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0768 Assessing Readiness to Drive in Adolescents with Narcolepsy: What Are Providers Doing?

Sleep (New York, N.Y.), 2019-04, Vol.42 (Supplement_1), p.A308-A309 [Peer Reviewed Journal]

Sleep Research Society 2019. Published by Oxford University Press on behalf of the Sleep Research Society. All rights reserved. For permissions, please e-mail journals.permissions@oup.com. ;ISSN: 0161-8105 ;EISSN: 1550-9109 ;DOI: 10.1093/sleep/zsz067.766

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  • Title:
    0768 Assessing Readiness to Drive in Adolescents with Narcolepsy: What Are Providers Doing?
  • Author: Ingram, David ; Marciarille, Ann Marie ; Ehsan, Zarmina ; Perry, Gayln ; Schneider, Teresa ; Al-Shawwa, Baha
  • Subjects: Pediatrics ; Sleep disorders ; Teenagers
  • Is Part Of: Sleep (New York, N.Y.), 2019-04, Vol.42 (Supplement_1), p.A308-A309
  • Description: Introduction There are no universally accepted guidelines for assessing driving readiness in adolescents with narcolepsy. The purpose of the present study was to survey pediatric sleep medicine providers regarding their current practice patterns for assessing driving readiness in adolescents with narcolepsy, knowledge of their state laws regarding physician reporting of unsafe drivers, and opinions regarding what physician duty ought to be. Methods This was an anonymous web-based survey distributed via the Pedsleep listserv, which serves as a hub of communication for pediatric sleep medicine providers. Results A total of 52 pediatric sleep providers from 25 different states completed the survey. Eighty-eight percent of providers routinely assess driving readiness in adolescents with narcolepsy. Factors rated as “absolutely essential” by at least 50% of respondents included: history of previous fall-asleep crash or near miss, sleepiness (reported by patient), sleepiness (reported by caregiver), and cataplexy (reported by patient). Providers included maintenance of wakefulness testing: never (34%), if patient reports no/mild sleepiness (10%), if patient reports moderate/severe sleepiness (25%), or always regardless of patient symptoms (30%), and the median minimally acceptable result was 30 minutes (25-75th: 20-40 minutes). There was substantial lack of knowledge regarding legal obligations for reporting. Conclusion These results demonstrate great variability in practice patterns among pediatric sleep medicine providers for assessing driving readiness in adolescents with narcolepsy. In addition, it shows limited knowledge of the providers about their respective states’ laws. Further studies are required to identify the best approach to assess residual sleepiness in this population. Support (If Any) None
  • Publisher: Westchester: Oxford University Press
  • Language: English
  • Identifier: ISSN: 0161-8105
    EISSN: 1550-9109
    DOI: 10.1093/sleep/zsz067.766
  • Source: ProQuest One Psychology
    Alma/SFX Local Collection
    ProQuest Central
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