Traffic Dangerous Drugs Are Often Found in Fatally Injured Older Male Drivers

Johansson, Kurt; Bryding, Göran; Dahl, Marja-Liisa; Holmgren, Per; Viitanen, Matti

doi:10.1111/j.1532-5415.1997.tb02979.x

Cited by 12 publications

(3 citation statements)

References 9 publications

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“…Methodisch wurden einmal verkehrsunauffällige Fahrer mittels freiwilliger Speichelproben untersucht, in anderen Fällen verkehrsauffällige Personen (Verdacht auf Alkoholbeeinflussung als Grund zur Blutentnahme).Epidemiologische Studien konnten zeigen, dass die Einnahme von Benzodiazepinen das relative Verkehrsunfallrisiko in Abhängigkeit von Dosierung und Einnahmeintervall um den Faktor 1,5-6,5 erhöhen, wobei die Auswirkungen bei älteren Patienten deutlich grö-ßer sind [21]. Bei tödlich verunglückten älteren Autofahrern fanden sich Benzodiazepine bis zu 4-mal häufiger als es anhand der Verkaufszahlen zu erwarten war [16]. Barbone et al kamen aufgrund ihrer populationsbasierten Fall-crossover-Studie zu dem Ergebnis, dass zur Anxiolyse eingesetzte Benzodiazepine mit langer Halbwertszeit das Unfallrisiko deutlich erhöhen und deshalb wäh-rend ihrer Einnahme keine Fahrtauglichkeit bestehe [1].…”

Section: Schizophrene Psychosenunclassified

Psychische Störungen und Fahrtauglichkeit Eine Übersicht

Laux

2002

Nervenarzt

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The revised version of the guidelines for driving ability and the new driving license decree in Germany are outlined regarding forensic implications, general rules, and guidelines for psychiatric illness. Patients suffering from acute organic psychosis, severe dementia, acute schizophrenia, mania, severe depression, and alcoholism must be seen as unable to drive cars. Regarding effects of psychotropic medication on driving performance, multiple data with healthy volunteers are available, with very few patients, however. Based on new data showing differences between older and newer antidepressants and antipsychotics, individual drug selection is strongly recommended.

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Section: Schizophrene Psychosenunclassified

Psychische Störungen und Fahrtauglichkeit Eine Übersicht

Laux

2002

Nervenarzt

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“…273,274 Potential driving impairing (PDI) medi cations is a relatively new term that identifies medications that have been associated with increased crash risk. Crash risk does increase when multiple PDI drugs are prescribed.…”

Section: Spinalmentioning

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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“…One study that focused on older adults noted that long-acting benzodiazepines have been associated with markedly increased crash rates (Hemmelgarn, Suissa, Huang, Boivin, & Pinard, 1997). Additional reports suggest that there may be a significant number of older adults driving under the influence of medications (Higgins, Wright, & Wrenn, 1996;Johansson, Bryding, Dahl, Holmgren, & Viitanen, 1997).…”

Section: Medical Conditionsmentioning

confidence: 99%

Medical Fitness to Drive and a Voluntary State Reporting Law

Meuser

Carr²

PsycEXTRA Dataset

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This workshop was funded by the AAA Foundation for Traffic Safety in Washington, D.C. Founded in 1947, the AAA Foundation is a not-for-profit, publicly supported charitable research and education organization dedicated to saving lives by preventing traffic crashes and reducing injuries when crashes occur. Foundation funding is provided by voluntary contributions from AAA/CAA and their affiliated motor clubs, individual members, AAA-affiliated insurance companies, and other organizations and sources. The AAA Foundation for Traffic Safety distributes this publication at no charge, as a public service. It may not be resold or used for commercial purposes without the explicit permission of the Foundation. It may, however, be copied in whole or in part and distributed for free via any medium, provided the AAA Foundation is given appropriate credit as the source. The opinions, findings, conclusions, and recommendations expressed in this publication represent the views of the authors and are not necessarily those of the AAA Foundation for Traffic Safety or of any individual who reviewed this publication. The AAA Foundation for Traffic Safety assumes no liability for the use or misuse of any information, opinions, findings, conclusions, or recommendations contained in this publication. If trade or manufacturers' names are mentioned, it is only because they are considered essential to the object of this publication, and their mention should not be construed as an endorsement. The AAA Foundation for Traffic Safety does not endorse products or manufacturers.

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Traffic Dangerous Drugs Are Often Found in Fatally Injured Older Male Drivers

Cited by 12 publications

References 9 publications

Psychische Störungen und Fahrtauglichkeit Eine Übersicht

Psychische Störungen und Fahrtauglichkeit Eine Übersicht

Vision Screening in Adults Across the Life Span

Medical Fitness to Drive and a Voluntary State Reporting Law

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