Cited by 84Obstructive Sleep Apnea ResearchSleep and Work-Related FatigueSleep and related disorders

European Respiratory Society statement on sleep apnoea, sleepiness and driving risk

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Bonsignore, Maria R., Randerath, Winfried, Schiza, Sofia, Verbraecken, Johan, Elliott, Mark W., Riha, Renata, Barbe, Ferran, Bouloukaki, Izolde +11 more·2021·European Respiratory Journal

Abstract

Obstructive sleep apnoea (OSA) is highly prevalent and is a recognised risk factor for motor vehicle accidents (MVA). Effective treatment with continuous positive airway pressure has been associated with a normalisation of this increased accident risk. Thus, many jurisdictions have introduced regulations restricting the ability of OSA patients from driving until effectively treated. However, uncertainty prevails regarding the relative importance of OSA severity determined by the apnoea–hypopnoea frequency per hour and the degree of sleepiness in determining accident risk. Furthermore, the identification of subjects at risk of OSA and/or accident risk remains elusive. The introduction of official European regulations regarding fitness to drive prompted the European Respiratory Society to establish a task force to address the topic of sleep apnoea, sleepiness and driving with a view to providing an overview to clinicians involved in treating patients with the disorder. The present report evaluates the epidemiology of MVA in patients with OSA; the mechanisms involved in this association; the role of screening questionnaires, driving simulators and other techniques to evaluate sleepiness and/or impaired vigilance; the impact of treatment on MVA risk in affected drivers; and highlights the evidence gaps regarding the identification of OSA patients at risk of MVA.

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Crossref · 10.1183/13993003.01272-2020

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  • Symptoms of obstructive sleep apnea represent a substantial disease burden and increased risk of injury, including increased risk of motor vehicle accidents and work-related injuries.

    “Symptoms of obstructive sleep apnea represent a substantial disease burden and increased risk of injury, including increased risk of motor vehicle accidents and work-related injuries. 31”

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  1. Karimi M, Hedner J, Häbel H, et al. Sleep apnea-related risk of motor vehicle accidents is reduced by continuous positive airway pressure: Swedish Traffic Accident Registry data. Sleep 2015; 38: 341-349. 131

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Authors
Bonsignore, M. R., Randerath, W., Schiza, S., Verbraecken, J., Elliott, M. W., Riha, R., Barbe, F., Bouloukaki, I., Castrogiovanni, A., Deleanu, O., Goncalves, M., Leger, D., Marrone, O., Penzel, T., Ryan, S., Smyth, D., Teran-Santos, J., Turino, C., & McNicholas, W. T.
Affiliations
  • Institute for Biomedical Research and Innovation (IT)
  • University of Cologne (DE)
  • University of Crete (GR)
  • University of Antwerp (BE)
  • St James's University Hospital (GB)
  • Edinburgh Royal Infirmary (GB)
  • Krankenhaus Bethanien (DE)
  • Carol Davila University of Medicine and Pharmacy (RO)
  • Charité – Universitätsmedizin Berlin (DE)
  • University College Dublin (IE)
  • European Lung Foundation (GB)
  • Hospital Universitari Arnau de Vilanova (ES)
Venue
European Respiratory Journal
Published
2020-10-02
Volume
57
Issue
2
Pages
2001272
ISSN
  • 0903-1936 (ISSN-L)
  • 1399-3003
OpenAlex
W3090190564
Cited by
84
References
238
Citations by year
2026: 6 · 2025: 16 · 2024: 15 · 2023: 20 · 2022: 14 · 2021: 13
FWCI
7.07
Type
journal article
Language
en
Open access
Locations
  • European Respiratory Journal (publishedVersion)
  • PubMed (publishedVersion)
  • Kölner Universitäts PublikationsServer (Universität zu Köln) (publishedVersion)
  • Nova Science Publishers (Nova Science Publishers, Inc.) (submittedVersion, other-oa)
  • Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion, cc-by-nc)
Topics
  • Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Keywords
obstructive sleep apnea, sleepiness, driving risk, motor vehicle accidents, driving fitness, continuous positive airway pressure, apnea-hypopnea index, driving simulator, screening questionnaire
MeSH terms
Accidents, Traffic, Sleepiness, Automobile Driving, Humans, Risk Factors, Sleep Apnea, Obstructive, Continuous Positive Airway Pressure

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