Crash risks of older drivers: a panel data analysis

Hu, Patricia S.; Trumble, D; Foley, Daniel J.; Eberhard, John W.; Wallace, Robert B.

doi:10.1016/s0001-4575(98)00019-0

Cited by 121 publications

(76 citation statements)

References 11 publications

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“…Parkinson's disease has previously been found as a 14 major factor of driving cessation 49 and as a non-significant factor in crashes. 50 52 The high rate of driving cessation after a stroke was consistent with other studies. 11,12,49,53 Stroke survivors seemed to limit their driving exposure and/or rely on others for transportation, suggesting selfregulated behavior.…”

Section: Factors Associated With Driving Cessation Onlysupporting

confidence: 90%

Driving Cessation and Self-Reported Car Crashes in Older Drivers: The Impact of Cognitive Impairment and Dementia in a Population-Based Study

Lafont

Laumon

Helmer

et al. 2008

J Geriatr Psychiatry Neurol

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The complexity of driving activity has incited numerous developed countries to initiate evaluative procedures in the elderly, varying according to first evaluation age, frequency and screening tools. The objective of this paper is to improve the knowledge of the driving cessation process in regard to factors associated with crash involvement. Driving cessation and self-reported crashes during the past five years were analyzed with multivariate models, in a cross-sectional study including a population-based sample of 1051 drivers aged 65 years and more. Visual trouble, Parkinson disease, dementia and stroke history were associated with driving cessation. Future dementia was associated with self-reported crashes only. Attentional and executive deficits were associated with both outcomes. The detection of attentional and executive problems should be included in driving evaluation procedures in order to improve awareness of these deficits by older drivers.

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Section: Factors Associated With Driving Cessation Onlysupporting

confidence: 90%

Driving Cessation and Self-Reported Car Crashes in Older Drivers: The Impact of Cognitive Impairment and Dementia in a Population-Based Study

Lafont

Laumon

Helmer

et al. 2008

J Geriatr Psychiatry Neurol

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“…Our results are consistent with prior reports that PD is associated with increased driving cessation 20 and no clear link could be established with PD and occurrence of real-life crashes. 27,28 However, these prior studies concentrated on general elderly population and had few drivers with PD in their cohorts.…”

Section: Discussionmentioning

confidence: 99%

Real-life driving outcomes in Parkinson disease

Uç¹,

Rizzo

Johnson³

et al. 2011

Neurology

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Objective: To determine the incidence of and risk factors for driving outcomes in drivers with Parkinson disease (PD). Methods:In a prospective cohort study, we ascertained the time until driving cessation, a crash, or a traffic citation using self-report and state Department of Transportation records in 106 licensed, active drivers with PD and 130 controls.Results: Drivers with PD stopped driving earlier than controls, hazard ratio (95% confidence interval) ϭ 7.09 (3.66-13.75), p Ͻ 0.001. Cumulative incidence of driving cessation at 2 years after baseline was 17.6% (11.5%-26.5%) for PD and 3.1% (1.2%-8.1%) for controls. No significant differences between groups on times to first crash or citation were detected. However, the number of observed crashes was low. Cox proportional hazards models showed that significant baseline risk factors for driving cessation in PD were older age, preference to be driven by somebody else, positive crash history, use of compensatory strategies, low driving exposure, impairments in visual perception (especially visual processing speed and attention) and cognitive abilities, parkinsonism (especially activities of daily living score and total daily dose of antiparkinsonian medications), and higher error counts on a road test. Within PD, crashes were associated with poorer postural stability and history of driving citations, and citations were associated with younger age and road errors at baseline. Conclusions:Drivers with PD are at a higher risk of driving cessation than elderly control drivers. A battery evaluating motor and nonmotor aspects of PD, driving record, and performance can be useful in assessing future driving outcomes in PD. Neurology Cognitive, visual, and motor impairments in Parkinson disease (PD) can affect driving performance on standardized road tests 1-11 and driving simulator experiments. 12-16 Cross-sectional or retrospective surveys show higher rates of driving cessation in PD, 17-21 which may lead to greater inactivity, social isolation, depression, and caregiver burden. 22,23 Driving simulation studies have shown increased crash rates in PD 13,16 and retrospective surveys have suggested increased crashes in drivers with PD. 17,19 However, real-life driving outcomes in PD have not been determined in prospective, controlled PD cohort studies. 21This study examines the real-life outcomes in a PD driver cohort, whose baseline features, experimental road test, and driving simulator performance were reported previously. 1,5,6,8,16 The main outcome measures in this study were time to driving cessation, time to first crash, and time to first citation. We hypothesized that the incidence of unfavorable real-life driving outcomes in drivers with PD would be higher than in neurologically normal control drivers,

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“…248 Driving impairment has been correlated with the inability to reach above the shoulder. 249 Older adults with physical frailty or disabilities may be at increased risk for a crash, 250,251 and are more likely to be injured. 252 Presence of foot abnormalities, walking less than one block a day, and impaired left knee flexion have been associated with adverse driving events.…”

Section: Non-insulin Dependent Diabetes Mellitusmentioning

confidence: 99%

Vision Screening in Adults Across the Life Span

Cohen

Stitz

Sangi‐Haghpeykar

et al. 2018

Southern Medical Journal

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Objectives The goal of this study was to determine if adults across the life span differ in responses to quick vision screening and how those responses relate to their use of specialized eye care. Methods Subjects were 363 community-dwelling, ambulatory adults, aged 21 to 95, tested while they wore their corrective lenses, during routine visits to a tertiary care facility. No subjects had known neurological impairments, age-related macular degeneration or other significant eye disease. A wall-mounted ETDRS chart was used. Results Older adults, aged 58+ had significantly worse scores than younger adults. Scores did not differ between subjects who had been tested within or prior to the last 10 months. Older subjects had had their vision tested significantly more recently than younger subjects. Discussion Seeking eye care, per se, does not indicate the quality of the patient’s vision. Patients may be unaware of how well or poorly they see with their prescription lenses. Conclusion Vision screening is quick, inexpensive, easily performed by ancillary staff, and may provide the physician with useful additional information for treatment planning.

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Crash risks of older drivers: a panel data analysis

Cited by 121 publications

References 11 publications

Driving Cessation and Self-Reported Car Crashes in Older Drivers: The Impact of Cognitive Impairment and Dementia in a Population-Based Study

Driving Cessation and Self-Reported Car Crashes in Older Drivers: The Impact of Cognitive Impairment and Dementia in a Population-Based Study

Real-life driving outcomes in Parkinson disease

Vision Screening in Adults Across the Life Span

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