dc.contributor.author
Huang, Ying
dc.contributor.author
Hennig, Steve
dc.contributor.author
Fietze, Ingo
dc.contributor.author
Penzel, Thomas
dc.contributor.author
Veauthier, Christian
dc.date.accessioned
2020-10-22T12:00:56Z
dc.date.available
2020-10-22T12:00:56Z
dc.identifier.uri
https://refubium.fu-berlin.de/handle/fub188/28592
dc.identifier.uri
http://dx.doi.org/10.17169/refubium-28341
dc.description.abstract
Background: Sleepiness at the wheel affects 10% to 15% of drivers and is one major cause of death on highways with one-third of fatal accidents. Obstructive sleep apnea (OSA) is one of the most common sleep disorders leading to sleepiness at the wheel. The aim of this study was to compare the psychomotor vigilance test reaction time (PVT RT) in OSA patients and controls (morning and afternoon) with the results of a divided attention steering simulator (DASS). A second purpose was to compare these results with the mean sleep latencies in the multiple sleep latency test (MSLT), the Epworth Sleepiness Scale (ESS) values and a neurocognitive test (test of attentional performance, TAP).
Patients and methods: Thirty eight OSA patients and 16 age and sex matched healthy controls were investigated by ESS, PVT, TAP, MSLT, and DASS (response time, failed responses, lane deviation, and off-road-events).
Results: With increasing age, the performance in the DASS decreased. There was no correlation between the DASS and the results of the MSLT and ESS. The controls showed a significantly faster DASS response time in the morning compared to OSA patients (median 2.1 versus 3.0; p=0.044) and fewer off-road events (9 versus 37; p=0.042). We found a moderate correlation between the PVT RT and all parameters of the DASS, as well as the TAP "alertness" subtest.
Conclusion: The increase of PVT RT as well as the decreased tonic alertness in the TAP in untreated OSA patients correlated with an impairment of simulated driving performance. The PVT and the TAP are both suitable diagnostic tools for measuring impaired driving ability in OSA patients. The MSLT did not correlate with the simulated driving performance. We recommend investigation of a longer version of the PVT in order to increase its sensitivity.
en
dc.rights.uri
https://creativecommons.org/licenses/by-nc/3.0/
dc.subject
polysomnography
en
dc.subject
sustained attention
en
dc.subject
tonic alertness
en
dc.subject
simulated driving performance
en
dc.subject.ddc
600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit::610 Medizin und Gesundheit
dc.title
The Psychomotor Vigilance Test Compared to a Divided Attention Steering Simulation in Patients with Moderate or Severe Obstructive Sleep Apnea
dc.type
Wissenschaftlicher Artikel
dcterms.bibliographicCitation.doi
10.2147/NSS.S256987
dcterms.bibliographicCitation.journaltitle
Nature and Science of Sleep
dcterms.bibliographicCitation.originalpublishername
Dove Medical Press
dcterms.bibliographicCitation.pagestart
509
dcterms.bibliographicCitation.pageend
524
dcterms.bibliographicCitation.volume
12
refubium.affiliation
Charité - Universitätsmedizin Berlin
refubium.resourceType.isindependentpub
no
dcterms.accessRights.openaire
open access
dcterms.bibliographicCitation.pmid
32821184
dcterms.isPartOf.eissn
1179-1608