National Center for Driving Fitness

Chronic insufficiency and fitness to drive

Information and questions and answers from the April 2013 MARVAD standards. This is historical information; requirements may have changed. It does not replace individual medical or legal advice or determine personal fitness to drive.

Conditions in this field

Questions and answers

Which systems does this chapter cover?

It covers heart failure, respiratory failure and renal failure, as well as related treatments and conditions.

Where are the conditions for chronic heart failure?

The chronic-insufficiency table refers to the cardiac and coronary conditions table. Read the cross-reference together with the cardiac chapter.

What does the table say about mild respiratory failure?

It indicates fitness for private and professional licences in mild cases, based on an assessment that the required functional abilities are not expected to be limited.

Is moderate respiratory failure assessed differently for professional licences?

Yes. The ability to perform driving duties is assessed; consideration of a restricted recommendation involves specialist and occupational-physician follow-up.

What does the table say about severe respiratory failure and a private licence?

It indicates unfitness, but allows consideration of a restricted recommendation if the required cognitive functions are preserved and medical follow-up is provided.

How is oxygen treatment addressed?

For a private licence, a restricted recommendation may be considered under conditions including a driving test with oxygen and specialist follow-up. For a professional licence, the table indicates unfitness.

Does a permanent tracheostomy necessarily disqualify a person?

The table allows a restricted recommendation if the reason for the tracheostomy does not disqualify the person from driving, with annual review of condition and function.

What is assessed in renal failure?

The table addresses absence of cognitive or sensorimotor impairment and periodic follow-up. The background chapter also mentions metabolic and cardiac complications.

What if dialysis treatment is postponed?

The dialysis conditions specify stopping driving if treatment is postponed. Read the full entry and follow-up requirements.

What does the chapter say after a successful kidney transplant?

It describes a recipient with normal renal function as not having an impairment for private or professional licensing in the renal context discussed.

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Original source scan in Hebrew. The translated explanatory text is provided on this page. The historical 2013 standards may have changed and do not determine your individual fitness to drive.

Chronic heart failure

Chronic respiratory failure

Chronic obstructive pulmonary disease — COPD

Emphysema

Chronic bronchitis

Chronic renal failure

Peritoneal dialysis

Haemodialysis

Permanent tracheostomy

All medical fields ←

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View original source

Original source scan in Hebrew. The translated explanatory text is provided on this page. The historical 2013 standards may have changed and do not determine your individual fitness to drive.

View original source