Neuropsychological domains and fitness to drive in mild cognitive impairment or Alzheimer's disease.

Autor: Quintas JL; Hospital of the University of Brasilia (HUB), Medical Center for the Aged, Brasília, DF, Brazil., Trindade IOA; Hospital of the University of Brasilia (HUB), Medical Center for the Aged, Brasília, DF, Brazil., Gameiro KSD; Hospital of the University of Brasilia (HUB), Medical Center for the Aged, Brasília, DF, Brazil., Pitta LSR; Hospital de Base, Department of Geriatrics, Brasilia, DF, Brazil., Camargos EF; Hospital of the University of Brasilia (HUB), Medical Center for the Aged, Brasília, DF, Brazil., Nóbrega OT; Hospital of the University of Brasilia (HUB), Medical Center for the Aged, Brasília, DF, Brazil; Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal (CR-IUGM), Montreal, QC, Canada. Electronic address: otavio.nobrega@mcgill.ca.
Jazyk: angličtina
Zdroj: Accident; analysis and prevention [Accid Anal Prev] 2023 Oct; Vol. 191, pp. 107188. Date of Electronic Publication: 2023 Jul 07.
DOI: 10.1016/j.aap.2023.107188
Abstrakt: Cognitive deficits associated with mild cognitive impairment (MCI) or Alzheimer's disease (AD) can impact driving. This integrative review investigated which cognitive domains were associated with poor driving performance or unfitness to drive in studies with outcomes measured in simulator or on-road driving in patients with MCI or AD. The review was conducted by searching for articles published between 2001 and 2020 in the MEDLINE (via PubMed), EMBASE, and SCOPUS databases. Studies addressing patients with other dementias (e.g., vascular or mixed dementia, Lewy body dementia, Parkinson's disease) were excluded. Of 404 articles initially selected, 17 met the eligibility criteria for this review. Based on the findings of this integrative review, attentional capacity, processing speed, executive functions and visuospatial skills were the functions whose declines were most frequently reported in a context of unsafe driving by older adults with MCI or AD. Reports were remarkably heterogeneous in methodological aspects whereas quite limited in cross-cultural coverage and in sample recruited, what prompts for further trials in the field.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2023 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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