title: [Accidents caused by sleepiness--prediction by neurophysiologic/psychologic testing and simulated driving studies].
abstract: Daytime sleepiness is a leading symptom of various diseases, and is an important cause of accidents at the workplace and on the road. For the evaluation of accident frequency, the medical history, neurophysiological and neuropsychological tests, and driving simulator performance are applied. The present paper describes these different methods, and assesses their value in predicting accidents. In the last resort, no single test suffices to evaluate the accident risk of patients suffering from daytime sleepiness--rather, a combination of the methods described is needed, in particular when an expert opinion on a patient's ability to drive is required. To date, no controlled studies have been done to compare the predictive value of the methods considered herein. Our results suggest that the nearness of driving simulation to reality makes it a suitable additional test method, in particular for the monitoring of results under treatment.
authors.affiliation: Berufsgenossenschaftliche Kliniken Bergmannsheil Klinikum, Ruhr-Universität Bochum, Medizinische Klinik und Poliklinik, Abteilung für Pneumologie, Allergologie und Schlafmedizin, Bürkle-de-la-Camp-Platz 1, 44789 Bochum. maritta.orth@ruhr-uni-bochum.de
authors.forename: M
authors.initials: M
authors.lastname: Orth
authors.forename: K
authors.initials: K
authors.lastname: Rasche
authors.forename: J P
authors.initials: JP
authors.lastname: Malin
authors.forename: G
authors.initials: G
authors.lastname: Schultze-Werninghaus
authors.forename: S
authors.initials: S
authors.lastname: Kotterba
mesh_terms: D000063:Accidents, Traffic / Q000517:prevention & control*; D000328:Adult; D001143:Arousal / Q000502:physiology; D001288:Attention / Q000502:physiology; D001334:Automobile Driving; D002540:Cerebral Cortex / Q000503:physiopathology; D003198:Computer Simulation; D006970:Disorders of Excessive Somnolence / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology; D004562:Electrocardiography; D005071:Evoked Potentials / Q000502:physiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009290:Narcolepsy / Q000175:diagnosis / Q000503:physiopathology; D009483:Neuropsychological Tests; D012025:Reflex, Pupillary / Q000502:physiology; D012680:Sensitivity and Specificity; D020181:Sleep Apnea, Obstructive / Q000175:diagnosis / Q000503:physiopathology
vernacular_title: Unfälle durch Müdigkeit--Prädiktionsmöglichkeit durch neurophysio-/psychologische Testung und Fahrsimulatoruntersuchungen.