Year: 2010
Type: article
Abstract: OBJECTIVE: To review the evidence regarding the usefulness of patient demographic characteristics, driving history, and cognitive testing in predicting driving capability among patients with dementia and to determine the efficacy of driving risk reduction strategies. METHODS: Systematic review of the literature using the American Academy of Neurology's evidence-based methods. RECOMMENDATIONS: For patients with dementia, consider the following characteristics useful for identifying patients at increased risk for unsafe driving: the Clinical Dementia Rating scale (Level A), a caregiver's rating of a patient's driving ability as marginal or unsafe (Level B), a history of crashes or traffic citations (Level C), reduced driving mileage or self-reported situational avoidance (Level C), Mini-Mental State Examination scores of 24 or less (Level C), and aggressive or impulsive personality characteristics (Level C). Consider the following characteristics not useful for identifying patients at increased risk for unsafe driving: a patient's self-rating of safe driving ability (Level A) and lack of situational avoidance (Level C). There is insufficient evidence to support or refute the benefit of neuropsychological testing, after controlling for the presence and severity of dementia, or interventional strategies for drivers with dementia (Level U).
Source: Neurology
Language: English
Topic: Older Adults Driving Studies
Field: Health Professions
Domain: Health Sciences
Open Access status: bronze
Awards: Predicting Driver Safety in Parkinson's Disease, G2323910819, G2390967753, G2499633959, Community Participation in Developing a Measure for Safe Older Driver Behaviors, In-Car Technology to Alert Attention-Imparied Drivers, Creatine Safety, Tolerability, and Efficacy in Huntington's Disease: CREST-E, Monitoring real-world driver behavior for classification and early prediction of Alzheimer’s disease, Coenzyme Q10 in Huntington's Disease, Prospective Huntington At Risk Observational Study (PHAROS), G7432955472, G8810051121, Coordination and Statistics for Coenzyme Q10 in Huntington's Disease
OpenAlex ID: W2104268646