Medico-legal implications of sleep apnoea syndrome: Driving license regulations in Europe.

Maria Rosaria Bonsignore, Varoneckas, Alonderis, Pascu, Parati, Franklin, Mcnicholas, Sliwinski, Sforza, Sanna, Schulz, Kostelidou, Josep M. Montserrat, Riha, Diefenbach, Fanfulla, Donic, Fietze, Hedner, PenzelTomori, Tonnesen, De Backer, Calverley, Rodenstein, Jennum, Grote, Barbé, Krieger, Levy, Zielinski

Risultato della ricerca: Article

51 Citazioni (Scopus)

Abstract

Background: Sleep apnoea syndrome (SAS), one of the main medical causes of excessive daytime sleepiness, has been shown to be arisk factor for traffic accidents. Treating SAS results in a normalized rate of traffic accidents. As part of the COST Action B-26, welooked at driving license regulations, and especially at its medical aspects in the European region.Methods: We obtained data from Transport Authorities in 25 countries (Austria, AT; Belgium, BE; Czech Republic, CZ; Denmark,DK; Estonia, EE; Finland, FI; France, FR; Germany, DE; Greece, GR; Hungary, HU; Ireland, IE; Italy, IT; Lithuania, LT; Luxembourg,LU; Malta, MT; Netherlands, NL; Norway, EC; Poland, PL; Portugal, PT; Slovakia, SK; Slovenia, SI; Spain, ES; Sweden,SE; Switzerland, CH; United Kingdom, UK).Results: Driving license regulations date from 1997 onwards. Excessive daytime sleepiness is mentioned in nine, whereas sleepapnoea syndrome is mentioned in 10 countries. A patient with untreated sleep apnoea is always considered unfit to drive. To recoverthe driving capacity, seven countries rely on a physician’s medical certificate based on symptom control and compliance with therapy,whereas in two countries it is up to the patient to decide (on his doctor’s advice) to drive again. Only FR requires a normalizedelectroencephalography (EEG)-based Maintenance of Wakefulness Test for professional drivers. Rare conditions (e.g., narcolepsy)are considered a driving safety risk more frequently than sleep apnoea syndrome.Conclusion: Despite the available scientific evidence, most countries in Europe do not include sleep apnoea syndrome or excessivedaytime sleepiness among the specific medical conditions to be considered when judging whether or not a person is fit to drive. Aunified European Directive seems desirable.
Lingua originaleEnglish
pagine (da-a)362-375
Numero di pagine14
RivistaSleep Medicine
Volume9
Stato di pubblicazionePublished - 2008

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Sleep Apnea Syndromes
Licensure
Traffic Accidents
Luxembourg
Malta
Estonia
Lithuania
Slovenia
Narcolepsy
Slovakia
Portugal
Hungary
Wakefulness
Austria
Czech Republic
Greece
Belgium
Poland
Denmark
Finland

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cita questo

Bonsignore, M. R., Varoneckas, Alonderis, Pascu, Parati, Franklin, ... Zielinski (2008). Medico-legal implications of sleep apnoea syndrome: Driving license regulations in Europe. Sleep Medicine, 9, 362-375.

Medico-legal implications of sleep apnoea syndrome: Driving license regulations in Europe. / Bonsignore, Maria Rosaria; Varoneckas; Alonderis; Pascu; Parati; Franklin; Mcnicholas; Sliwinski; Sforza; Sanna; Schulz; Kostelidou; Montserrat, Josep M.; Riha; Diefenbach; Fanfulla; Donic; Fietze; Hedner; Penzel; Tomori; Tonnesen; De Backer; Calverley; Rodenstein; Jennum; Grote; Barbé; Krieger; Levy; Zielinski.

In: Sleep Medicine, Vol. 9, 2008, pag. 362-375.

