Characteristics of motor vehicle crashes and fatality risk among drivers with epilepsy.

Autor: Sun Y; Department of Neurology, En Chu Kong Hospital, New Taipei City, Taiwan.; Department of Neurology, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan., Ku MY; Graduate Institute of Data Science and Management, College of Management, Taipei Medical University, Taipei, Taiwan., Liu CC; Department of Health Care Management, National Taipei University of Nursing and Health Sciences, Taipei City, Taiwan., Chien LN; Institute of Health and Welfare Policy, College of Medicine, National Yang Ming Chao Tung University, Taipei, Taiwan.
Jazyk: angličtina
Zdroj: Epilepsia [Epilepsia] 2024 Oct; Vol. 65 (10), pp. 2984-2994. Date of Electronic Publication: 2024 Aug 21.
DOI: 10.1111/epi.18097
Abstrakt: Objective: Among motor vehicle crashes (MVCs), little is known about whether the characteristics and collision features involving drivers with epilepsy differ from those involving drivers without any history of epilepsy. We assessed MVC features and the effect of epilepsy diagnosis on the risk of severe crash-related injuries among drivers.
Methods: A total of 33 174 MVC events among people with epilepsy (PWE) and 663 480 MVC events of age- and sex-matched non-PWE (1:20) were selected. Crash-related features that involved drivers with and without epilepsy were compared, including driver eligibility, medical history of comorbidities and medications, road and environmental conditions, and accident causes. Cox and logistic regression analyses were used to examine the risks of fatality and severe injury among drivers with and without epilepsy.
Results: PWE involved in MVCs were more likely to have lower socioeconomic status, comorbidities, scooter drivers without a qualified driver's license, driving under the influence of alcohol, and be involved in single-vehicle accidents than non-PWE. Drivers with epilepsy also had a higher risk of fatality within 30 days of MVC, with an adjusted hazard ratio (aHR) of 1.37 (95% confidence interval [CI], 1.20-1.57) and a higher risk of hospital admission within 3 days after MVC (aHR, 1.33; 95% CI, 1.29-1.38) compared to that of non-PWE.
Significance: The characteristics of MVCs of drivers with epilepsy were distinct from those of non-affected drivers. And higher fatality and injury rates were observed among drivers with epilepsy, which should be considered in further policymaking regarding safe driving of PWE.
(© 2024 The Author(s). Epilepsia published by Wiley Periodicals LLC on behalf of International League Against Epilepsy.)
Databáze: MEDLINE
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