Universität zu Köln

Bonsignore, Maria R., Randerath, Winfried ORCID: 0000-0002-5010-8461, Schiza, Sofia, Verbraecken, Johan, Elliott, Mark W., Riha, Renata, Barbe, Ferran, Bouloukaki, Izolde, Castrogiovanni, Alessandra, Deleanu, Oana, Goncalves, Marta, Leger, Damien, Marrone, Oreste, Penzel, Thomas ORCID: 0000-0002-4304-0112, Ryan, Silke ORCID: 0000-0003-0963-255X, Smyth, Dan, Teran-Santos, Joaquin, Turino, Cecilia and McNicholas, Walter T. (2021). European Respiratory Society statement on sleep apnoea, sleepiness and driving risk. Eur. Resp. J., 57 (2). SHEFFIELD: EUROPEAN RESPIRATORY SOC JOURNALS LTD. ISSN 1399-3003

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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.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Bonsignore, Maria R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Randerath, Winfried UNSPECIFIED orcid.org/0000-0002-5010-8461 UNSPECIFIED Schiza, Sofia UNSPECIFIED UNSPECIFIED UNSPECIFIED Verbraecken, Johan UNSPECIFIED UNSPECIFIED UNSPECIFIED Elliott, Mark W. UNSPECIFIED UNSPECIFIED UNSPECIFIED Riha, Renata UNSPECIFIED UNSPECIFIED UNSPECIFIED Barbe, Ferran UNSPECIFIED UNSPECIFIED UNSPECIFIED Bouloukaki, Izolde UNSPECIFIED UNSPECIFIED UNSPECIFIED Castrogiovanni, Alessandra UNSPECIFIED UNSPECIFIED UNSPECIFIED Deleanu, Oana UNSPECIFIED UNSPECIFIED UNSPECIFIED Goncalves, Marta UNSPECIFIED UNSPECIFIED UNSPECIFIED Leger, Damien UNSPECIFIED UNSPECIFIED UNSPECIFIED Marrone, Oreste UNSPECIFIED UNSPECIFIED UNSPECIFIED Penzel, Thomas UNSPECIFIED orcid.org/0000-0002-4304-0112 UNSPECIFIED Ryan, Silke UNSPECIFIED orcid.org/0000-0003-0963-255X UNSPECIFIED Smyth, Dan UNSPECIFIED UNSPECIFIED UNSPECIFIED Teran-Santos, Joaquin UNSPECIFIED UNSPECIFIED UNSPECIFIED Turino, Cecilia UNSPECIFIED UNSPECIFIED UNSPECIFIED McNicholas, Walter T. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-605851
DOI:	10.1183/13993003.01272-2020
Journal or Publication Title:	Eur. Resp. J.
Volume:	57
Number:	2
Date:	2021
Publisher:	EUROPEAN RESPIRATORY SOC JOURNALS LTD
Place of Publication:	SHEFFIELD
ISSN:	1399-3003
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language EXCESSIVE DAYTIME SLEEPINESS; MOTOR-VEHICLE ACCIDENTS; AUTOMOBILE ACCIDENTS; GENERAL-POPULATION; LATENCY TEST; SIMULATION PERFORMANCE; NOCTURNAL HYPOXEMIA; IMPAIRED VIGILANCE; INSULIN-RESISTANCE; FALLING ASLEEP Multiple languages Respiratory System Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/60585