The spontaneous eye-blink as sleepiness indicator in patients with obstructive sleep apnoea syndrome - A pilot study

Sleep Medicine

Volumn 6, Issue 2, 2005, Pages 155-162

  Caffier, Philipp P ^a   Erdmann, Udo ^b   Ullsperger, Peter ^b  

^a CHARITÉ UNIVERSITÄTSMEDIZIN BERLIN   (Germany)

^b FEDERAL INSTITUTE FOR OCCUPATIONAL SAFETY AND HEALTH   (Germany)

Author keywords

Daytime sleepiness; Eye blink; Sleep apnoea

Indexed keywords

ADULT; AGED; ALERTNESS; ARTICLE; BLINKING; CLINICAL ARTICLE; CONTROLLED STUDY; DIAGNOSTIC VALUE; DROWSINESS; EPWORTH SLEEPINESS SCALE; EYE MOVEMENT; FEMALE; HEALTH CARE FACILITY; HUMAN; MALE; MEDICAL ASSESSMENT; PILOT STUDY; POLYSOMNOGRAPHY; POSITIVE END EXPIRATORY PRESSURE; PRIORITY JOURNAL; QUESTIONNAIRE; RESPIRATORY FAILURE; SENSOR; SLEEP APNEA SYNDROME; SOMNOLENCE; TREATMENT OUTCOME;

ADULT; AGED; BLINKING; CIRCADIAN RHYTHM; CONTINUOUS POSITIVE AIRWAY PRESSURE; DISORDERS OF EXCESSIVE SOMNOLENCE; FEMALE; HUMANS; MALE; MIDDLE AGED; PILOT PROJECTS; POLYSOMNOGRAPHY; SEVERITY OF ILLNESS INDEX; SLEEP APNEA, OBSTRUCTIVE;

EID: 13844256268     PISSN: 13899457     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.sleep.2004.11.013     Document Type: Article

References (58)

