Visual and cognitive deficits predict stopping or restricting driving: the Salisbury Eye Evaluation Driving Study (SEEDS).
Visual and cognitive deficits predict stopping or restricting driving: the Salisbury Eye Evaluation Driving Study (SEEDS).
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DOI：
10.1167/iovs.08-2367
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发表时间：
2009-01
影响因子：
4.4
通讯作者：
West SK
中科院分区：
文献类型：
--
作者：
Keay L;Munoz B;Turano KA;Hassan SE;Munro CA;Duncan DD;Baldwin K;Jasti S;Gower EW;West SK
确定预测老年驾驶员停止或限制驾驶的视觉和其他因素。参加活动的有1425名年龄在67岁至87岁之间的持照司机，他们都是大索尔兹伯里的居民。在登记后1年，这组被归类为那些谁已经停止驾驶，只在他们的社区内驾驶，或继续驾驶超出他们的社区。在基线时，进行了一系列结构化问卷、视力和认知测试。多因素分析确定了12个月后停止或限制驾驶的预测因素。在入组的1425例患者中，1237例（87%）在1年时接受了随访。排除基线时已经限制驾驶的受试者（n = 35），1.5%（18/1202）停止驾驶，3.4%（41/1202）限制驾驶。女性（比值比[OR]，4.01; 95%可信区间[CI]，2.05-8.20）和那些喜欢被驾驶的人（OR，3.91; 95% CI，1.91-8.00）更有可能停止或限制驾驶。抑郁症状增加了限制或停止驾驶的可能性（OR，1.08; 95%CI，1.009-1.16每点老年抑郁量表）。缓慢的视觉扫描和心理速度（连线测验，A部分：OR，1.02; 95% CI，1.01-1.03），视觉建构能力差（视觉运动整合的Beery-Buktenica测试：OR，1.14; 95%CI，1.05-1.25），对比敏感度降低（OR，1.15; 95%CI，1.03-1.28）预测停止或减少驾驶。视野丧失和视觉注意力不相关。视觉对改变驾驶行为的影响部分由认知、抑郁和基线驾驶偏好介导。在该队列中，对比敏感度和认知功能与事件停止或驾驶空间限制独立相关。这些数据表明，有功能缺陷的司机很难做出限制或停止驾驶的决定。
To determine the visual and other factors that predict stopping or restricting driving in older drivers. A group of 1425 licensed drivers aged 67 to 87 years, who were residents of greater Salisbury, participated. At 1 year after enrollment, this group was categorized into those who had stopped driving, drove only within their neighborhood, or continued to drive beyond their neighborhood. At baseline, a battery of structured questionnaires, vision, and cognitive tests were administered. Multivariate analysis determined the factors predictive of stopping or restricting driving 12 months later. Of the 1425 enrolled, 1237 (87%) were followed up at 1 year. Excluding those who were already limiting their driving at baseline (n = 35), 1.5% (18/1202) had stopped and 3.4% (41/1202) had restricted their driving. The women (odds ratio [OR], 4.01; 95% confidence interval [CI], 2.05–8.20) and those who prefer to be driven (OR, 3.91; 95% CI, 1.91–8.00) were more likely to stop or restrict driving. Depressive symptoms increased likelihood of restricting or stopping driving (OR, 1.08; 95% CI, 1.009–1.16 per point Geriatric Depression Scale). Slow visual scanning and psychomotor speed (Trail Making Test, Part A: OR, 1.02; 95% CI, 1.01–1.03), poor visuoconstructional skills (Beery-Buktenica Test of Visual Motor Integration: OR, 1.14; 95% CI, 1.05–1.25), and reduced contrast sensitivity (OR, 1.15; 95% CI, 1.03–1.28) predicted stopping or reducing driving. Visual field loss and visual attention were not associated. The effect of vision on changing driving behavior was partially mediated by cognition, depression, and baseline driving preferences. In this cohort, contrast sensitivity and cognitive function were independently associated with incident cessation or restriction of driving space. These data suggest drivers with functional deficits make difficult decisions to restrict or stop driving.
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DOI：
10.1093/geronj/48.5.s255
发表时间：
1993-09-01
期刊：
JOURNALS OF GERONTOLOGY
影响因子：
--
作者：
MAROTTOLI, RA;OSTFELD, AM;COONEY, LM
通讯作者：
COONEY, LM
影响因子：
1.4
作者：
Freeman, EE;Muñoz, B;West, SK
通讯作者：
West, SK
影响因子：
14.8
作者：
Bowie, Christopher R.;Harvey, Philip D.
通讯作者：
Harvey, Philip D.
影响因子：
4.1
作者：
Hakamies-Blomqvist, L;Siren, A
通讯作者：
Siren, A
影响因子：
12.7
作者：
Foley, DJ;Heimovitz, HK;Brock, DB
通讯作者：
Brock, DB