208","article-title":"Subjective and objective indices of sleepiness (ESS and MWT) are not equally useful in patients with sleep apnea","volume":"30","year":"1999","journal-title":"Clin Electroencephalogr"},{"issue":"3","key":"B15","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1016\/j.smrv.2007.02.005","article-title":"Persistent sleepiness in CPAP treated obstructive sleep apnea patients: evaluation and treatment","volume":"11","year":"2007","journal-title":"Sleep Med Rev"},{"issue":"4","key":"B16","first-page":"206","article-title":"Proc\u00e9dure de r\u00e9alisation des Tests de Maintien d\u2019Eveil et valeurs normatives. Recommandations des bonnes pratiques cliniques. Societe francaise de recherche et medecin du sommeil (SFRMS) mise a jour 2014 [Procedures for carrying out maintenance of wakefulness tests and \u00adnormative values. Recommendations of good clinical practice. French Society for Sleep Research and Medicine (SFRMS), updated 2014]","volume":"11","year":"2014","journal-title":"M\u00e9decine du Sommeil"}],"container-title":["Aerospace Medicine and Human Performance"],"original-title":[],"link":[{"URL":"https:\/\/asma.kglmeridian.com\/view\/journals\/amhp\/94\/2\/article-p74.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/asma.kglmeridian.com\/downloadpdf\/journals\/amhp\/94\/2\/article-p74.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/asma.kglmeridian.com\/downloadpdf\/journals\/amhp\/94\/2\/article-p74.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,7]],"date-time":"2024-10-07T12:24:55Z","timestamp":1728303895000},"score":1,"resource":{"primary":{"URL":"https:\/\/asma.kglmeridian.com\/view\/journals\/amhp\/94\/2\/article-p74.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,1]]},"references-count":16,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.3357\/amhp.6033.2023","relation":{},"ISSN":["2375-6314","2375-6322"],"issn-type":[{"type":"print","value":"2375-6314"},{"type":"electronic","value":"2375-6322"}],"subject":[],"published":{"date-parts":[[2023,2,1]]}}}