Why older people stop to drive? A cohort study of older patients admitted to a rehabilitation setting
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The aim of this study is to describe the predictive factors of driving cessation at 6-month follow-up in older patients discharged from a rehabilitation setting and evaluated by an occupational therapist in a multidisciplinary team. Of 95 patients, at 6-month 27.4% ceased to drive. The reasons for driving cessation were a patients’ voluntary choice (42.3%) or a choice of their family (23.1%), and only in 34.6% of the patients the license was revoked by a medical commission. In a multivariate analysis greater functional impairment—measured with the Timed Up and Go test—(OR 12.60, CI 2.74–57.89; p < 0.01) was the only predictor of driving cessation. This study shows that the ability to walk safely and independently is a significant predictor of driving cessation. The simple assessment of this factor using the TUG might be an easy screening tool to prompt a second level evaluation to accurately identify unsafe driving.
KeywordsDriving Older adults Age Functional impairment Occupational therapy
We would like to thank Mirna Mai for her technical help with the translation during the writing process of this paper.
Study conception and design- All authors. Acquisition of data—Pozzi, Morghen, Lucchi, Morandi. Interpretation of results—all authors. Manuscript draft- Pozzi. Critically revised the manuscript—all authors
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
The local ethical committee approved the study protocol.
Human and animal rights
All procedures performed including human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all participants included in the study.
- 3.Iverson DJ, Gronseth GS, Reger MA et al. (2010) Practice parameter update: evaluation and management of driving risk in dementia: report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology 74:1316–1324. doi: 10.1212/WNL.0b013e3181da3b0f CrossRefPubMedPubMedCentralGoogle Scholar