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Systematic Review of Driving Risk and the Efficacy of Compensatory Strategies in Persons with Dementia

Systematic Review of Driving Risk and the Efficacy of Compensatory Strategies in Persons with... OBJECTIVES: To determine whether persons with dementia are at greater driving risk and, if so, to estimate the magnitude of this risk and determine whether there are efficacious methods to compensate for or accommodate it. DESIGN: Systematic review of the literature. SETTING: Case‐control studies. PARTICIPANTS: Drivers with a diagnosis of dementia. MEASUREMENTS: Most studies used state and caregiver reported crash rates, performance‐based road tests, and driving simulator evaluations as their outcome measures. RESULTS: Twenty‐three studies were included. Drivers with dementia universally exhibited poorer performance on road tests and simulator evaluations, although only one study using an objective measure of motor vehicle crashes was able to show that drivers with dementia were involved in more crashes than control subjects. No studies were found that examined the efficacy of methods to compensate for or accommodate their worse driving performance. CONCLUSION: Drivers with dementia are poorer drivers than cognitively normal drivers, but studies have not consistently demonstrated higher crash rates. Clinicians and policy makers must take these findings into account when addressing issues pertinent to drivers with a diagnosis of dementia. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of American Geriatrics Society Wiley

Systematic Review of Driving Risk and the Efficacy of Compensatory Strategies in Persons with Dementia

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References (77)

Publisher
Wiley
Copyright
Copyright © 2007 Wiley Subscription Services, Inc., A Wiley Company
ISSN
0002-8614
eISSN
1532-5415
DOI
10.1111/j.1532-5415.2007.01177.x
pmid
17537088
Publisher site
See Article on Publisher Site

Abstract

OBJECTIVES: To determine whether persons with dementia are at greater driving risk and, if so, to estimate the magnitude of this risk and determine whether there are efficacious methods to compensate for or accommodate it. DESIGN: Systematic review of the literature. SETTING: Case‐control studies. PARTICIPANTS: Drivers with a diagnosis of dementia. MEASUREMENTS: Most studies used state and caregiver reported crash rates, performance‐based road tests, and driving simulator evaluations as their outcome measures. RESULTS: Twenty‐three studies were included. Drivers with dementia universally exhibited poorer performance on road tests and simulator evaluations, although only one study using an objective measure of motor vehicle crashes was able to show that drivers with dementia were involved in more crashes than control subjects. No studies were found that examined the efficacy of methods to compensate for or accommodate their worse driving performance. CONCLUSION: Drivers with dementia are poorer drivers than cognitively normal drivers, but studies have not consistently demonstrated higher crash rates. Clinicians and policy makers must take these findings into account when addressing issues pertinent to drivers with a diagnosis of dementia.

Journal

Journal of American Geriatrics SocietyWiley

Published: Jun 1, 2007

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