Factors affecting return to driving post-stroke
Factors affecting return to driving post-stroke
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DOI：
10.1007/s11845-010-0528-9
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发表时间：
2011-03-01
影响因子：
2.1
通讯作者：
O'Neill, D.
中科院分区：
文献类型：
--
作者：
Tan, K. M.;O'Driscoll, A.;O'Neill, D.
中风可以影响一个人的驾驶能力，驾驶是发达国家的一种重要交通工具。为了确定中风后恢复驾驶的患者比例和相关因素，重点是驾驶员评估。对1998年至2002年从我们470张床位的教学医院中风服务出院的患者进行回顾性研究。在72名中风前的驾驶员中，54%的人回忆起驾驶评估，68%的人重新开始驾驶。年轻患者（58.6 +/- A 12.0 vs. 66.5 +/- A 10.5，p = 0.008），改良兰金评分较低（中位数1 vs. 2，p = 0.0001），认知正常（55 vs. 43%，p = 0.45），更有可能恢复驾驶。接受评估的患者比未接受评估的患者恢复驾驶的比例更高（74 vs. 61%，p = 0.31）。通过积极主动的驾驶员评估和康复方法，可以在卒中后实现相对较高的恢复驾驶水平。应酌情提供结构化评估和转诊方案。
Stroke can affect a person's ability to drive, an important means of transportation in the developed world.To determine percentage of patients and factors associated with return to driving post-stroke in a service with emphasis on driver assessment.Retrospective study of patients discharged from the Stroke Service of our 470-bed teaching hospital from 1998 to 2002.Of 72 drivers pre-stroke, 54% recalled a driving assessment and 68% returned to driving. