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Mayo Clin Proc. 2017 Sep;92(9):1341-1350. doi: 10.1016/j.mayocp.2017.06.003.

Comparison of Unsafe Driving Across Medical Conditions.

Author information

1
Department of Physical Therapy and Rehabilitation Science, School of Health Professions, University of Kansas Medical Center, Kansas City, KS.
2
University Lyon, IFSTTAR, TS2, Lescot, Lyon, France.
3
Center for Evaluation of Fitness to Drive and Car Adaptations, Belgian Road Safety Institute, Brussels, Belgium.
4
Department of Physical Therapy and Rehabilitation Science, School of Health Professions, University of Kansas Medical Center, Kansas City, KS. Electronic address: hdevos@kumc.edu.

Abstract

OBJECTIVE:

To compare risks of unsafe driving in patients with medical conditions.

METHODS:

This large population-based study included all patients who were referred for a fitness-to-drive evaluation at an official driving evaluation center in 2013 and 2014. Risks of unsafe driving included physician's fitness-to-drive recommendation, comprehensive fitness-to-drive decision, motor vehicle crash history, and traffic violation history.

RESULTS:

A total of 6584 patients were included in the study. Risks of unsafe driving were significantly different across medical conditions (P<.001 for all outcome measures). Patients with neurological conditions comprised the majority of the database (4837; 74%), but were not at the highest risk for unsafe driving. Patients with psychiatric conditions or substance abuse did worse on most driving safety outcomes, despite their low representation in the total sample (359 [6%] and 46 [1%], respectively).

CONCLUSION:

The risk of unsafe driving varied greatly across medical conditions. Sensitization campaigns, education, and medical guidelines for physicians and driver licensing authorities are warranted to identify patients at risk, especially for those with psychiatric conditions and substance abuse problems.

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PMID:
28870353
DOI:
10.1016/j.mayocp.2017.06.003
[Indexed for MEDLINE]

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