MovDisordV3, Main, Exploration, bibRecord, 003946

Driving in Parkinson's disease: Mobility, accidents, and sudden onset of sleep at the wheel

Identifieur interne : 003946 ( Main/Exploration ); précédent : 003945; suivant : 003947

Driving in Parkinson's disease: Mobility, accidents, and sudden onset of sleep at the wheel

Auteurs : Charlotte Meindorfner [Allemagne] ; Yvonne Körner [Allemagne] ; Jens Carsten Möller [Allemagne] ; Karin Stiasny-Kolster [Allemagne] ; Wolfgang Hermann Oertel [Allemagne] ; Hans-Peter Krüger [Allemagne]

Source :

Movement Disorders [ 0885-3185 ] ; 2005-07.

RBID : ISTEX:8F0A53725CF01E9866E96ED16642C2497AB68F01

Descripteurs français

Pascal (Inist)
- Brutal, Facteur risque, Mobilité, Parkinson maladie, Pramipexole, Ropinirole, Sommeil, Système nerveux pathologie.

English descriptors

KwdEn :
- Accidents, Traffic (statistics & numerical data), Age Factors, Aged, Automobile Driving (psychology), Disorders of Excessive Somnolence (epidemiology), Disorders of Excessive Somnolence (physiopathology), Female, Humans, Male, Middle Aged, Mobility, Nervous system diseases, Parkinson Disease (complications), Parkinson Disease (epidemiology), Parkinson Disease (physiopathology), Parkinson disease, Pramipexole, Prevalence, Questionnaires, ROC Curve, Retrospective Studies, Risk factor, Ropinirole, Sex Factors, Sleep, Sudden, accident risk, daytime sleepiness, motor vehicle crash, pramipexole, ropinirole.
MESH :
- complications : Parkinson Disease.
- epidemiology : Disorders of Excessive Somnolence, Parkinson Disease.
- physiopathology : Disorders of Excessive Somnolence, Parkinson Disease.
- psychology : Automobile Driving.
- statistics & numerical data : Accidents, Traffic.
- Age Factors, Aged, Female, Humans, Male, Middle Aged, Prevalence, Questionnaires, ROC Curve, Retrospective Studies, Sex Factors.

Abstract

Only few studies have addressed driving ability in Parkinson's disease (PD) to date. However, studies investigating accident proneness of PD patients are urgently needed in the light of motor disability in PD and—particularly—the report of “sleep attacks” at the wheel. We sent a questionnaire about sudden onset of sleep (SOS) and driving behavior to 12,000 PD patients. Subsequently, of 6,620 complete data sets, 361 patients were interviewed by phone. A total of 82% of those 6,620 patients held a driving license, and 60% of them still participated in traffic. Of the patients holding a driving license, 15% had been involved in and 11% had caused at least one accident during the past 5 years. The risk of causing accidents was significantly increased for patients who felt moderately impaired by PD, had an increased Epworth Sleepiness Scale (ESS) score, and had experienced SOS while driving. Sleep attacks at the wheel usually occurred in easy driving situations and resulted in typical fatigue‐related accidents. Those having retired from driving had a more advanced (subjective) disease severity, higher age, more frequently female gender, an increased ESS score, and a longer disease duration. The study revealed SOS and daytime sleepiness as critical factors for traffic safety in addition to motor disabilities of PD patients. The results suggest that real sleep attacks without any prior sleepiness are rare. However, our data underline the importance of mobility for patients and the need for further studies addressing the ability to drive in PD. © 2005 Movement Disorder Society

Url:

https://api.istex.fr/document/8F0A53725CF01E9866E96ED16642C2497AB68F01/fulltext/pdf

DOI: 10.1002/mds.20412

Affiliations:

Le document en format XML

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<front><div type="abstract" xml:lang="en">Only few studies have addressed driving ability in Parkinson's disease (PD) to date. However, studies investigating accident proneness of PD patients are urgently needed in the light of motor disability in PD and—particularly—the report of “sleep attacks” at the wheel. We sent a questionnaire about sudden onset of sleep (SOS) and driving behavior to 12,000 PD patients. Subsequently, of 6,620 complete data sets, 361 patients were interviewed by phone. A total of 82% of those 6,620 patients held a driving license, and 60% of them still participated in traffic. Of the patients holding a driving license, 15% had been involved in and 11% had caused at least one accident during the past 5 years. The risk of causing accidents was significantly increased for patients who felt moderately impaired by PD, had an increased Epworth Sleepiness Scale (ESS) score, and had experienced SOS while driving. Sleep attacks at the wheel usually occurred in easy driving situations and resulted in typical fatigue‐related accidents. Those having retired from driving had a more advanced (subjective) disease severity, higher age, more frequently female gender, an increased ESS score, and a longer disease duration. The study revealed SOS and daytime sleepiness as critical factors for traffic safety in addition to motor disabilities of PD patients. The results suggest that real sleep attacks without any prior sleepiness are rare. However, our data underline the importance of mobility for patients and the need for further studies addressing the ability to drive in PD. © 2005 Movement Disorder Society</div>
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Movement Disorders (revue)

Driving in Parkinson's disease: Mobility, accidents, and sudden onset of sleep at the wheel

Driving in Parkinson's disease: Mobility, accidents, and sudden onset of sleep at the wheel

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

	Movement Disorders (revue)
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