Older drivers are at increased risk of fatal crash involvement: Results of a systematic review and meta-analysis.

Autor: Pitta LSR; University of Brasilia, Multidisciplinary Center for the Aged, Brasília, DF, Brazil; Hospital de Base, Department of Geriatrics, Brasilia, Brazil. Electronic address: Leonardo_pitta@yahoo.com.br., Quintas JL; University of Brasilia, Multidisciplinary Center for the Aged, Brasília, DF, Brazil., Trindade IOA; University of Brasilia, Multidisciplinary Center for the Aged, Brasília, DF, Brazil., Belchior P; McGill University, School of Physical and Occupational Therapy, Montreal, QC, Canada; Centre de Recherche de l'Lnstitut Universitaire de Gériatrie de Montréal, Montreal, QC, Canada., Gameiro KDSD; University of Brasilia, Multidisciplinary Center for the Aged, Brasília, DF, Brazil., Gomes CM; University of Brasilia, Multidisciplinary Center for the Aged, Brasília, DF, Brazil., Nóbrega OT; University of Brasilia, Multidisciplinary Center for the Aged, Brasília, DF, Brazil; Centre de Recherche de l'Lnstitut Universitaire de Gériatrie de Montréal, Montreal, QC, Canada., Camargos EF; University of Brasilia, Multidisciplinary Center for the Aged, Brasília, DF, Brazil. Electronic address: einstein@unb.br.
Jazyk: angličtina
Zdroj: Archives of gerontology and geriatrics [Arch Gerontol Geriatr] 2021 Jul-Aug; Vol. 95, pp. 104414. Date of Electronic Publication: 2021 Apr 06.
DOI: 10.1016/j.archger.2021.104414
Abstrakt: Older adults have become a larger part of the driving population, but whether they are at increased risk of being involved in fatal crashes remains unclear.
Methods: We performed a systematic review of studies investigating fatal crash involvement of older vs non-older drivers by searching the following databases: PubMed, Cochrane Library, Embase, LILACS, SciELO, Web of Science, and ProQuest. Studies that used fatal crash involvement rates per distance driven as a measure of frequency were selected for meta-analysis.
Results: We analyzed 14 studies published between 2001 and 2018. Of these, 12 reported a higher rate of fatal crashes involving older drivers than non-older drivers; 9 of them used involvement rates per distance driven, which is considered the most appropriate metric. The meta-analysis revealed high heterogeneity between studies. The meta-regression attributed 40% of the heterogeneity to age (older vs non-older drivers) (p<0.005).
Conclusion: Age appears to be associated with higher driver involvement rates for fatal crashes among older persons.
(Copyright © 2021. Published by Elsevier B.V.)
Databáze: MEDLINE
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