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Practice Parameter update: Evaluation and management of driving risk in dementia Report of the Quality Standards Subcommittee of the American Academy of Neurology (Podcast) (e–Pub ahead of print)

Practice Parameter update: Evaluation and management of driving risk in dementia Report of... SPECIAL ARTICLE Practice Parameter update: Evaluation and management of driving risk in dementia Report of the Quality Standards Subcommittee of the American Academy of Neurology D.J. Iverson, MD ABSTRACT G.S. Gronseth, MD Objective: To review the evidence regarding the usefulness of patient demographic characteris- M.A. Reger, PhD tics, driving history, and cognitive testing in predicting driving capability among patients with S. Classen, PhD, MPH, dementia and to determine the efficacy of driving risk reduction strategies. OTR/L Methods: Systematic review of the literature using the American Academy of Neurology’s R.M. Dubinsky, MD, evidence-based methods. MPH Recommendations: For patients with dementia, consider the following characteristics useful for iden- M. Rizzo, MD tifying patients at increased risk for unsafe driving: the Clinical Dementia Rating scale (Level A), a caregiver’s rating of a patient’s driving ability as marginal or unsafe (Level B), a history of crashes or traffic citations (Level C), reduced driving mileage or self-reported situational avoidance (Level C), Address correspondence and reprint requests to American Mini-Mental State Examination scores of 24 or less (Level C), and aggressive or impulsive personality Academy of Neurology, 1080 characteristics (Level C). Consider the following characteristics not useful for identifying patients at Montreal Avenue, St. Paul, http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Neurology Wolters Kluwer Health

Practice Parameter update: Evaluation and management of driving risk in dementia Report of the Quality Standards Subcommittee of the American Academy of Neurology (Podcast) (e–Pub ahead of print)

Neurology , Volume 74 (16) – Apr 1, 2010

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References (54)

ISSN
0028-3878
eISSN
1526-632X
DOI
10.1212/WNL.0b013e3181da3b0f
pmid
20385882
Publisher site
See Article on Publisher Site

Abstract

SPECIAL ARTICLE Practice Parameter update: Evaluation and management of driving risk in dementia Report of the Quality Standards Subcommittee of the American Academy of Neurology D.J. Iverson, MD ABSTRACT G.S. Gronseth, MD Objective: To review the evidence regarding the usefulness of patient demographic characteris- M.A. Reger, PhD tics, driving history, and cognitive testing in predicting driving capability among patients with S. Classen, PhD, MPH, dementia and to determine the efficacy of driving risk reduction strategies. OTR/L Methods: Systematic review of the literature using the American Academy of Neurology’s R.M. Dubinsky, MD, evidence-based methods. MPH Recommendations: For patients with dementia, consider the following characteristics useful for iden- M. Rizzo, MD tifying patients at increased risk for unsafe driving: the Clinical Dementia Rating scale (Level A), a caregiver’s rating of a patient’s driving ability as marginal or unsafe (Level B), a history of crashes or traffic citations (Level C), reduced driving mileage or self-reported situational avoidance (Level C), Address correspondence and reprint requests to American Mini-Mental State Examination scores of 24 or less (Level C), and aggressive or impulsive personality Academy of Neurology, 1080 characteristics (Level C). Consider the following characteristics not useful for identifying patients at Montreal Avenue, St. Paul,

Journal

NeurologyWolters Kluwer Health

Published: Apr 1, 2010

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