Risultato della ricerca: Article

Bonsignore, MR, Varoneckas, Alonderis, Pascu, Parati, Franklin, Mcnicholas, Sliwinski, Sforza, Sanna, Schulz, Kostelidou, Montserrat, JM, Riha, Diefenbach, Fanfulla, Donic, Fietze, Hedner, Penzel, Tomori, Tonnesen, De Backer, Calverley, Rodenstein, Jennum, Grote, Barbé, Krieger, Levy & Zielinski 2008, 'Medico-legal implications of sleep apnoea syndrome: Driving license regulations in Europe.', Sleep Medicine, vol. 9, pagg. 362-375.
Bonsignore, Maria Rosaria ; Varoneckas ; Alonderis ; Pascu ; Parati ; Franklin ; Mcnicholas ; Sliwinski ; Sforza ; Sanna ; Schulz ; Kostelidou ; Montserrat, Josep M. ; Riha ; Diefenbach ; Fanfulla ; Donic ; Fietze ; Hedner ; Penzel ; Tomori ; Tonnesen ; De Backer ; Calverley ; Rodenstein ; Jennum ; Grote ; Barbé ; Krieger ; Levy ; Zielinski. / Medico-legal implications of sleep apnoea syndrome: Driving license regulations in Europe. In: Sleep Medicine. 2008 ; Vol. 9. pagg. 362-375.
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title = "Medico-legal implications of sleep apnoea syndrome: Driving license regulations in Europe.",
abstract = "Background: Sleep apnoea syndrome (SAS), one of the main medical causes of excessive daytime sleepiness, has been shown to be arisk factor for traffic accidents. Treating SAS results in a normalized rate of traffic accidents. As part of the COST Action B-26, welooked at driving license regulations, and especially at its medical aspects in the European region.Methods: We obtained data from Transport Authorities in 25 countries (Austria, AT; Belgium, BE; Czech Republic, CZ; Denmark,DK; Estonia, EE; Finland, FI; France, FR; Germany, DE; Greece, GR; Hungary, HU; Ireland, IE; Italy, IT; Lithuania, LT; Luxembourg,LU; Malta, MT; Netherlands, NL; Norway, EC; Poland, PL; Portugal, PT; Slovakia, SK; Slovenia, SI; Spain, ES; Sweden,SE; Switzerland, CH; United Kingdom, UK).Results: Driving license regulations date from 1997 onwards. Excessive daytime sleepiness is mentioned in nine, whereas sleepapnoea syndrome is mentioned in 10 countries. A patient with untreated sleep apnoea is always considered unfit to drive. To recoverthe driving capacity, seven countries rely on a physician’s medical certificate based on symptom control and compliance with therapy,whereas in two countries it is up to the patient to decide (on his doctor’s advice) to drive again. Only FR requires a normalizedelectroencephalography (EEG)-based Maintenance of Wakefulness Test for professional drivers. Rare conditions (e.g., narcolepsy)are considered a driving safety risk more frequently than sleep apnoea syndrome.Conclusion: Despite the available scientific evidence, most countries in Europe do not include sleep apnoea syndrome or excessivedaytime sleepiness among the specific medical conditions to be considered when judging whether or not a person is fit to drive. Aunified European Directive seems desirable.",
author = "Bonsignore, {Maria Rosaria} and Varoneckas and Alonderis and Pascu and Parati and Franklin and Mcnicholas and Sliwinski and Sforza and Sanna and Schulz and Kostelidou and Montserrat, {Josep M.} and Riha and Diefenbach and Fanfulla and Donic and Fietze and Hedner and Penzel and Tomori and Tonnesen and {De Backer} and Calverley and Rodenstein and Jennum and Grote and Barb{\'e} and Krieger and Levy and Zielinski",
year = "2008",
language = "English",
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pages = "362--375",
journal = "Sleep Medicine",
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TY - JOUR

T1 - Medico-legal implications of sleep apnoea syndrome: Driving license regulations in Europe.

AU - Bonsignore, Maria Rosaria

AU - Varoneckas, null

AU - Alonderis, null

AU - Pascu, null

AU - Parati, null

AU - Franklin, null

AU - Mcnicholas, null

AU - Sliwinski, null

AU - Sforza, null

AU - Sanna, null

AU - Schulz, null

AU - Kostelidou, null

AU - Montserrat, Josep M.

