Attention deficits detected in cognitive tests differentiate between sleep apnea patients with or without a motor vehicle accident

Sleep Medicine
Mahssa KarimiLudger Grote

Abstract

Obstructive sleep apnea (OSA) is associated with an increased motor vehicle accident (MVA) risk. Conventional measures of OSA severity do not predict individual risk. Cognitive function tests have failed to incorporate outcomes in risk prediction. We aimed to identify markers of cognitive function for MVA risk prediction in OSA. OSA patients [n = 114, 75% male, median age 51 (43-61) years, body mass index (BMI) 30 (27-33) kg/m2, apnea-hypopnea index 25 (6-49) n/h, and Epworth Sleepiness (ESS) score 11 (8-16)] were recruited from a sleep laboratory. Two cognitive function tests, the Attention Network Test (ANT) and a modified Oxford Sleep Resistance Test (OSLER) test (GOSLING), were assessed. OSA patients with (n = 11) or without (n = 103) a MVA record in the Swedish traffic accident registry were identified. In patients with a MVA, 64% were commercial drivers. In patients with a MVA history, more lapses [42 (5-121) vs. 5 (1-25), P = 0.02] and fewer responses [238 (158-272) vs. 271 (256-277), P = 0.03] to stimuli in the ANT were found. In the GOSLING, the number of lapses was higher (29 (10-97) vs. 7 (2-19), P = 0.01) and the reaction time was longer [462 (393-551) vs. 407 (361-449) ms, P = 0.05]. OSA severity and ESS score poor...Continue Reading

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Citations

Apr 4, 2016·Neuroscience and Biobehavioral Reviews·Masoud TahmasianClaudia R Eickhoff
Jun 21, 2016·Neurophysiologie clinique = Clinical neurophysiology·Agnès DauratMichel Tiberge
Aug 21, 2016·Sleep Medicine Clinics·Charles R Davies, John J Harrington
Oct 25, 2016·Oxidative Medicine and Cellular Longevity·Li ZhouRuoyun Ouyang
Feb 18, 2017·Breathe·Monique SuárezJosep M Montserrat
Jun 9, 2015·PloS One·Fabio PizzaYves Dauvilliers
Nov 17, 2020·Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine·Anniina AlakuijalaAdel Bachour

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