Tables
- Table 1
Excessive sleepiness, including obstructive sleep apnoea syndrome
Group 1: car and motorcycle Group 2: bus and lorry Excessive sleepiness
including due to mild obstructive sleep apnoea syndrome
AHI <15 (mild) on the or equivalent sleep study measureMust not drive but may not need to notify the DVLA
Driving may resume only after satisfactory symptom controlMust not drive and must notify the DVLA
Driving may be licensed again once control of symptoms is satisfactory
The DVLA will require a specialist's confirmation of ongoing adherence to treatment
Licensing is subject to review, usually annuallyObstructive sleep apnoea syndrome, moderate and severe apnoeas with sleepiness
AHI 15-29 (moderate) or ≥30 (severe) or equivalent sleep study measureMust not drive and must notify the DVLA
This requirement also applies for a suspected diagnosis yet to be confirmed
Subsequent licensing will require
control of condition
sleepiness improved
treatment adherence
The DVLA will need medical confirmation of the above, and the driver must confirm review to be undertaken every annually at the minimumMust not drive and must notify the DVLA
This requirement also applies for a suspected diagnosis yet to be confirmed
Subsequent licensing will require
control of condition
sleepiness improved
treatment adherence
The DVLA will need medical confirmation of the above, and the driver must confirm review to be undertaken every 3 years at the minimumObstructive sleep apnoea, moderate and severe apnoeas without sleepiness
AHI 15-29 (moderate) or ≥30 (severe) or equivalent sleep study measureMust not drive but need not notify the DVLA
Driving may resume once associated symptoms such as poor concentration have been brought under controlMust not drive but need not notify the DVLA
Driving may resume once associated symptoms such as poor concentration have been brought under controlReproduced and modified from [9] with permission from the publisher.
- Table 2
Parameters to assess the risk of road traffic accidents in patients suspected of having obstructive sleep apnoea/hypopnoea syndrome
Driving-related parameters Taking a break at <1 h during long journeys Likelihood of feeling sleepy while driving Nodded off whilst driving in the last year Any accidents in the last 3 years related to sleepiness Clinical parameters Epworth Sleepiness Scale and history of tiredness and sleepiness Objective testing: apnoea-hypopnoea index, apnoeas and hypopnoeas/time in bed, oxygen desaturation index
Supplementary Materials
Supplementary Material
D. Ghosh EDU-0080-2016_Ghosh