Driving Restrictions Following Defibrillator Implantation: A Nationwide Register-linked Survey Study on the Impact on Employment, Daily Living, and Driving Behaviour.

Autor:	Hansen MH; Department of Cardiology, Copenhagen University Hospital, Herlev and Gentofte, Denmark., Rasmussen TB; Department of Cardiology, Copenhagen University Hospital, Herlev and Gentofte, Denmark.; Health and Medical Sciences, University of Copenhagen, Denmark., Risom SS; Department of Cardiology, Copenhagen University Hospital, Herlev and Gentofte, Denmark.; Health and Medical Sciences, University of Copenhagen, Denmark.; Institute of Nursing and Nutrition, University College Copenhagen, Denmark., Rosenkranz S; Department of Cardiology, Copenhagen University Hospital, Herlev and Gentofte, Denmark., Schou M; Department of Cardiology, Copenhagen University Hospital, Herlev and Gentofte, Denmark.; Health and Medical Sciences, University of Copenhagen, Denmark., Larroudé C; Department of Cardiology, Copenhagen University Hospital, Herlev and Gentofte, Denmark., Gislason G; Department of Cardiology, Copenhagen University Hospital, Herlev and Gentofte, Denmark.; The Danish Heart Foundation, Copenhagen, Denmark.; Department of Clinical Medicine, University of Copenhagen, Denmark., Ruwald AC; Department of Cardiology, Zealand University Hospital, Roskilde, Denmark.; Department of Cardiology, Rigshospitalet, Copenhagen, Denmark., Bjerre J; Department of Cardiology, Copenhagen University Hospital, Herlev and Gentofte, Denmark.; Department of Cardiology, Nordsjællands Hospital, Hillerød, Denmark.
Jazyk:	angličtina
Zdroj:	European heart journal. Quality of care & clinical outcomes [Eur Heart J Qual Care Clin Outcomes] 2024 Aug 09. Date of Electronic Publication: 2024 Aug 09.
DOI:	10.1093/ehjqcco/qcae071
Abstrakt:	Aims: Following implantation of an implantable cardioverter defibrillator (ICD), patients are temporarily restricted from private motor vehicle driving and permanently prohibited from professional driving. We aimed to investigate the impact of driving restrictions following ICD implantation and in case of ICD shock on employment, daily living activities, driving concerns and driving behavior. Methods and Results: Data were retrieved from a nationwide survey on driving restrictions in Danish ICD patients, distributed in 2017 to all patients ≥18 years implanted with a first-time ICD from 2013-2016 (n=3913). Responses were linked with data from nationwide registers. The response rate was 71% (final analyzable population n=2741, 83% male, median age 67 years, 316 had experienced an ICD shock, and 911 patients reported receipt of driving restrictions of minimum 1 month). Among active professional drivers (n=175), 33% had lost their job as a direct consequence of the driving restrictions. Of those working prior to ICD implantation (n=465), 47% reported being limited in maintaining employment due to private driving restrictions. Among those restricted from driving minimum 1 month, 26% reported the restrictions overall had substantially impeded their daily living. Factors associated with substantial impediment were age <65 years (OR 1.84 [95% CI 1.35-2.52]), higher income (OR 1.47 [95% CI 1.05-2.05]) and driving ≥7 hours/week pre-implantation (OR 1.66 [95% CI 1.23-2.24]). Being nervous about driving or altering driving habits was reported by 3-7%. Conclusion: Both professional and private driving restrictions affect the ability to maintain employment and have a negative impact on ICD recipients' daily living activities. (© The Author(s) 2024. Published by Oxford University Press on behalf of the European Society of Cardiology.)
Databáze:	MEDLINE
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