Driving Performance and Driver State in Obstructive Sleep Apnea: What Changes with Positive Airway Pressure?

The authors evaluated naturalistic driving in 65 drivers with obstructive sleep apnea (OSA) before and after positive airway pressure (PAP) therapy and in 43 comparison drivers. Driving performance metrics included speed (mean, variability), and lateral, and longitudinal acceleration (g’s). Driver state measures included sleepiness and attention to the driving task based on sampled trigger and baseline video clips. OSA drivers showed less variability in speed and lateral g’s compared to control drivers before and after PAP treatment when vehicle speed was <45mph. There were no driving performance differences when vehicle speed exceeded 45 mph. OSA drivers remained less alert than comparison drivers before and after PAP. Average hours of nightly PAP-use predicted improved alertness and lower levels of sleepiness among OSA drivers. The findings suggest increased crash risk among OSA drivers may result from lower levels of attention to the driving task that result in performance lapses that may lead to crashes, rather than to clear and specific patterns of performance deficits in vehicle control.


  • English

Media Info

  • Media Type: Digital/other
  • Features: References; Tables;
  • Pagination: pp 9-15
  • Monograph Title: Driving Assessment 2017: Proceedings of the 9th International Driving Symposium on Human Factors in Driver Assessment, Training, and Vehicle Design

Subject/Index Terms

Filing Info

  • Accession Number: 01664186
  • Record Type: Publication
  • Files: TRIS
  • Created Date: Mar 20 2018 1:33PM