Driving-Related Neuropsychological Performance in Stable COPD Patients
Background. Cognitive deterioration may impair COPD patient’s ability to perform tasks like driving vehicles. We investigated: (a) whether subclinical neuropsychological deficits occur in stable COPD patients with mild hypoxemia (PaO2 > 55 mmHg), and (b) whether these deficits affect their drivin...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Pulmonary Medicine |
| Online Access: | http://dx.doi.org/10.1155/2013/297371 |
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| author | Foteini Karakontaki Sofia-Antiopi Gennimata Anastasios F. Palamidas Theocharis Anagnostakos Epaminondas N. Kosmas Anastasios Stalikas Charalambos Papageorgiou Nikolaos G. Koulouris |
| author_facet | Foteini Karakontaki Sofia-Antiopi Gennimata Anastasios F. Palamidas Theocharis Anagnostakos Epaminondas N. Kosmas Anastasios Stalikas Charalambos Papageorgiou Nikolaos G. Koulouris |
| author_sort | Foteini Karakontaki |
| collection | DOAJ |
| description | Background. Cognitive deterioration may impair COPD patient’s ability to perform tasks like driving vehicles. We investigated: (a) whether subclinical neuropsychological deficits occur in stable COPD patients with mild hypoxemia (PaO2 > 55 mmHg), and (b) whether these deficits affect their driving performance. Methods. We recruited 35 stable COPD patients and 10 normal subjects matched for age, IQ, and level of education. All subjects underwent an attention/alertness battery of tests for assessing driving performance based on the Vienna Test System. Pulmonary function tests, arterial blood gases, and dyspnea severity were also recorded. Results. COPD patients performed significantly worse than normal subjects on tests suitable for evaluating driving ability. Therefore, many (22/35) COPD patients were classified as having inadequate driving ability (failure at least in one of the tests), whereas most (8/10) healthy individuals were classified as safe drivers (P=0.029). PaO2 and FEV1 were correlated with almost all neuropsychological tests. Conclusions. COPD patients should be warned of the potential danger and risk they face when they drive any kind of vehicle, even when they do not exhibit overt symptoms related to driving inability. This is due to the fact that stable COPD patients may manifest impaired information processing operations. |
| format | Article |
| id | doaj-art-bda7683928ef4fbd97bd5e5e1cf73151 |
| institution | Kabale University |
| issn | 2090-1836 2090-1844 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Pulmonary Medicine |
| spelling | doaj-art-bda7683928ef4fbd97bd5e5e1cf731512025-02-03T06:14:03ZengWileyPulmonary Medicine2090-18362090-18442013-01-01201310.1155/2013/297371297371Driving-Related Neuropsychological Performance in Stable COPD PatientsFoteini Karakontaki0Sofia-Antiopi Gennimata1Anastasios F. Palamidas2Theocharis Anagnostakos3Epaminondas N. Kosmas4Anastasios Stalikas5Charalambos Papageorgiou6Nikolaos G. Koulouris7Respiratory Function Laboratory, 1st Department of Respiratory Medicine, National University of Athens, “Sotiria” Hospital, 152 Mesogeion Ave, 11527 Athens, GreeceRespiratory Function Laboratory, 1st Department of Respiratory Medicine, National University of Athens, “Sotiria” Hospital, 152 Mesogeion Ave, 11527 Athens, GreeceRespiratory Function Laboratory, 1st Department of Respiratory Medicine, National University of Athens, “Sotiria” Hospital, 152 Mesogeion Ave, 11527 Athens, GreeceRespiratory Function Laboratory, 1st Department of Respiratory Medicine, National University of Athens, “Sotiria” Hospital, 152 Mesogeion Ave, 11527 Athens, GreeceRespiratory Function Laboratory, 1st Department of Respiratory Medicine, National University of Athens, “Sotiria” Hospital, 152 Mesogeion Ave, 11527 Athens, GreeceHellenic Sports Research Institute, Olympic Sports Centre of Athens, 37 Kifisias Ave, Marousi, 15123 Athens, GreeceRespiratory Function Laboratory, 1st Department of Respiratory Medicine, National University of Athens, “Sotiria” Hospital, 152 Mesogeion Ave, 11527 Athens, GreeceRespiratory Function Laboratory, 1st Department of Respiratory Medicine, National University of Athens, “Sotiria” Hospital, 152 Mesogeion Ave, 11527 Athens, GreeceBackground. Cognitive deterioration may impair COPD patient’s ability to perform tasks like driving vehicles. We investigated: (a) whether subclinical neuropsychological deficits occur in stable COPD patients with mild hypoxemia (PaO2 > 55 mmHg), and (b) whether these deficits affect their driving performance. Methods. We recruited 35 stable COPD patients and 10 normal subjects matched for age, IQ, and level of education. All subjects underwent an attention/alertness battery of tests for assessing driving performance based on the Vienna Test System. Pulmonary function tests, arterial blood gases, and dyspnea severity were also recorded. Results. COPD patients performed significantly worse than normal subjects on tests suitable for evaluating driving ability. Therefore, many (22/35) COPD patients were classified as having inadequate driving ability (failure at least in one of the tests), whereas most (8/10) healthy individuals were classified as safe drivers (P=0.029). PaO2 and FEV1 were correlated with almost all neuropsychological tests. Conclusions. COPD patients should be warned of the potential danger and risk they face when they drive any kind of vehicle, even when they do not exhibit overt symptoms related to driving inability. This is due to the fact that stable COPD patients may manifest impaired information processing operations.http://dx.doi.org/10.1155/2013/297371 |
| spellingShingle | Foteini Karakontaki Sofia-Antiopi Gennimata Anastasios F. Palamidas Theocharis Anagnostakos Epaminondas N. Kosmas Anastasios Stalikas Charalambos Papageorgiou Nikolaos G. Koulouris Driving-Related Neuropsychological Performance in Stable COPD Patients Pulmonary Medicine |
| title | Driving-Related Neuropsychological Performance in Stable COPD Patients |
| title_full | Driving-Related Neuropsychological Performance in Stable COPD Patients |
| title_fullStr | Driving-Related Neuropsychological Performance in Stable COPD Patients |
| title_full_unstemmed | Driving-Related Neuropsychological Performance in Stable COPD Patients |
| title_short | Driving-Related Neuropsychological Performance in Stable COPD Patients |
| title_sort | driving related neuropsychological performance in stable copd patients |
| url | http://dx.doi.org/10.1155/2013/297371 |
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