Evidence map›Paper›PMID 17969467›Full record

Trial reportSleep2007

The interactive effects of extended wakefulness and low-dose alcohol on simulated driving and vigilance.

Mark E Howard, Melinda L Jackson, Gerard A Kennedy, Philip Swann, Maree Barnes, Robert J Pierce

Abstract readControlled Clinical TrialRandomized Controlled Trial
In one paragraph

Trial report in Sleep, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Article
  2. Theory-Based Determinants of Stopping Drowsy Driving Behavior in College Students: A Cross-Sectional Study.International journal of environmental research and public health · 2024
    Article
  3. Article
  4. Prolonged Eyelid Closure Episodes during Sleep Deprivation in Professional Drivers.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2016
    Article
  5. The Case for Addressing Operator Fatigue.Review of human factors and ergonomics · 2015
    Article
  6. Article
  7. Article
  8. Drowsy driving and risk behaviors - 10 States and Puerto Rico, 2011-2012.MMWR. Morbidity and mortality weekly report · 2014
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. The accuracy of eyelid movement parameters for drowsiness detection.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2013
    Article
  14. Driving simulator performance remains impaired in patients with severe OSA after CPAP treatment.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2011
    Article
  15. Article
  16. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Mark E HowardInstitute for Breathing & Sleep, Department of Respiratory & Sleep Medicine, Austin Health, Melbourne, Australia. mark.howard@austin.org.au
Melinda L Jackson
Gerard A Kennedy
Philip Swann
Maree Barnes
Robert J Pierce

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesSleep deprivation and alcohol both impair driving performance. This study assessed the interactive effect of low-dose alcohol and extended wakefulness.

designRepeated-measures, crossover design evaluating psychomotor and driving function in a non-sleep-deprived state and after extended wakefulness with and without low-dose alcohol.

settingTeaching hospital sleep laboratory.

participantsNineteen volunteer professional drivers. INTERVENTION & MEASUREMENTS: Driving simulation (AusEd) and the Psychomotor Vigilance Task (PVT) were measured in a rested state (12-15 hours awake) and after extended wakefulness (18-21 hours awake) during two sessions. Alcohol was administered during one session, with performance measured at blood alcohol concentrations (BAC) of 0.00%, 0.03%, and 0.05% in a non-sleep-deprived state, and at 0.03% after extended wakefulness (at 01:00 and 03:00). During the second session, tests were performed at the same times without alcohol.

resultsThe combination of extended wakefulness and low-dose alcohol had significant deleterious effects on reaction time and lapses (PVT) and variation in lane position and speed (AusEd). Extended wakefulness (18-21 hours awake) combined with low-dose alcohol (0.03% BAC) resulted in more lapses (t = -2.75, P < 0.05) and greater variation in lane position (t = -3.94, P < 0.01) and speed (t = -2.79, P < 0.05) than did a BAC of 0.05% in a rested state.

conclusionThe combination of legal low-dose alcohol and extended wakefulness results in impairment worse than that at an alcohol level known to increase accident risk. Avoiding alcohol when driving after extended wakefulness may reduce accident risk.

Indexed as

Automobile DrivingTask Performance and AnalysisAdultAlcohol DrinkingAnalysis of VarianceComputer SimulationHumansMaleMiddle AgedPerceptual DisordersReaction TimeSingle-Blind MethodSleep DeprivationWakefulness

Identifiers

PMID17969467
PMCPMC2266271

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.