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Accid Anal Prev. 2014 Oct;71:137-43. doi: 10.1016/j.aap.2014.05.001. Epub 2014 Jun 12.

Long-term chronic diseases and crash responsibility: a record linkage study.

Author information

1
Univ. Bordeaux, ISPED, Centre INSERM U897-Epidemiologie-Biostatistique, F-33000 Bordeaux, France; INSERM, Equipe Prévention et prise en charge des traumatismes, ISPED, Centre INSERM U897-Epidemiologie-Biostatistique, F-33000 Bordeaux, France. Electronic address: ludivine.orriols@isped.u-bordeaux2.fr.
2
Univ. Bordeaux, ISPED, Centre INSERM U897-Epidemiologie-Biostatistique, F-33000 Bordeaux, France; INSERM, Equipe Biostatistique, ISPED, Centre INSERM U897-Epidemiologie-Biostatistique, F-33000 Bordeaux, France.
3
INSERM U657, CIC-P0005, Département de Pharmacologie, Université Bordeaux Segalen, Bordeaux, France.
4
USR CNRS SANPSY 3413, Université Bordeaux Segalen, Bordeaux, France.
5
Pôle information des professionnels et du public, Direction de la communication et de l'information, Agence nationale de sécurité du médicament et des produits de santé (ANSM), Saint-Denis, France.
6
Université de Lyon, F-69000 Lyon, France; IFSTTAR, UMR T 9405, UMRESTTE, F-69500 Bron, France; Université Lyon 1, UMRESTTE, F-69000 Lyon, France.
7
Univ. Bordeaux, ISPED, Centre INSERM U897-Epidemiologie-Biostatistique, F-33000 Bordeaux, France; INSERM, Equipe Prévention et prise en charge des traumatismes, ISPED, Centre INSERM U897-Epidemiologie-Biostatistique, F-33000 Bordeaux, France; Service d'information médicale, CHU de Bordeaux, France.
8
Univ. Bordeaux, ISPED, Centre INSERM U897-Epidemiologie-Biostatistique, F-33000 Bordeaux, France; INSERM, Equipe Prévention et prise en charge des traumatismes, ISPED, Centre INSERM U897-Epidemiologie-Biostatistique, F-33000 Bordeaux, France.

Abstract

OBJECTIVE:

To assess the population impact of chronic conditions on the risk of road traffic crashes.

METHODS:

Data from three French national databases were extracted and matched: the national health care insurance database, police reports and the national police database of injurious crashes. Exposure to chronic conditions were compared between responsible and nonresponsible drivers. Analysis was performed using the Lasso (least absolute shrinkage and selection operator) method.

RESULTS:

69,630 drivers involved in an injurious crash in France between 2005 and 2008, were included. 6210 (8.9%) were suffering from at least one long-term disease. When adjusted for prescription of medicines, blood alcohol, demographic driver characteristics and crash characteristics, increased risk of being responsible for a crash was found in drivers registered in the French healthcare database with the following long-term diseases: epilepsy (odds ratio [OR]=2.53 [1.53-4.20]), type 1 diabetes (OR=1.47) [1.12-1.92], alcoholic liver disease (OR=3.37 [1.40-8.13]), asthma (OR=1.72 [1.13-2.60]) and specific personality disorders (OR=1.35 [1.05-1.74]). No association was found for cardiovascular diseases or Alzheimer's disease.

CONCLUSION:

The results update the list of medical conditions that may impair driving skills. However, results should be considered cautiously with regards to potential regulatory driving judgments that could have a negative impact on patients' social life.

KEYWORDS:

Chronic diseases; Diabetes; Epilepsy; Lasso; Responsibility study; Road traffic crashes

PMID:
24929821
DOI:
10.1016/j.aap.2014.05.001
[Indexed for MEDLINE]

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