1. T. Roth T.A. Roehrs Etiologies and sequelae of excessive daytime sleepiness Clin Ther 18 4 1996 562-576
2. P. Lavie Incidence of sleep apnea in a presumably healthy working population: A significant relationship with excessive daytime sleepiness Sleep 25 4 2002 312-318
3. B. Hogl K. Seppi E. Brandauer et al. Increased daytime sleepiness in Parkinson's disease: A questionnaire survey Mov Disord 18 3 2003 319-323
4. E.J. Stepanski The effect of sleep fragmentation on daytime function Sleep 25 3 2002 268-276
5. A.J. Tietzel L.C. Lack The short-term benefits of brief and long naps following nocturnal sleep restriction Sleep 24 3 2001 293-300
6. R.M. Coleman H.P. Roffwarg S.J. Kennedy et al. Sleep-wake disorders based on a polysomnographic diagnosis. A national cooperative study J Am Med Assoc 247 1982 997-1003
7. A. Malhotra D.P. White Obstructive sleep apnoea Lancet 360 9328 2002 237-245
8. T. Young P.E. Peppard D.J. Gottlieb Epidemiology of obstructive sleep apnea: A population health perspective Am J Respir Crit Care Med 165 9 2002 1217-1239
9. D.F. Dinges An overview of sleepiness and accidents J Sleep Res 4 Suppl 2 1995 4-14
10. S.K. Howard D.M. Gaba M.R. Rosekind V.P. Zarcone The risks and implications of excessive daytime sleepiness in resident physicians Acad Med 77 10 2002 1019-1025
11. S. Melamed A. Oksenberg Excessive daytime sleepiness and risk of occupational injuries in non-shift daytime workers Sleep 25 3 2002 315-322
12. American Thoracic Society Sleep apnea, sleepiness and driving risk Am J Respir Crit Care Med 150 1994 1464-1473
13. T. Shiomi A.T. Arita R. Sasanabe et al. Falling asleep while driving and automobile accidents among patients with obstructive sleep apnea-hypopnea syndrome Psychiatry Clin Neurosci 56 3 2002 333-334
14. E. Lindberg N. Carter T. Gislason C. Janson Role of snoring and daytime sleepiness in occupational accidents Am J Respir Crit Care Med 164 11 2001 2031-2035
15. J.C. Pepperell S. Ramdassingh-Dow N. Crosthwaite et al. Ambulatory blood pressure after therapeutic and subtherapeutic nasal continuous positive airway pressure for obstructive sleep apnoea: A randomised parallel trial Lancet 359 9302 2002 204-210
16. D.S. Silverberg A. Iaina A. Oksenberg Treating obstructive sleep apnea improves essential hypertension and quality of life Am Fam Physician 65 2 2002 229-236
17. T.E. Weaver Outcome measurement in sleep medicine practice and research. Part 1: Assessment of symptoms, subjective and objective daytime sleepiness, health-related quality of life and functional status Sleep Med Rev 5 2 2001 103-128
18. S.A. Chung S. Jairam M.R. Hussain C.M. Shapiro How, what, and why of sleep apnea. Perspectives for primary care physicians Can Fam Physician 48 2002 1073-1080
19. V.K. Kapur S. Redline F.J. Nieto et al. Sleep heart health research group. The relationship between chronically disrupted sleep and healthcare use Sleep 25 3 2002 289-296
20. H.G. Weeß C. Sauter P. Geisler et al. Vigilanz, Einschlafneigung, Daueraufmerksamkeit, Müdigkeit, Schläfrigkeit-Diagnostische Instrumentarien zur Messung müdigkeits- und schläfrigkeitsbezogener Prozesse und deren Gütekriterien Somnologie 4 2000 20-38
21. Wierwille WW. Desired attributes of drowsy driver monitoring and candidate technologies for implementation. Conference on ocular measures of driver alertness of federal highway administration (FHWA), 1999 April 26-27, Herndon/VA, USA. In: Ocular measures of driver alertness: technical conference proceedings. FHWA-MC-99-136; 1999. p. 130-43.
22. T. Akerstedt Sleepiness at work: Effects of irregular work hours In: T. Monk (Eds.) Sleep, sleepiness, and performance 1991 Wiley Chichester 129-154
23. Dinges D.F. Mallis M.M. Maislin G. Powell J.W. Evaluation of techniques for ocular measurement as an index of fatigue and the basis for alertness management. Final report. Washington, DC: US Department of Transportation, NHTSA, DOT HS. 808 762; 1998.
24. S.K. Lal A. Craig A critical review of the psychophysiology of driver fatigue Biol Psychol 55 3 2001 173-194
25. J.A. Stern D.J. Boyer D. Schroeder Blink rate: A possible measure of fatigue Hum Fact 36 2 1994 285-297
26. J.A. Stern L.C. Walrath R. Goldstein The endogenous eyeblink Psychophysiology 21 1984 22-33
27. M.G. Doane Interaction of eyelids and tears in corneal wetting and the dynamics of the normal human eyeblink Am J Ophthalmol 89 1980 507-516
28. Ogawa K. Development of a drowsiness detection system. Second international conference on psychophysiology in ergonomics (PIE), 1998 Oct 07-08, Kyoto-Osaka-Nara, Japan. In: Proceedings of second international conference on psychophysiology in ergonomics, (PIE), vol. S-5-4; 1998. p. 122-3.
