Driving assessment for maintaining mobility and safety in drivers with dementia

Abstract

Comparison of self-reported crashes, state crash records and an on-road driving assessment in a population-based sample of drivers aged 69-95 years. Traffic Injury Prevention 2009; 10(1):84-90.

The neural correlates of road sign knowledge and route learning in semantic dementia and Alzheimer's disease

“…A relevant issue to be clarified is whether all forms of dementia invariably lead to impairment of driving abilities. Up to now, there have been no clear data allowing us to characterise the driving profile in the different forms of dementia 3. Driving performance is analysed on participants affected by unspecified forms of dementia4 5 or those suffering from Alzheimer's disease (AD) 3 6–11.…”

“…Up to now, there have been no clear data allowing us to characterise the driving profile in the different forms of dementia 3. Driving performance is analysed on participants affected by unspecified forms of dementia4 5 or those suffering from Alzheimer's disease (AD) 3 6–11. Nonetheless, since the various forms of dementia show different cognitive profiles, it is unlikely that the pattern of driving impairment detectable in patients with AD is applicable to other forms of dementia 3.…”

“…Driving performance is analysed on participants affected by unspecified forms of dementia4 5 or those suffering from Alzheimer's disease (AD) 3 6–11. Nonetheless, since the various forms of dementia show different cognitive profiles, it is unlikely that the pattern of driving impairment detectable in patients with AD is applicable to other forms of dementia 3. Limited evidence comes from the focal syndromes of the frontotemporal lobe degeneration,12 which, although less frequent than AD, are the second most common cause of early onset dementias 13.…”

Rester conducteur ou comment éviter une dépendance des temps modernes

“…Dans la majorité des cas, il s'agit d'études rétrospectives avec un taux d'accident surévalué (études rétrospectives, études auprès des services de police), et le comportement routier rarement pris en compte [16]. Plus la démence est sévère plus l'arrêt de la conduite est aisée.…”

“…Plus la démence est sévère plus l'arrêt de la conduite est aisée. Par contre dans les démences précoces et modérées, le maintien de la conduite reste une source d'inquiétude pour l'entourage d'autant qu'aucun score seuil aux tests cognitifs ne permet de définir le risque d'accident [16]. Toutefois, presque la moitié des patients suivis pour maladie d'Alzheimer cessent de conduire dans les trois ans [17].…”