Effects of surgery for obstructive sleep apnea on cognitive function and driving performance
| العنوان: | Effects of surgery for obstructive sleep apnea on cognitive function and driving performance |
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| المؤلفون: | Uri Alkan, Yuval Nachalon, Penina Weiss, Gideon Bachar, Amit Ritter, Hanna Gilat, Raphael Feinmesser |
| المصدر: | Sleep and Breathing. 25:1593-1600 |
| بيانات النشر: | Springer Science and Business Media LLC, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | medicine.medical_specialty, business.industry, Epworth Sleepiness Scale, Poison control, Cognition, medicine.disease, Surgery, Obstructive sleep apnea, 03 medical and health sciences, 0302 clinical medicine, 030228 respiratory system, Otorhinolaryngology, Injury prevention, Cohort, medicine, Neurology (clinical), business, Neurocognitive, 030217 neurology & neurosurgery |
| الوصف: | Obstructive sleep apnea (OSA) is associated with a significantly increased risk of motor vehicle accidents in addition to such cognitive impairments as attention and memory deficits. The aim of the study was to examine the effect of upper airway surgery for OSA on driving and cognitive function. Adult patients who underwent surgery for OSA at a tertiary medical center in 2016–2019 were prospectively recruited. Patients were assessed before and 3–6 months after surgery with a self-report and neurocognitive battery and a driving simulation platform. The cohort included 32 patients of average age 46.9 ± 11.6 years. During the 3 years before treatment, 9 patients had been involved in road accidents and 18 were detained by police for traffic violations. After surgery, there was a significant decrease in the Epworth Sleepiness Scale (13.7 vs. 8.1, p 0.043) and a significant reduction in time to completion of the Color Trail Test (part 1: 21.4 vs 18.7 s, p = 0.049; part 2: 46.8 vs 40.5 s, p = 0.038). Improvements in divided attention and selective attention response times were noted on the advanced stages of the Useful Field of Vision Scale (p = 0.013, p = 0.054). Before surgery, patients showed a high tendency to drive over the speed limit and to cross the dividing line to the opposite lane on the simulation test. Nevertheless, all considered themselves good drivers. These tendencies decreased after treatment. Surgery for OSA can significantly improve driving performance and cognitive function. |
| تدمد: | 1522-1709 1520-9512 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::69a38096aa3aa8e22f0af70765a3e742 https://doi.org/10.1007/s11325-020-02285-w |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi...........69a38096aa3aa8e22f0af70765a3e742 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 15221709 15209512 |
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