scholarly journals The Medical Referral Process and Motor-Vehicle Crash Risk for Drivers with Dementia

Geriatrics ◽  
2020 ◽  
Vol 5 (4) ◽  
pp. 91
Author(s):  
Jonathan Davis ◽  
Cara Hamann ◽  
Brandon Butcher ◽  
Corinne Peek-Asa
Keyword(s):  
Review Process ◽  
Motor Vehicle ◽  
The United States ◽  
Motor Vehicle Crash ◽  
Driving Ability ◽  
Crash Risk ◽  
Referral Process ◽  
Vehicle Crash ◽  
Increased Risk ◽  
Medical Referral

Cognitive and physical impairment can occur with dementia and reduce driving ability. In the United States, individual states have procedures to refer and evaluate drivers who may no longer be fit to drive. The license review process is not well understood for drivers with dementia. This study uses comprehensive data from the Iowa Department of Transportation to compare the referral process for drivers with and without dementia from January 2014 through November 2019. The likelihood of failing an evaluation test was compared between drivers with and without dementia using logistic regression. The risk of motor-vehicle crash after referral for review of driving ability was compared using a Cox proportional hazard model. Analysis controlled for the age and sex of the referred driver. Drivers with dementia performed worse on all tests evaluated except the visual screening test. After the referral process, the risk of crash was similar between those with and without dementia. Drivers with dementia were denied their license more frequently than referred drivers without dementia. However, drivers with dementia who successfully kept their license as a result of the license review process were not at an increased risk of crash compared to other referred drivers.

scholarly journals Abnormal sleep duration and motor vehicle crash risk

2004 ◽  
Vol 13 (2) ◽  
pp. 177-178 ◽  
Author(s):  
Nathaniel S. Marshall ◽  
Warren Bolger ◽  
Philippa H. Gander
Keyword(s):  
Sleep Duration ◽  
Motor Vehicle ◽  
Motor Vehicle Crash ◽  
Crash Risk ◽  
Vehicle Crash ◽  
Abnormal Sleep

What is the motor vehicle crash risk for drivers with epilepsy? A systematic review

2021 ◽  
Vol 23 ◽  
pp. 101286
Author(s):  
Sjaan Koppel ◽  
Marilyn Di Stefano ◽  
Bleydy Dimech-Betancourt ◽  
Mohammed Aburumman ◽  
Rachel Osborne ◽  
...  
Keyword(s):  
Systematic Review ◽  
Motor Vehicle ◽  
Motor Vehicle Crash ◽  
Crash Risk ◽  
Vehicle Crash

scholarly journals Sleep deficiency and motor vehicle crash risk in the general population: a prospective cohort study

BMC Medicine ◽  
2018 ◽  
Vol 16 (1) ◽  
Author(s):  
Daniel J. Gottlieb ◽  
Jeffrey M. Ellenbogen ◽  
Matt T. Bianchi ◽  
Charles A. Czeisler
Keyword(s):  
Cohort Study ◽  
General Population ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Motor Vehicle ◽  
Motor Vehicle Crash ◽  
Crash Risk ◽  
Vehicle Crash ◽  
Sleep Deficiency

scholarly journals Can Adolescent Drivers' Motor Vehicle Crash Risk Be Reduced by Pre-Licensure Intervention?

2018 ◽  
Vol 62 (3) ◽  
pp. 341-348 ◽  
Author(s):  
Jessica H. Mirman ◽  
Allison E. Curry ◽  
Michael R. Elliott ◽  
Leann Long ◽  
Melissa R. Pfeiffer
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Crash ◽  
Crash Risk ◽  
Vehicle Crash ◽  
Adolescent Drivers

scholarly journals 40. Using Respondent Driven Sampling To Estimate Homicide And Motor Vehicle Crash Risk Among Adolescents And Young Adults In A Latino Community

2019 ◽  
Vol 64 (2) ◽  
pp. S21-S22
Author(s):  
Manuel Ángel Oscós-Sánchez ◽  
Belinda Bustos Flores ◽  
Lorena Claeys ◽  
Yuanyuan Liang ◽  
Belem López ◽  
...  
Keyword(s):  
Young Adults ◽  
Motor Vehicle ◽  
Motor Vehicle Crash ◽  
Adolescents And Young Adults ◽  
Crash Risk ◽  
Respondent Driven Sampling ◽  
Latino Community ◽  
Vehicle Crash

