Does Excessive Daytime Sleepiness Affect Children's Pedestrian Safety?
Does Excessive Daytime Sleepiness Affect Children's Pedestrian Safety?
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DOI：
10.5665/sleep.3398
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发表时间：
2014-02-01
期刊：
影响因子：
5.6
通讯作者：
Schwebel, David C.
中科院分区：
文献类型：
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作者：
Avis, Kristin T.;Gamble, Karen L.;Schwebel, David C.
研究目的：许多认知因素导致行人意外受伤，包括反应时间、冲动、冒险、注意力和决策。这些相同的因素是负面影响过多的白天嗜睡（EDS），这可能会使儿童EDS在更大的风险行人injure.Design，参与者和方法：使用病例对照设计，33名儿童年龄8至16岁的EDS从一个既定的诊断发作性睡病或特发性嗜睡症（IHS）从事虚拟现实行人环境，而未服药。年龄，种族，性别和家庭收入相匹配的33名健康儿童作为controls.Results：儿童EDS的危险行人比健康儿童。他们在虚拟行人环境中被虚拟车辆撞倒的可能性是健康对照组的两倍。注意力的技能，看迎面而来的交通没有受损的儿童与EDS，但决策时，过马路的安全是显着important.Conclusions：结果表明过度白天嗜睡（EDS）从临床睡眠障碍被称为hypersomias的中央起源可能有显着的后果对儿童的白天功能在一个关键领域的个人安全，行人的技能。EDS患儿涉及安全过街的认知过程可能受损。在行人模拟中，患有EDS的儿童似乎表现出与无意视盲一致的模式，即他们在行人环境中“看但不处理”信息。结果强调，需要提高对未经治疗的睡眠障碍的潜在不可逆后果的认识，并确定一个可能的目标，为儿科损伤预防。
Study Objectives: Many cognitive factors contribute to unintentional pedestrian injury, including reaction time, impulsivity, risk-taking, attention, and decision-making. These same factors are negatively influenced by excessive daytime sleepiness (EDS), which may place children with EDS at greater risk for pedestrian injury.Design, Participants, and Methods: Using a case-control design, 33 children age 8 to 16 y with EDS from an established diagnosis of narcolepsy or idiopathic hypersomnia (IHS) engaged in a virtual reality pedestrian environment while unmedicated. Thirty-three healthy children matched by age, race, sex, and household income served as controls.Results: Children with EDS were riskier pedestrians than healthy children. They were twice as likely to be struck by a virtual vehicle in the virtual pedestrian environment than healthy controls. Attentional skills of looking at oncoming traffic were not impaired among children with EDS, but decision-making for when to cross the street safely was significantly impaired.Conclusions: Results suggest excessive daytime sleepiness (EDS) from the clinical sleep disorders known as the hypersomnias of central origin may have significant consequences on children's daytime functioning in a critical domain of personal safety, pedestrian skills. Cognitive processes involved in safe pedestrian crossings may be impaired in children with EDS. In the pedestrian simulation, children with EDS appeared to show a pattern consistent with inattentional blindness, in that they "looked but did not process" information in their pedestrian environment. Results highlight the need for heightened awareness of potentially irreversible consequences of untreated sleep disorders and identify a possible target for pediatric injury prevention.