TABLE 1

The task force members’ summary statement regarding the assessment of driving risk in obstructive sleep apnoea (OSA) patients

Statement for clinicians advising on fitness to drive in OSA patients
OSA severity assessed as AHI alone does not predict fitness to drive in OSA patients
Excessive sleepiness is a major risk factor in determining accident risk in OSA, but does not relate to AHI and may be partly due to other non-OSA factors
Where doubt exists regarding the validity of self-reported sleepiness, further investigation, such as MWT, is warranted, especially in professional drivers
Effective and compliant treatment of OSA with CPAP largely reverses the increased accident risk and driving can resume once demonstrated

AHI: apnoea–hypopnoea index; MWT: Maintenance of Wakefulness Test; CPAP: continuous positive airway pressure.