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Letter to the Editor
Simulated driving performance coupled with driver behaviour can predict the risk of sleepiness-related car accidents
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  1. Fabio Pizza1,2,
  2. Sara Contardi1,
  3. Susanna Mondini1,
  4. Fabio Cirignotta1,2
  1. 1Unit of Neurology, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy
  2. 2Department of Neurological Sciences, University of Bologna, Bologna, Italy
  1. Correspondence to Fabio Pizza, Dipartimento di Scienze Neurologiche, Via Ugo Foscolo 7, Bologna 40123, Italy; fabio.pizza{at}unibo.it

https://doi.org/10.1136/thx.2010.140988

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    Obstructive sleep apnoea syndrome (OSAS) is associated with the risk of sleepiness-related car accidents and worse driving simulator performances. Nevertheless, driving simulator studies failed to predict the real-world accident risk. Two-thirds of patients with OSAS will never experience a car crash, so that restricting their driving licence because of an OSAS diagnosis is not feasible.1

    Our previous studies validated a 30 min monotonous driving scenario (STISIM 300 Driving Simulator, Systems Technology, Hawthorne, California, USA) versus subjective and objective measures of sleepiness in healthy volunteers undergoing …

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