Mild Cognitive Impairment and Driving Cessation: A 3-Year Longitudinal Study

Connors, Michael H.; Ames, David; Woodward, Michael; Brodaty, Henry

doi:10.1159/000478740

Cited by 19 publications

(9 citation statements)

References 32 publications

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“…To our knowledge, this is the first study to investigate the prevalence of driving cessation in patients with MCI based on extensive neuropsychological tests. Previously, a study reported a 17.2% prevalence of driving cessation in patients with MCI [24]. This low value compared to our result could be due to different diagnostic criteria for MCI or different profiles of detailed cognitive domains of the studied population.…”

Section: Discussioncontrasting

confidence: 95%

Driving Cessation and Cognitive Dysfunction in Patients with Mild Cognitive Impairment

Pyun

Kang

Kim

et al. 2018

JCM

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Although driving by adults with cognitive impairment is an important public health concern, little is known about the indicators of driving cessation in patients with mild cognitive impairment (MCI). We aimed to investigate the prevalence of driving cessation in patients with MCI and the predictive value of cognitive performances for driving cessation. Patients with MCI were recruited in the Seoul National University Bundang Hospital; they met following inclusion criteria. Age range of 51–80 years, Clinical Dementia Rating scale score of 0.5, and ever car drivers including former and current drivers. All participants underwent comprehensive standardized cognitive assessments and information on driving status was obtained via an interview using a systematic questionnaire. The median age of the 135 participants was 72 years, and 54 participants (40%) were women; 93 patients (68.9%) were current drivers and 42 (31.1%) were former drivers. In univariate analysis, former drivers showed poorer performances in digit span backward and categorical fluency tests than current drivers. In multivariate logistic regression analysis, a poor digit span backward test score was significantly related with driving cessation (odds ratio: 0.493, 95% confidence interval: 0.258–0.939). In patients with MCI, poor performance in the digit span backward test, which represents impaired working memory capacity, was associated with a higher probability of driving cessation.

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Section: Discussioncontrasting

confidence: 95%

Driving Cessation and Cognitive Dysfunction in Patients with Mild Cognitive Impairment

Pyun

Kang

Kim

et al. 2018

JCM

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“…An interaction between level of services and time was tested and retained in the model if p < 0.10. Given the previously reported relationships between sex and driving status in older age, [44][45][46] interactions between patient sex and driving and between caregiver sex and driving were also tested. Models were selected based on the Akaike information criterion.…”

Section: Statistical Analysesmentioning

confidence: 99%

Dementia and caregiver burden: A three‐year longitudinal study

Connors

Seeher

Teixeira‐Pinto

et al. 2019

Int J Geriat Psychiatry

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156

110

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Objectives. Dementia, with its progressive cognitive and functional decline and associated neuropsychiatric symptoms, places a large burden on caregivers. While frequently studied, longitudinal findings about the overall trajectory of burden are mixed. The study sought to characterise caregiver burden over a three-year period and identify predictors of this burden.Methods. Seven-hundred-and-eighty-one patients with dementia were recruited from nine memory clinics around Australia. Measures of caregiver burden, cognition, function, and neuropsychiatric symptoms were completed with patients and their caregivers at regular intervals over a three-year period. Patients' level of services and medication use were also recorded. Results.Of the 720 patients with measures of caregiver burden at baseline, 47.4% of caregivers had clinically significant levels of burden. This proportion increased over time, with 56.8% affected at three years. Overall levels of burden increased for caregivers of patients without services, though did not change for caregivers of patients receiving services or residential care after controlling for other variables. Patient characteristics -including greater neuropsychiatric symptoms, lower functional ability, fewer medications, lack of driving ability -and female sex of caregivers were associated with greater burden.Conclusions. High levels of caregiver burden are present in a large proportion of caregivers of people with dementia and this increases over time for those without services. Clinical characteristics of patients (including neuropsychiatric symptoms, function, overall health, driving status), level of services, and caregiver sex appear to be the best predictors of this burden. These characteristics may help identify caregivers at greater risk of burden to target for intervention.

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“…Twenty-nine (58%) out of 50 people who stopped driving were diagnosed with dementia during the study; all but one stopped driving after being diagnosed with dementia. Thus, a significant percentage of people diagnosed with MCI stop driving within the next 3 years [6].…”

Section: Cognitive Disorders and The Ability To Drive Vehicles In Selected Diseases Of The Central Nervous Systemmentioning

confidence: 99%

Disturbances of the cognitive functions of vehicle drivers in selected diseases

Łoś¹,

Latała-Łoś²

2021

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Cognitive dysfunctions such as memory, attention, and orientation may occur in many disease entities, including those not included in the sphere of mental disorders. Their presence can significantly affect the ability to drive vehicles and road safety. The literature on the subject is dominated by studies assessing the functioning on the road of people driving vehicles with diagnosed cognitive disorders of various aetiologies. It is natural to divide them into disorders resulting from the pathology of the central nervous system and cognitive dysfunctions present in the course of typically somatic diseases. Assessment of identified abnormalities usually involves several stages, but the most documented method of evaluating disorders is neuropsychological examination. StreszczenieZaburzenia funkcji poznawczych, takich jak pamięć, uwaga, orientacja, mogą występować w wielu jednostkach chorobowych, również niezaliczanych do sfery zaburzeń psychicznych. Ich obecność może istotnie rzutować na zdolność do prowadzenia pojazdów oraz bezpieczeństwo na drodze. W piśmiennictwie przeważają badania oceniające funkcjonowanie na drodze osób kierujących pojazdami, u których stwierdzono zaburzenia poznawcze o różnej etiologii. Naturalny jest podział na zaburzenia wynikające z patologii ośrodkowego układu nerwowego oraz dysfunkcje kognitywne obecne w przebiegu schorzeń typowo somatycznych. Ocena stwierdzanych nieprawidłowości jest zazwyczaj kilkuetapowa, ale najbardziej potwierdzonym w badaniach sposobem ewaluacji zaburzeń jest badanie neuropsychologiczne.

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Mild Cognitive Impairment and Driving Cessation: A 3-Year Longitudinal Study

Cited by 19 publications

References 32 publications

Driving Cessation and Cognitive Dysfunction in Patients with Mild Cognitive Impairment

Driving Cessation and Cognitive Dysfunction in Patients with Mild Cognitive Impairment

Dementia and caregiver burden: A three‐year longitudinal study

Disturbances of the cognitive functions of vehicle drivers in selected diseases

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