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Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet]. York (UK): Centre for Reviews and Dissemination (UK); 1995-.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet].

Systematic review of driving risk and the efficacy of compensatory strategies in persons with dementia

Review published: 2007.

Bibliographic details: Man-Son-Hing M, Marshall S C, Molnar F J, Wilson K G.  Systematic review of driving risk and the efficacy of compensatory strategies in persons with dementia. Journal of the American Geriatrics Society 2007; 55(6): 878-884. [PubMed: 17537088]

Abstract

OBJECTIVES: To determine whether persons with dementia are at greater driving risk and, if so, to estimate the magnitude of this risk and determine whether there are efficacious methods to compensate for or accommodate it.

DESIGN: Systematic review of the literature.

SETTING: Case-control studies.

PARTICIPANTS: Drivers with a diagnosis of dementia.

MEASUREMENTS: Most studies used state and caregiver reported crash rates, performance-based road tests, and driving simulator evaluations as their outcome measures.

RESULTS: Twenty-three studies were included. Drivers with dementia universally exhibited poorer performance on road tests and simulator evaluations, although only one study using an objective measure of motor vehicle crashes was able to show that drivers with dementia were involved in more crashes than control subjects. No studies were found that examined the efficacy of methods to compensate for or accommodate their worse driving performance.

CONCLUSION: Drivers with dementia are poorer drivers than cognitively normal drivers, but studies have not consistently demonstrated higher crash rates. Clinicians and policy makers must take these findings into account when addressing issues pertinent to drivers with a diagnosis of dementia.

CRD has determined that this article meets the DARE scientific quality criteria for a systematic review.

Copyright © 2014 University of York.

PMID: 17537088

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