TITLE

Time course of changes in driving simulator performance with and without treatment in patients with sleep apnoea hypopnoea syndrome

AUTHOR(S)
Turkington P M; Sircar M; Saralaya D; Elliott M W
PUB. DATE
January 2004
SOURCE
Thorax;Jan2004, Vol. 59 Issue 1, p56
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
BACKGROUND: Improvements in driving simulator performance have been demonstrated in patients with sleep apnoea hypopnoea syndrome (SAHS) after several months of treatment, but it is not known how quickly these improvements are achieved and lost. The aim of this study was to assess the time course of changes in driving simulator performance in patients with SAHS following treatment with continuous positive airways pressure (CPAP). METHODS: Eighteen patients with severe SAHS performed a driving simulator test at baseline (before treatment) and at days 1, 3, and 7 of a 2 week CPAP trial period. CPAP was then discontinued and the patients performed three further driving simulator tests after 1, 3, and 7 days. Eighteen patients with severe SAHS acted as controls and performed the driving simulator test on seven occasions in a pattern similar to that of the treated patients. RESULTS: Significant improvements in tracking error (p=0.004), reaction time (p=0.036), and the number of off road events per hour (p=0.032) were seen in the CPAP treated group compared with the controls at 7 days. Following discontinuation of CPAP for 7 days a significant difference in driving simulator performance persisted between the two groups, but the size of the difference had reduced. CONCLUSION: Driving simulator performance in patients with severe SAHS improves within the first few days of starting CPAP and these improvements appear to be sustained for up to 1 week after withdrawal. Further data about the usefulness of driving simulators in predicting safe driving are needed before these results can be used in advising patients on driving. However, the data appear to suggest that driving can be safely resumed after a few days of effective CPAP treatment.
ACCESSION #
12137042

 

Related Articles

  • Morphine/oxycodone/paracetamol.  // Reactions Weekly;5/7/2011, Issue 1350, p34 

    The article describes cases of two patients who developed obstructive sleep apnoea during chronic opioid therapy for pain syndromes.

  • Detecting Drowsy Drivers. Meinert, Dori // HRMagazine;Oct2011, Vol. 56 Issue 10, p31 

    The article reports on a study on the use of the psychomotor vigilance test, a test of attention, alertness, and reaction time, that may detect those who fall asleep on the job, such as commercial drivers, due to obstructive sleep apnea. Aside from obesity, which is a marker for the disorder,...

  • Disrupted sleep slows performance.  // Occupational Hazards;Nov99, Vol. 61 Issue 11, p41 

    No abstract available.

  • Electrophysiological Assessment of the Effects of Obstructive Sleep Apnea on Cognition. Gelir, Ethem; Başaran, Cenk; Bayrak, Sibel; Yağcıoğlu, Süha; Budak, Murat Timur; Fırat, Hikmet; Ungan, Pekcan // PLoS ONE;Feb2014, Vol. 9 Issue 2, p1 

    We used electrophysiological measures to investigate the effects of obstructive sleep apnea on attention, learning, and memory. Thirty subjects (OSA group, n = 15, control group n = 15) participated in n-back tests, accompanied by P300 recordings, to investigate working...

  • Expiratory Positive Airway Pressure. Popper, Ronald A. // Sleep Review;Mar2012, Vol. 13 Issue 2, p26 

    The article describes the case of a middle-aged man with obstructive sleep apnea (OSA). His sleeping complaints include increased nocturnal awakenings, snoring and excessive daytime sleepiness. Physical examination results include a deviated nasal septum, droopy soft palate and enlarged uvula....

  • Complex sleep apnea unmasked by the use of a mandibular advancement device. Kuźniar, Tomasz J.; Kovačević-Ristanović, Ružica; Freedom, Thomas // Sleep & Breathing;May2011, Vol. 15 Issue 2, p249 

    ording to most accepted definitions, complex sleep apnea syndrome (CompSAS) is described as an emergence of central apneas in a patient with obstructive sleep apnea (OSA) upon introduction of continuous positive airway pressure therapy (CPAP). We present two patients who developed comparable...

  • Lymphomas Presenting in Waldeyer's Ring. Smitheringale, Alma // Journal of Otolaryngology;May/Jun2000, Vol. 29 Issue 3, p183 

    Presents cases of Waldeyer's ring lymphomas in children with history of progressive obstructive sleep apnea from grossly hypertrophic adenoids and/or tonsils. Clinical course and surgical management of the disease; Pathologic diagnoses.

  • Methadone.  // Reactions Weekly;2/23/2013, Issue 1440, p25 

    The article presents a case study of a 10-year-old boy who developed severe central sleep apnoea following treatment with methadone.

  • Sodium oxybate.  // Reactions Weekly;3/17/2012, Issue 1393, p37 

    The article describes the case of a normoponderal woman who experienced sleep apnoea after receiving sodium oxybate for narcolepsy with cataplexy.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sign out of this library

Other Topics