29. P.P. Caffier P. Ullsperger U. Erdmann Relationship between personal state ratings and eyeblink parameters recorded with contact-free infrared sensor. 39th annual meeting of society for psychophysiological research (SPR), Oct 06-10, Granada, Spain Psychophysiology 36 Suppl 1 1999 S20
30. E.J. Sirevaag J.A. Stern Ocular measures of fatigue and cognitive factors In: R.W. Backs W. Boucsein (Eds.) Engineering psychophysiology. Issues and applications 2000 Erlbaum Mahwah, NJ 269-287
31. P.P. Caffier U. Erdmann P. Ullsperger Experimental evaluation of eye-blink parameters as a drowsiness measure Eur J Appl Physiol 89 2003 319-325
32. M.M. Mallis G. Maislin N. Konowal et al. Drowsiness and behavior in response to PERCLOS feedback during simulated nighttime drives Sleep 23 Suppl 2 2000 A385
33. N.J. Price G. Maislin J.W. Powell et al. Unobtrusive detection of drowsiness-induced PVT lapses using infrared retinal reflectance of slow eyelid closures Sleep 26 Suppl 2003 A177
34. K. Sugiyama T. Nakano S. Yamamoto et al. Method of detecting drowsiness level by utilizing blinking duration J Soc Anthropol Eur Rev 17 2 1996 159-163
35. M.W. Johns A new method for measuring daytime sleepiness: The epworth sleepiness scale Sleep 14 6 1991 540-545
36. Stern J.A. Boyer D.J. Schroeder D. et al. Blinks, saccades, and fixation pauses during vigilance task performance: II. Gender and time-of-day. Washington, DC: FAA. Office of Aviation Medicine. DOT/FAA/AM/96/9; 1996.
37. R.M. Hoffmann T. Müller G. Hajak W. Cassel Abend-Morgenprotokolle in Schlafforschung und Schlafmedizin-Ein Standardinstrument für den deutschsprachigen Raum Somnologie 1 1997 103-109
38. J.R. Nitsch Die hierarchische Struktur des Eigenzustandes-ein Approximationsversuch mit Hilfe der Binärstrukturanalyse (BISTRAN) Diagnostika 20 1974 142-164
39. C. Becker-Carus DGSM H. Schulz Kompendium Schlafmedizin für Ausbildung, Klinik und Praxis 1997 Ecomed-Verl.-Ges. Landsberg, Lech
40. H. Schulz P.B. Schlafstörungen K. Hahlweg A. Ehlers Enzyklopädie der Psychologie: Psychologische Störungen und ihre Behandlung 1996 Hogrefe Göttingen 655-721
41. S.R. Patel D.P. White A. Malhotra et al. Continuous positive airway pressure therapy for treating sleepiness in a diverse population with obstructive sleep apnea: Results of a meta-analysis Arch Intern Med 163 5 2003 565-571
42. C. D'Ambrosio T. Bowman V. Mohsenin Quality of life in patients with obstructive sleep apnea: Effect of nasal continuous positive airway pressure - a prospective study Chest 115 1 1999 123-129
43. C. Zamarron F. Gude J. Barcala et al. Utility of oxygen saturation and heart rate spectral analysis obtained from pulse oximetric recordings in the diagnosis of sleep apnea syndrome Chest 123 5 2003 1567-1576
44. M.A. Carskadon W.C. Dement M.M. Mitler et al. Self-reports versus laboratory findings in 122 drug-free subjects with complaints of chronic insomnia Am J Psychiatry 133 12 1976 1382-1388
45. C. Sauter S. Asenbaum R. Popovic et al. Excessive daytime sleepiness in patients suffering from different levels of obstructive sleep apnoea syndrome J Sleep Res 9 3 2000 293-301
46. R.D. Chervin M.S. Aldrich The epworth sleepiness scale may not reflect objective measures of sleepiness or sleep apnea Neurology 52 1999 125-131
47. G. Gordon Observations upon the movements of the eyelids Br J Ophthalmol 35 1951 339-351
48. D.W. Kennard G.H. Glaser An analysis of eyelid movements J Nerv Ment Dis 139 1964 31-48
49. E. Garcia-Rill R.D. Skinner Modulation of rhythmic functions by the brainstem In: M. Shimamura (Eds.) Neurobiological basis of human locomotion 1991 Scietific Societies Press Tokyo, Japan 137-158
50. G. Moruzzi H.W. Magoun Brain stem reticular formation and activation of the EEG EEG Clin Neurophysiol 1 1949 455-473
51. E. Ponder W.P. Kennedy On the act of blinking Quarterly J Exp Physiol 18 1928 89-110
52. C.N. Karson Blinking Bull Soc Belge Ophtalmol 237 1989 443-457
53. J.R. Taylor J.D. Elsworth M.S. Lawrence et al. Spontaneous blink rates correlate with dopamine levels in the caudate nucleus of MPTP-treated monkeys Exp Neurol 158 1 1999 214-220
54. R.F. Allegri P. Harris Prefrontal cortex in memory and attention processes Rev Neurol 32 5 2001 449-453
55. D.W. Beebe D. Gozal Obstructive sleep apnea and the prefrontal cortex: towards a comprehensive model linking nocturnal upper airway obstruction to daytime cognitive and behavioral deficits J Sleep Res 11 1 2002 1-16
56. M.J. Kane R.W. Engle The role of prefrontal cortex in working-memory capacity, executive attention, and general fluid intelligence: An individual-differences perspective Psychon Bull Rev 9 4 2002 637-671
57. G. Roth Entstehung und Funktion von Bewuβtsein Deutsches Ärzteblatt 96 30 1999 C-1432-36
58. W.M. Hart J.M. Hart Jr The eyelids 9th ed. Adler's physiology of the eye: Clinical application 1992 Mosby St Louis 1-17