Risk of accidents in drivers with epilepsy.
Risk of accidents in drivers with epilepsy.
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患有癫痫症的驾驶员存在发生事故的风险。
DOI：
10.1136/jnnp.60.6.621
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发表时间：
1996
影响因子：
11
通讯作者：
Tony Johnson
中科院分区：
文献类型：
--
作者：
Julie Taylor;D. Chadwick;Tony Johnson
目的：评估有单次癫痫发作或癫痫病史的驾驶员在三年内发生道路交通事故的风险，并将其与交通研究实验室（TRL）随访的驾驶员队列进行比较。设计：采用自填问卷对驾驶和事故经历进行回顾性调查。受试者：16,958名有癫痫病史的司机参与了调查，8888名非癫痫司机参与了TRL调查。主要结果测量指标-任何事故、任何造成伤害的事故和任何造成严重伤害的事故的风险，超过三年的时间。结果：在调整了两组人群在年龄、性别、驾驶经验和里程方面的差异后，没有证据表明有癫痫病史的司机发生事故的风险总体上有所增加。然而，有证据表明癫痫患者发生更严重事故的风险增加。严重伤害的风险增加了约40%，有证据表明非驾驶员死亡的风险增加了两倍。这些增长似乎在很大程度上可以解释为在调查所涵盖的三年驾驶期间，这些人群中癫痫发作的发生率。结论：有癫痫病史的人驾驶的可接受性应由导致伤害或严重伤害的可接受事故风险而不是总体事故率来决定。由于癫痫患者现在可以在12个月无癫痫发作期后开车，而不是在进行这项调查时要求的两年，因此确定这项政策是否会增加伤害相关事故的风险是很重要的。
OBJECTIVE--To estimate the risks of road traffic accidents over a period of three years in drivers with a history of single seizures or epilepsy, and to compare them with a cohort of drivers followed up by the Transport Research Laboratory (TRL). DESIGN--A retrospective survey of driving and accident experience by self-completion questionnaire. SUBJECTS--16,958 drivers with a previous history of epilepsy responding to the survey and 8888 non-epileptic drivers responding to a TRL survey. MAIN OUTCOME MEASURES--The risk of any accident, any accident producing an injury, and any accident producing a serious injury, over a three year period. RESULTS--After adjustment for differences in age, sex, driving experience, and mileage between the two populations there was no evidence of any overall increase in risk of accidents in the population of drivers with a history of epilepsy. However, there was evidence of an increased risk of more severe accidents in the population with epilepsy. The risk was increased by about 40% for serious injuries and there was evidence of a twofold risk of increase in non-driver fatalities. These increases seem largely explicable by the occurrence of seizures in this population during the three years of driving that the survey covered. CONCLUSIONS--The acceptability of driving for people with a history of epilepsy should be determined by an acceptable risk of accidents resulting in injury or serious injury rather than overall accident rates. As people with epilepsy can now drive after a 12 month seizure free period rather than the required two year period when this survey was undertaken, it is important to ascertain whether there is any increased risk of injury associated accidents with this policy.