| Autor: |
John C. Dalrymple-Alford, S. Hollobon, Carrie R. H. Innes, Richard D. Jones, G. Smith, Julie Severinsen, A. Nicholls, S. Hayes, Tim J. Anderson |
| Rok vydání: |
2005 |
| Předmět: |
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| Zdroj: |
2005 IEEE Engineering in Medicine and Biology 27th Annual Conference. |
| DOI: |
10.1109/iembs.2005.1615713 |
| Popis: |
Brain lesions and degeneration can lead to a decreased ability to perform the physical and cognitive functions necessary for safe driving. A battery of computerized sensory-motor and cognitive tests (SMCTests#8482;) has been developed to quantify sensory-motor and cognitive dysfunction, with particular application to the assessment of driving abilities in patients with neurological disorders. SMCTests and an on-road driving assessment were applied to 50 subjects with brain lesions referred to the Driving and Vehicle Assessment Service at Burwood Hospital, Christchurch (36 males, 14 females; age range 43-85 years, mean age 71.3 years; 35 stroke, 4 traumatic brain injury, 4 Alzheimer's disease, 7 with other diagnoses). Two techniques were used to build model equations for prediction of on-road driving ability based on SMCTests performance - binary logistic regression and nonlinear causal resource analysis (NCRA). Binary logistic regression correctly classified 94% of referrals as on-road pass or fail, while NCRA correctly classified 90% of referrals. Leave-one-out cross-validation analysis estimated that binary logistic regression would correctly predict the classification of 86% of an independent referral group as on-road pass or fail, while NCRA would correctly predict 76%. Results indicate that the predictive model based on binary logistic regression would be slightly more accurate than NCRA at predicting on-road pass or fail in an independent subject group. Conversely, the NCRA model also provides valuable information on the extent to which a subject would pass or fail an on-road driving assessment and identifies the deficit which most limits their driving ability. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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