Aging Clinical and Experimental Research

, Volume 30, Issue 5, pp 543–546 | Cite as

Why older people stop to drive? A cohort study of older patients admitted to a rehabilitation setting

  • Christian Pozzi
  • Elena Lucchi
  • Alessandro Lanzoni
  • Simona Gentile
  • Sara Morghen
  • Marco Trabucchi
  • Giuseppe Bellelli
  • Alessandro Morandi
Short Communication


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a patients’ voluntary choice (42.3%) or a choice of their family (23.1%), and only in 34.6% of the patients the license was revoked by a medical commission.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.


Driving 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.

Author contributions

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.

Ethical approval

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

Informed consent was obtained from all participants included in the study.

Sponsor role


Supplementary material

40520_2017_804_MOESM1_ESM.docx (18 kb)
Supplementary material 1 (DOCX 17 KB)
40520_2017_804_MOESM2_ESM.docx (18 kb)
Supplementary material 2 (DOCX 18 KB)


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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Department of Rehabilitation and Aged Care “Fondazione Camplani” HospitalCremonaItaly
  2. 2.Rehabilitation Hospital Ancelle di CremonaGeriatric Research GroupBresciaItaly
  3. 3.Geriatric Centre “Fondazione Boni”Suzzara (MN)Italy
  4. 4.School of Medicine and SurgeryUniversity of Milano-BicoccaMilanItaly
  5. 5.Geriatric UnitS. Gerardo HospitalMonzaItaly

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