Evidence map›Paper›PMID 22215929›Full record

ArticleSleep2012

Reliability of a single objective measure in assessing sleepiness.

Bernie Y Sunwoo, Nicholas Jackson, Greg Maislin, Indira Gurubhagavatula, Charles F George, Allan I Pack

Abstract read
In one paragraph

Article in Sleep, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
–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

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Decreased psychomotor vigilance is a risk factor for motor vehicle crashes irrespective of subjective daytime sleepiness: the Toon Health Study.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2023
    Article
  8. Review
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  10. Article
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  12. Article
  13. Article
  14. Article
  15. Short-Term Variability in Apnea-Hypopnea Index during Extended Home Portable Monitoring.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2016
    Observational
  16. The Barcelona Sleepiness Index: A New Instrument to Assess Excessive Daytime Sleepiness in Sleep Disordered Breathing.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2015
    Article
  17. Psychomotor vigilance task demonstrates impaired vigilance in disorders with excessive daytime sleepiness.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2014
    Article
  18. Sleepiness and Safety: Where Biology Needs Technology.Sleep and biological rhythms · 2014
    Article
  19. Addressing sleep disturbances: an opportunity to prevent cardiometabolic disease?International review of psychiatry (Abingdon, England) · 2014
    Review
  20. Self-evaluated and close relative-evaluated Epworth Sleepiness Scale vs. multiple sleep latency test in patients with obstructive sleep apnea.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2014
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Bernie Y SunwooDepartment of Medicine, Division of Pulmonary and Critical Care, University of Pennsylvania, Philadelphia, PA 19104, USA. bernie.sunwoo@uphs.upenn.edu
Nicholas Jackson
Greg Maislin
Indira Gurubhagavatula
Charles F George
Allan I Pack

Funding

Understanding the relationship between obesity and tongue fat in humans and ratsP01HL094307 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI PACK, ALLAN I · 2009 to 2020
$23.7M
TRAINING PROGRAM/RESPIRATORY NEUROBIOLOGY AND SLEEPT32HL007713 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI PACK, ALLAN I · 1992 to 2022
$11.9M
Screening for Obstructive Sleep Apnea in Commercial DriversR01OH009149 · OH · UNIVERSITY OF PENNSYLVANIA · PI GURUBHAGAVATULA, INDIRA · 2007 to 2009
$945k
NHLBI NIH HHS HL094307NHLBI NIH HHS P01 HL094307NHLBI NIH HHS T32 HL007713NHLBI NIH HHS T32 HL07713NIOSH CDC HHS R01 OH009149
6 · The paper itself

Abstract

STUDY

objectivesTo evaluate reliability of single objective tests in assessing sleepiness.

designSubjects who completed polysomnography underwent a 4-nap multiple sleep latency test (MSLT) the following day. Prior to each nap opportunity on MSLT, subjects performed the psychomotor vigilance test (PVT) and divided attention driving task (DADT). Results of single versus multiple test administrations were compared using the intraclass correlation coefficient (ICC) and adjusted for test administration order effects to explore time of day effects. Measures were explored as continuous and binary (i.e., impaired or not impaired).

settingCommunity-based sample evaluated at a tertiary, university-based sleep center.

participants372 adult commercial vehicle operators oversampled for increased obstructive sleep apnea risk.

interventionsN/A. MEASUREMENTS AND

resultsAS CONTINUOUS MEASURES, ICC WERE AS FOLLOWS: MSLT 0.45, PVT median response time 0.69, PVT number of lapses 0.51, 10-min DADT tracking error 0.87, 20-min DADT tracking error 0.90. Based on binary outcomes, ICC were: MSLT 0.63, PVT number of lapses 0.85, 10-min DADT 0.95, 20-min DADT 0.96. Statistically significant time of day effects were seen in both the MSLT and PVT but not the DADT. Correlation between ESS and different objective tests was strongest for MSLT, range [-0.270 to -0.195] and persisted across all time points.

conclusionsSingle DADT and PVT administrations are reliable measures of sleepiness. A single MSLT administration can reasonably discriminate individuals with MSL < 8 minutes. These results support the use of a single administration of some objective tests of sleepiness when performed under controlled conditions in routine clinical care.

Indexed as

AttentionAutomobile DrivingFemaleHumansMaleMiddle AgedNeuropsychological TestsPolysomnographyPsychomotor PerformanceReproducibility of ResultsSleepWakefulnessdivided attention driving taskExcessive sleepinessmultiple sleep latency testobjective testspsychomotor vigilance test

Identifiers

PMID22215929
PMCPMC3242682

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.