Screening and Management of Obstructive Sleep Apnea and Daytime Sleepiness Among Professional Drivers in Tunisia: Protocol for a Machine Learning Study
BackgroundObstructive sleep apnea (OSA) is highly prevalent among professional drivers; however, its true burden in this population remains underexplored and likely underdiagnosed. ObjectiveThis study aims to determine the prevalence of OSA and excessive daytime s...
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JMIR Publications
2025-08-01
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| Series: | JMIR Research Protocols |
| Online Access: | https://www.researchprotocols.org/2025/1/e70441 |
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| author | Sameh Msaad Nesrine Kammoun Rahma Gargouri Rim Khemakhem Amira Triki Narjes Abid Sonia Fehri Kaouthar Kallel Rim Kammoun Leila Douik EL Gharbi Sonia MaalejBellaj Heni Bouhamed Ahmed Abdelghani Chiraz Aichaouia Mohamed Turki Samy Kammoun |
| author_facet | Sameh Msaad Nesrine Kammoun Rahma Gargouri Rim Khemakhem Amira Triki Narjes Abid Sonia Fehri Kaouthar Kallel Rim Kammoun Leila Douik EL Gharbi Sonia MaalejBellaj Heni Bouhamed Ahmed Abdelghani Chiraz Aichaouia Mohamed Turki Samy Kammoun |
| author_sort | Sameh Msaad |
| collection | DOAJ |
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BackgroundObstructive sleep apnea (OSA) is highly prevalent among professional drivers; however, its true burden in this population remains underexplored and likely underdiagnosed.
ObjectiveThis study aims to determine the prevalence of OSA and excessive daytime sleepiness (EDS) and identify their risk factors among a large representative sample of professional drivers in Tunisia. We will also evaluate the risk of accidents associated with OSA and EDS before and after the treatment.
MethodsThis will be a population-based and prospective study of about 3000 professional drivers. Participants will receive a structured questionnaire to evaluate five main outcomes: the likelihood of OSA, EDS, drowsy driving, related sleepiness near misses and accidents, as well as work productivity. Validated self-report measures will be used to evaluate these outcomes. Participants suspected of having OSA or EDS will undergo sleep laboratory investigations, including a sleep study. Participants who have moderate-to-severe OSA will be recommended continuous positive airway pressure (CPAP) treatment. After one year of follow-up, all participants will be re-evaluated with self-report questionnaires. For those treated with CPAP, they will undergo the Maintenance of Wakefulness Test (MWT). We will evaluate several widely used machine learning models in medical diagnosis that are known for their high accuracy, including random forests, extreme gradient boosting, and deep neural networks, to predict the probability of OSA and its association with road traffic accidents.
ResultsA total of 127 male drivers participated in the study, with a mean age of 39.22 (SD 8.62) years. Most participants (76/127, 60.3%) had completed secondary education, 54.3% (69/127) were smokers, and the median BMI was 25.6 kg/m2. A medical history was reported by 20.5% (26/127) of patients. The median driver experience was 8 (IQR 4.0-15.0) years. Among the drivers, 49 (39.5%) were working night shifts, and 30 (23.6%) were in hazardous materials transportation. Machinery (41.3%) was the most common mode of transportation, followed by trucks (34.9%), and light vehicles (22.2%). Notably, 11 drowsiness accidents were avoided. The overall score of presenteeism was 12.25 out of 100, whereas absenteeism was 1.74 out of 100. The overall daily activity impairment and productivity loss were 11.46 out of 100 and 12.76 out of 100, respectively. Overall, 30 (23.62%) cases were identified with either a pathological Epworth Sleepiness Scale or a positive Berlin score.