Impact of gender on first eye cataract surgery and motor vehicle crash risk for older drivers

2012 ◽  
Vol 40 (6) ◽  
pp. 591-596 ◽  
Author(s):  
Lynn B Meuleners ◽  
Jonathon Q Ng ◽  
Michelle Fraser ◽  
Delia Hendrie ◽  
Nigel Morlet
Keyword(s):  
Cataract Surgery ◽  
Motor Vehicle ◽  
Motor Vehicle Crash ◽  
Older Drivers ◽  
Crash Risk ◽  
Vehicle Crash

Trends in Cannabis Involvement and Risk of Alcohol Involvement in Motor Vehicle Crash Fatalities in the United States, 2000‒2018

2021 ◽  
pp. e1-e10
Author(s):  
Marlene C. Lira ◽  
Timothy C. Heeren ◽  
Magdalena Buczek ◽  
Jason G. Blanchette ◽  
Rosanna Smart ◽  
...  
Keyword(s):  
United States ◽  
Motor Vehicle ◽  
Blood Alcohol Concentration ◽  
The United States ◽  
Alcohol Concentration ◽  
Motor Vehicle Crash ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Vehicle Crash ◽  
Alcohol Involvement

Objectives. To assess cannabis and alcohol involvement among motor vehicle crash (MVC) fatalities in the United States. Methods. In this repeated cross-sectional analysis, we used data from the Fatality Analysis Reporting System from 2000 to 2018. Fatalities were cannabis-involved if an involved driver tested positive for a cannabinoid and alcohol-involved based on the highest blood alcohol concentration (BAC) of an involved driver. Multinomial mixed-effects logistic regression models assessed cannabis as a risk factor for alcohol by BAC level. Results. While trends in fatalities involving alcohol have remained stable, the percentage of fatalities involving cannabis and cannabis and alcohol increased from 9.0% in 2000 to 21.5% in 2018, and 4.8% in 2000 to 10.3% in 2018, respectively. In adjusted analyses, fatalities involving cannabis had 1.56 (95% confidence interval [CI] = 1.48, 1.65), 1.62 (95% CI = 1.52, 1.72), and 1.46 (95% CI = 1.42, 1.50) times the odds of involving BACs of 0.01% to 0.049%, 0.05% to 0.079%, and 0.08% or higher, respectively. Conclusions. The percentage of fatalities involving cannabis and coinvolving cannabis and alcohol doubled from 2000 to 2018, and cannabis was associated with alcohol coinvolvement. Further research is warranted to understand cannabis- and alcohol-involved MVC fatalities. (Am J Public Health. Published online ahead of print October 28, 2021:e1–e10. https://doi.org/10.2105/AJPH.2021.306466 )

Restraint Use and Age and Sex Characteristics of Persons Involved in Fatal Motor Vehicle Crashes

2003 ◽  
Vol 1830 (1) ◽  
pp. 10-17 ◽  
Author(s):  
Brian Ho-Yin Lee ◽  
Joseph L. Schofer
Keyword(s):  
Motor Vehicle ◽  
Age Groups ◽  
The United States ◽  
Motor Vehicle Crash ◽  
Sex Characteristics ◽  
Young Males ◽  
Vehicle Crash ◽  
Restraint Use ◽  
Fatal Crashes ◽  
Age And Sex

The lap and shoulder belt combination can reduce the risk of fatal motor vehicle crash injuries to front-seat occupants by 45% and the risk of moderate-to-critical injuries by 50%. The significant life- and cost-saving potentials of these restraining devices, installed in virtually every vehicle in the United States, are well recognized, but the benefits come only from their actual use. Identified are two demographic characteristics of unrestrained persons involved in fatal crashes, age and sex, to provide a basis for targeting educational and promotional efforts to encourage restraint use among the most vulnerable groups. Analyses are based on 1996 to 2000 crash data from the Fatality Analysis Reporting System, compared with exposure data from the 1995 Nationwide Personal Transportation Survey. This study found that the risk of sustaining fatal injuries in a vehicle crash is reduced by 54% when occupant restraints are used. A much higher proportion of young males in the 16 to 19 and 20 to 24 age groups involved in fatal crashes do not use restraints, about 1.72 and 1.69 times greater, respectively, than those who do use restraints. While females in these age groups are also overrepre-sented, the extent of this excess is less than that of males. This underscores the need to find ways to educate young people, especially young males, about the benefits of restraint use.

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