AU - Riha, null

AU - Diefenbach, null

AU - Fanfulla, null

AU - Donic, null

AU - Fietze, null

AU - Hedner, null

AU - Penzel, null

AU - Tomori, null

AU - Tonnesen, null

AU - De Backer, null

AU - Calverley, null

AU - Rodenstein, null

AU - Jennum, null

AU - Grote, null

AU - Barbé, null

AU - Krieger, null

AU - Levy, null

AU - Zielinski, null

PY - 2008

Y1 - 2008

N2 - Background: Sleep apnoea syndrome (SAS), one of the main medical causes of excessive daytime sleepiness, has been shown to be arisk factor for traffic accidents. Treating SAS results in a normalized rate of traffic accidents. As part of the COST Action B-26, welooked at driving license regulations, and especially at its medical aspects in the European region.Methods: We obtained data from Transport Authorities in 25 countries (Austria, AT; Belgium, BE; Czech Republic, CZ; Denmark,DK; Estonia, EE; Finland, FI; France, FR; Germany, DE; Greece, GR; Hungary, HU; Ireland, IE; Italy, IT; Lithuania, LT; Luxembourg,LU; Malta, MT; Netherlands, NL; Norway, EC; Poland, PL; Portugal, PT; Slovakia, SK; Slovenia, SI; Spain, ES; Sweden,SE; Switzerland, CH; United Kingdom, UK).Results: Driving license regulations date from 1997 onwards. Excessive daytime sleepiness is mentioned in nine, whereas sleepapnoea syndrome is mentioned in 10 countries. A patient with untreated sleep apnoea is always considered unfit to drive. To recoverthe driving capacity, seven countries rely on a physician’s medical certificate based on symptom control and compliance with therapy,whereas in two countries it is up to the patient to decide (on his doctor’s advice) to drive again. Only FR requires a normalizedelectroencephalography (EEG)-based Maintenance of Wakefulness Test for professional drivers. Rare conditions (e.g., narcolepsy)are considered a driving safety risk more frequently than sleep apnoea syndrome.Conclusion: Despite the available scientific evidence, most countries in Europe do not include sleep apnoea syndrome or excessivedaytime sleepiness among the specific medical conditions to be considered when judging whether or not a person is fit to drive. Aunified European Directive seems desirable.

AB - Background: Sleep apnoea syndrome (SAS), one of the main medical causes of excessive daytime sleepiness, has been shown to be arisk factor for traffic accidents. Treating SAS results in a normalized rate of traffic accidents. As part of the COST Action B-26, welooked at driving license regulations, and especially at its medical aspects in the European region.Methods: We obtained data from Transport Authorities in 25 countries (Austria, AT; Belgium, BE; Czech Republic, CZ; Denmark,DK; Estonia, EE; Finland, FI; France, FR; Germany, DE; Greece, GR; Hungary, HU; Ireland, IE; Italy, IT; Lithuania, LT; Luxembourg,LU; Malta, MT; Netherlands, NL; Norway, EC; Poland, PL; Portugal, PT; Slovakia, SK; Slovenia, SI; Spain, ES; Sweden,SE; Switzerland, CH; United Kingdom, UK).Results: Driving license regulations date from 1997 onwards. Excessive daytime sleepiness is mentioned in nine, whereas sleepapnoea syndrome is mentioned in 10 countries. A patient with untreated sleep apnoea is always considered unfit to drive. To recoverthe driving capacity, seven countries rely on a physician’s medical certificate based on symptom control and compliance with therapy,whereas in two countries it is up to the patient to decide (on his doctor’s advice) to drive again. Only FR requires a normalizedelectroencephalography (EEG)-based Maintenance of Wakefulness Test for professional drivers. Rare conditions (e.g., narcolepsy)are considered a driving safety risk more frequently than sleep apnoea syndrome.Conclusion: Despite the available scientific evidence, most countries in Europe do not include sleep apnoea syndrome or excessivedaytime sleepiness among the specific medical conditions to be considered when judging whether or not a person is fit to drive. Aunified European Directive seems desirable.

UR - http://hdl.handle.net/10447/25448

M3 - Article

VL - 9

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EP - 375

JO - Sleep Medicine

JF - Sleep Medicine

SN - 1389-9457

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