ConclusionsOur preliminary findings revealed that a significant proportion of drivers were at a high risk of OSA. Our results will pave the way for the creation of a clinical screening instrument that can identify sleep-wake disturbances in professional drivers. This is likely to have a significant impact on the legal regulations concerning driving fitness and road safety. |
| format | Article |
| id | doaj-art-2d67dabcf22547569ddba30a60550be9 |
| institution | Kabale University |
| issn | 1929-0748 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | JMIR Publications |
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| series | JMIR Research Protocols |
| spelling | doaj-art-2d67dabcf22547569ddba30a60550be92025-08-20T04:01:42ZengJMIR PublicationsJMIR Research Protocols1929-07482025-08-0114e7044110.2196/70441Screening and Management of Obstructive Sleep Apnea and Daytime Sleepiness Among Professional Drivers in Tunisia: Protocol for a Machine Learning StudySameh Msaadhttps://orcid.org/0000-0003-2880-4548Nesrine Kammounhttps://orcid.org/0000-0002-8865-6121Rahma Gargourihttps://orcid.org/0000-0002-3906-9457Rim Khemakhemhttps://orcid.org/0000-0003-4977-6419Amira Trikihttps://orcid.org/0009-0004-8741-6929Narjes Abidhttps://orcid.org/0009-0005-1329-9413Sonia Fehrihttps://orcid.org/0009-0003-0614-294XKaouthar Kallelhttps://orcid.org/0009-0002-5883-4414Rim Kammounhttps://orcid.org/0000-0001-6760-2709Leila Douik EL Gharbihttps://orcid.org/0009-0009-6681-1686Sonia MaalejBellajhttps://orcid.org/0000-0002-4001-3776Heni Bouhamedhttps://orcid.org/0000-0001-9174-5865Ahmed Abdelghanihttps://orcid.org/0009-0003-7850-5631Chiraz Aichaouiahttps://orcid.org/0009-0005-5174-4872Mohamed Turkihttps://orcid.org/0009-0001-7168-8776Samy Kammounhttps://orcid.org/0000-0002-2915-4789 BackgroundObstructive sleep apnea (OSA) is highly prevalent among professional drivers; however, its true burden in this population remains underexplored and likely underdiagnosed. ObjectiveThis study aims to determine the prevalence of OSA and excessive daytime sleepiness (EDS) and identify their risk factors among a large representative sample of professional drivers in Tunisia. We will also evaluate the risk of accidents associated with OSA and EDS before and after the treatment. MethodsThis will be a population-based and prospective study of about 3000 professional drivers. Participants will receive a structured questionnaire to evaluate five main outcomes: the likelihood of OSA, EDS, drowsy driving, related sleepiness near misses and accidents, as well as work productivity. Validated self-report measures will be used to evaluate these outcomes. Participants suspected of having OSA or EDS will undergo sleep laboratory investigations, including a sleep study. Participants who have moderate-to-severe OSA will be recommended continuous positive airway pressure (CPAP) treatment. After one year of follow-up, all participants will be re-evaluated with self-report questionnaires. For those treated with CPAP, they will undergo the Maintenance of Wakefulness Test (MWT). We will evaluate several widely used machine learning models in medical diagnosis that are known for their high accuracy, including random forests, extreme gradient boosting, and deep neural networks, to predict the probability of OSA and its association with road traffic accidents. ResultsA total of 127 male drivers participated in the study, with a mean age of 39.22 (SD 8.62) years. Most participants (76/127, 60.3%) had completed secondary education, 54.3% (69/127) were smokers, and the median BMI was 25.6 kg/m2. A medical history was reported by 20.5% (26/127) of patients. The median driver experience was 8 (IQR 4.0-15.0) years. Among the drivers, 49 (39.5%) were working night shifts, and 30 (23.6%) were in hazardous materials transportation. Machinery (41.3%) was the most common mode of transportation, followed by trucks (34.9%), and light vehicles (22.2%). Notably, 11 drowsiness accidents were avoided. The overall score of presenteeism was 12.25 out of 100, whereas absenteeism was 1.74 out of 100. The overall daily activity impairment and productivity loss were 11.46 out of 100 and 12.76 out of 100, respectively. Overall, 30 (23.62%) cases were identified with either a pathological Epworth Sleepiness Scale or a positive Berlin score. ConclusionsOur preliminary findings revealed that a significant proportion of drivers were at a high risk of OSA. Our results will pave the way for the creation of a clinical screening instrument that can identify sleep-wake disturbances in professional drivers. This is likely to have a significant impact on the legal regulations concerning driving fitness and road safety.https://www.researchprotocols.org/2025/1/e70441 |
| spellingShingle | Sameh Msaad Nesrine Kammoun Rahma Gargouri Rim Khemakhem Amira Triki Narjes Abid Sonia Fehri Kaouthar Kallel Rim Kammoun Leila Douik EL Gharbi Sonia MaalejBellaj Heni Bouhamed Ahmed Abdelghani Chiraz Aichaouia Mohamed Turki Samy Kammoun Screening and Management of Obstructive Sleep Apnea and Daytime Sleepiness Among Professional Drivers in Tunisia: Protocol for a Machine Learning Study JMIR Research Protocols |
| title | Screening and Management of Obstructive Sleep Apnea and Daytime Sleepiness Among Professional Drivers in Tunisia: Protocol for a Machine Learning Study |
| title_full | Screening and Management of Obstructive Sleep Apnea and Daytime Sleepiness Among Professional Drivers in Tunisia: Protocol for a Machine Learning Study |
| title_fullStr | Screening and Management of Obstructive Sleep Apnea and Daytime Sleepiness Among Professional Drivers in Tunisia: Protocol for a Machine Learning Study |
| title_full_unstemmed | Screening and Management of Obstructive Sleep Apnea and Daytime Sleepiness Among Professional Drivers in Tunisia: Protocol for a Machine Learning Study |
| title_short | Screening and Management of Obstructive Sleep Apnea and Daytime Sleepiness Among Professional Drivers in Tunisia: Protocol for a Machine Learning Study |
| title_sort | screening and management of obstructive sleep apnea and daytime sleepiness among professional drivers in tunisia protocol for a machine learning study |
| url | https://www.researchprotocols.org/2025/1/e70441 |
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