The Driving Visual Field and a History of Motor Vehicle Collision Involvement in Older Drivers: A Population-Based Examination
The Driving Visual Field and a History of Motor Vehicle Collision Involvement in Older Drivers: A Population-Based Examination
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DOI：
10.1167/iovs.14-15194
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发表时间：
2015-01-01
影响因子：
4.4
通讯作者：
Owsley, Cynthia
中科院分区：
文献类型：
--
作者：
Huisingh, Carrie;McGwin, Gerald, Jr.;Owsley, Cynthia
目的.我们设计了一个视野测试，重点是在驾驶时使用的领域，以检查场损伤和机动车碰撞参与2000年70岁或以上的司机之间的关联。“驾驶视野测试”涉及测量每只眼睛中20个目标的光敏感度，向上延伸15度，向后延伸30度，颞侧延伸60度，鼻侧延伸30度。选择目标位置的基础上，它们落在通过车辆的挡风玻璃观看或在驾驶时观看仪表板时使用的场区域内。根据每只眼睛的更敏感点，将单眼视野合并为双眼视野。整个视野或区域的严重损害定义为敏感性最低四分位数的平均敏感性。从州记录中获得了入组前5年的故障碰撞参与。泊松回归被用来计算原油和调整后的速率比（RR）检查现场损害和故障碰撞参与之间的关联。在整个驾驶视野中，双眼视野严重受损的驾驶员发生错误碰撞的比率增加了40%（RR，1.40; 95%置信区间[CI]：1.07-1.83）。下视野和左视野受损与碰撞率升高相关（RR，1.40; 95%CI：1.07-1.82和RR，1.49; 95%CI：1.15-1.92），而上视野和右视野受损与碰撞率升高无关。结果表明，老年驾驶员与严重损害在较低或左侧区域的驾驶视野更有可能有历史的故障碰撞参与。
PURPOSE. We designed a visual field test focused on the field utilized while driving to examine associations between field impairment and motor vehicle collision involvement in 2000 drivers aged 70 years or older.METHODS. The "driving visual field test'' involved measuring light sensitivity for 20 targets in each eye, extending 15 degrees superiorly, 30 degrees inferiorly, 60 degrees temporally, and 30 degrees nasally. The target locations were selected on the basis that they fell within the field region utilized when viewing through the windshield of a vehicle or viewing the dashboard while driving. Monocular fields were combined into a binocular field based on the more sensitive point from each eye. Severe impairment in the overall field or a region was defined as average sensitivity in the lowest quartile of sensitivity. At-fault collision involvement for 5 years prior to enrollment was obtained from state records. Poisson regression was used to calculate crude and adjusted rate ratios (RRs) examining the association between field impairment and at-fault collision involvement.RESULTS. Drivers with severe binocular field impairment in the overall driving visual field had a 40% increased rate of at-fault collision involvement (RR, 1.40; 95% confidence interval [CI]: 1.07-1.83). Impairment in the lower and left fields was associated with elevated collision rates (RR, 1.40; 95% CI: 1.07-1.82 and RR, 1.49; 95% CI: 1.15-1.92, respectively), whereas impairment in the upper and right field regions was not.CONCLUSIONS. Results suggest that older drivers with severe impairment in the lower or left region of the driving visual field are more likely to have a history of at-fault collision involvement.