PMID- 31640877 OWN - NLM STAT- MEDLINE DCOM- 20200122 LR - 20200122 IS - 1556-4088 (Electronic) IS - 1556-407X (Linking) VI - 14 IP - 4 DP - 2019 Dec TI - Sleepiness and Driving: The Role of Official Regulation. PG - 491-498 LID - S1556-407X(19)30071-2 [pii] LID - 10.1016/j.jsmc.2019.08.006 [doi] AB - Sleepiness accounts for approximately 20% of major highway motor vehicle accidents (MVAs) and the most common medical disorder associated with sleepiness is obstructive sleep apnea (OSA). OSA patients are 2 to 3 times more likely to have an MVA than the general population, although continuous positive airway pressure therapy can remove this excess risk. Several jurisdictions have introduced regulations to limit driving in patients with moderate or severe OSA associated with sleepiness until the disorder is effectively treated. Successful implementation of such regulations requires education regarding risk-benefit relationships of relevant stakeholders, including patients, clinicians, and employers in the transportation industry. CI - Copyright (c) 2019 Elsevier Inc. All rights reserved. FAU - McNicholas, Walter T AU - McNicholas WT AD - Department of Respiratory and Sleep Medicine, School of Medicine, University College Dublin, St. Vincent's Hospital Group, Elm Park, Dublin 4, Ireland; First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China. Electronic address: walter.mcnicholas@ucd.ie. LA - eng PT - Journal Article PT - Review DEP - 20190925 PL - United States TA - Sleep Med Clin JT - Sleep medicine clinics JID - 101271531 SB - IM MH - *Accidents, Traffic MH - *Automobile Driving MH - *Continuous Positive Airway Pressure MH - Humans MH - Sleep Apnea, Obstructive/physiopathology/*therapy MH - *Sleepiness OTO - NOTNLM OT - Driving regulations OT - Motor vehicle accidents OT - Obstructive sleep apnea OT - Sleepiness EDAT- 2019/10/24 06:00 MHDA- 2020/01/23 06:00 CRDT- 2019/10/24 06:00 PHST- 2019/10/24 06:00 [entrez] PHST- 2019/10/24 06:00 [pubmed] PHST- 2020/01/23 06:00 [medline] AID - S1556-407X(19)30071-2 [pii] AID - 10.1016/j.jsmc.2019.08.006 [doi] PST - ppublish SO - Sleep Med Clin. 2019 Dec;14(4):491-498. doi: 10.1016/j.jsmc.2019.08.006. Epub 2019 Sep 25.