Driving in Parkinson’s disease: a retrospective study of driving and mobility assessments
| Autor: | Victoria J. Haunton, Yoav Ben-Shlomo, Daisy Gaunt, Katherine Lloyd, Helen Mann, Rob Skelly, Emily J. Henderson |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Automobile Driving 030506 rehabilitation Aging medicine.medical_specialty Population Disease Neuropsychological Tests Rookwood Driving Battery 03 medical and health sciences Cognition 0302 clinical medicine Interquartile range medicine Humans Prospective Studies education Prospective cohort study Parkinson’s Retrospective Studies Licensure education.field_of_study business.industry Parkinson Disease Retrospective cohort study General Medicine Odds ratio Confidence interval Ageing and Movement Research Group Physical therapy Geriatrics and Gerontology 0305 other medical science business 030217 neurology & neurosurgery Driving |
| Zdroj: | Lloyd, K, Gaunt, D M, Haunton, V, Skelly, R, Mann, H, Ben-Shlomo, Y & Henderson, E J 2020, ' Driving in Parkinson's Disease : a retrospective study of driving and mobility assessments ', Age and Ageing, vol. 49, no. 6, afaa098 . https://doi.org/10.1093/ageing/afaa098, https://doi.org/10.1093/ageing/afaa098 |
| ISSN: | 1468-2834 0002-0729 |
| DOI: | 10.1093/ageing/afaa098 |
| Popis: | Background To guide decision-making about driving ability, some patients with Parkinson’s disease (PD) undergo specialist driving assessment. However, decisions about driving safety in most patients need to be made without this definitive test. There is no consensus on what predicts unsafe driving in PD nor a validated prediction tool to guide clinician decision-making and the need to refer for further assessment. Objectives To describe the characteristics of patients with PD assessed at a Driving Mobility Centre and investigate factors that predict driving assessment outcome. Methods Retrospective cohort study of patients with PD assessed between 2012 and 2016. Descriptive analyses and logistic models to determine factors predicting a negative outcome. Results There were 86 assessments of patients with PD. The mean age was 70 years (±9.2), 86% were male, median disease duration 7 years (interquartile range 5–12.5 years) and 59% were referred by the Driver and Vehicle Licensing Agency. In total, 62% had a negative ‘not drive’ outcome. The Rookwood Driving Battery (RDB), depth of vision deficit, usual driving frequency, age, duration license held and response time were all predictors in univariable analysis. The RDB was the best predictor of assessment failure, conditional on other variables in a backward stepwise model (odds ratio 1.29; 95% confidence interval 1.05, 1.60; P = 0.015). Conclusions This is the first study to describe patients with PD undergoing driving assessments in the UK. In this population, RDB performance was the best predictor of outcome. Future prospective studies are required to better determine predictors of driving ability to guide development of prediction tools for implementation into clinical practice. |
| Databáze: | OpenAIRE |
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