School of Medicine, University College Dublin, Dublin, Ireland; Department of Respiratory and Sleep Medicine, St. Vincent's Hospital Group, Elm Park, Dublin 4, Ireland.
Sleep Med Clin. 2021 Sep;16(3):533-543. doi: 10.1016/j.jsmc.2021.05.003. Epub 2021 Jun 19.
Sleep disturbance and sleepiness are established risk factors for driving accidents and obstructive sleep apnea (OSA) is the most prevalent medical disorder associated with excessive daytime sleepiness. Because effective treatment of OSA reduces accident risk, several jurisdictions have implemented regulations concerning the ability of patients with OSA to drive, unless effectively treated. This review provides a practical guide for clinicians who may be requested to certify a patient with OSA as fit to drive regarding the scope of the problem, the role of questionnaires and driving simulators to evaluate sleepiness, and the benefit of treatment on accident risk.
睡眠障碍和嗜睡是导致驾驶事故的既定风险因素，阻塞性睡眠呼吸暂停（OSA）是与白天过度嗜睡相关的最常见的医学疾病。由于 OSA 的有效治疗可降低事故风险，因此一些司法管辖区已实施了有关 OSA 患者驾驶能力的规定，除非得到有效治疗。本文为可能被要求证明 OSA 患者适合驾驶的临床医生提供了实用指南，涉及问题的范围、问卷和驾驶模拟器评估嗜睡的作用以及治疗对事故风险的益处。
