Assessment and Reporting of Driving Fitness in Patients with Dementia in Clinical Practice: Data from SveDem, the Swedish Dementia Registry
Background: Driving constitutes a very important aspect of daily life and is dependent on cognitive functions such as attention, visuo-spatial skills and memory, which are often compromised in dementia. Therefore, the driving fitness of patients with dementia needs to be addressed by physicians and...
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Published in | Journal of Alzheimer's disease Vol. 53; no. 2; pp. 631 - 638 |
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Main Authors | , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
London, England
SAGE Publications
13.07.2016
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Abstract | Background: Driving constitutes a very important aspect of daily life and is dependent on cognitive functions such as attention, visuo-spatial skills and memory, which are often compromised in dementia. Therefore, the driving fitness of patients with dementia needs to be addressed by physicians and those that are deemed unfit should not be allowed to continue driving.
Objective: We aimed at investigating to what extent physicians assess driving fitness in dementia patients and determinant factors for revoking of their licenses.
Methods: This study includes 15113 patients with newly diagnosed dementia and driver’s license registered in the Swedish Dementia Registry (SveDem). The main outcomes were reporting to the licensing authority and making an agreement about driving eligibility with the patients.
Results: Physicians had not taken any action in 16% of dementia patients, whereas 9% were reported to the authority to have their licenses revoked. Males (OR = 3.04), those with an MMSE score between 20–24 (OR = 1.35) and 10–19 (OR = 1.50), patients with frontotemporal (OR = 3.09) and vascular dementia (OR = 1.26) were more likely to be reported to the authority.
Conclusion: For the majority of patients with dementia, driving fitness was assessed. Nevertheless, physicians did not address the issue in a sizeable proportion of dementia patients. Type of dementia, cognitive status, age, sex and burden of comorbidities are independent factors associated with the assessment of driving fitness in patients with dementia. Increased knowledge on how these factors relate to road safety may pave the way for more specific guidelines addressing the issue of driving in patients with dementia. |
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AbstractList | Driving constitutes a very important aspect of daily life and is dependent on cognitive functions such as attention, visuo-spatial skills and memory, which are often compromised in dementia. Therefore, the driving fitness of patients with dementia needs to be addressed by physicians and those that are deemed unfit should not be allowed to continue driving.
We aimed at investigating to what extent physicians assess driving fitness in dementia patients and determinant factors for revoking of their licenses.
This study includes 15113 patients with newly diagnosed dementia and driver's license registered in the Swedish Dementia Registry (SveDem). The main outcomes were reporting to the licensing authority and making an agreement about driving eligibility with the patients.
Physicians had not taken any action in 16% of dementia patients, whereas 9% were reported to the authority to have their licenses revoked. Males (OR = 3.04), those with an MMSE score between 20-24 (OR = 1.35) and 10-19 (OR = 1.50), patients with frontotemporal (OR = 3.09) and vascular dementia (OR = 1.26) were more likely to be reported to the authority.
For the majority of patients with dementia, driving fitness was assessed. Nevertheless, physicians did not address the issue in a sizeable proportion of dementia patients. Type of dementia, cognitive status, age, sex and burden of comorbidities are independent factors associated with the assessment of driving fitness in patients with dementia. Increased knowledge on how these factors relate to road safety may pave the way for more specific guidelines addressing the issue of driving in patients with dementia. Background: Driving constitutes a very important aspect of daily life and is dependent on cognitive functions such as attention, visuo-spatial skills and memory, which are often compromised in dementia. Therefore, the driving fitness of patients with dementia needs to be addressed by physicians and those that are deemed unfit should not be allowed to continue driving. Objective: We aimed at investigating to what extent physicians assess driving fitness in dementia patients and determinant factors for revoking of their licenses. Methods: This study includes 15113 patients with newly diagnosed dementia and driver’s license registered in the Swedish Dementia Registry (SveDem). The main outcomes were reporting to the licensing authority and making an agreement about driving eligibility with the patients. Results: Physicians had not taken any action in 16% of dementia patients, whereas 9% were reported to the authority to have their licenses revoked. Males (OR = 3.04), those with an MMSE score between 20–24 (OR = 1.35) and 10–19 (OR = 1.50), patients with frontotemporal (OR = 3.09) and vascular dementia (OR = 1.26) were more likely to be reported to the authority. Conclusion: For the majority of patients with dementia, driving fitness was assessed. Nevertheless, physicians did not address the issue in a sizeable proportion of dementia patients. Type of dementia, cognitive status, age, sex and burden of comorbidities are independent factors associated with the assessment of driving fitness in patients with dementia. Increased knowledge on how these factors relate to road safety may pave the way for more specific guidelines addressing the issue of driving in patients with dementia. |
Author | Johansson, Kurt Lundberg, Catarina Fereshtehnejad, Seyed-Mohammad Lovas, Joel Winblad, Bengt Cermakova, Pavla Johansson, Björn Eriksdotter, Maria Religa, Dorota |
Author_xml | – sequence: 1 givenname: Joel surname: Lovas fullname: Lovas, Joel organization: , Warsaw – sequence: 2 givenname: Seyed-Mohammad surname: Fereshtehnejad fullname: Fereshtehnejad, Seyed-Mohammad organization: , Warsaw – sequence: 3 givenname: Pavla surname: Cermakova fullname: Cermakova, Pavla organization: , Warsaw – sequence: 4 givenname: Catarina surname: Lundberg fullname: Lundberg, Catarina organization: , Warsaw – sequence: 5 givenname: Björn surname: Johansson fullname: Johansson, Björn organization: , Warsaw – sequence: 6 givenname: Kurt surname: Johansson fullname: Johansson, Kurt organization: , Warsaw – sequence: 7 givenname: Bengt surname: Winblad fullname: Winblad, Bengt organization: , Warsaw – sequence: 8 givenname: Maria surname: Eriksdotter fullname: Eriksdotter, Maria organization: , Warsaw – sequence: 9 givenname: Dorota surname: Religa fullname: Religa, Dorota email: Dorota.Religa@ki.se organization: , Warsaw |
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Keywords | cognitive status frontotemporal dementia agreement driving license Alzheimer’s disease Dementia |
Language | English |
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Snippet | Background: Driving constitutes a very important aspect of daily life and is dependent on cognitive functions such as attention, visuo-spatial skills and... Driving constitutes a very important aspect of daily life and is dependent on cognitive functions such as attention, visuo-spatial skills and memory, which are... |
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SubjectTerms | Aged Aged, 80 and over Automobile Driving Cross-Sectional Studies Dementia - complications Female Humans Longitudinal Studies Male Mental Status and Dementia Tests Psychomotor Disorders - diagnosis Psychomotor Disorders - etiology Registries - statistics & numerical data Sweden - epidemiology |
Title | Assessment and Reporting of Driving Fitness in Patients with Dementia in Clinical Practice: Data from SveDem, the Swedish Dementia Registry |
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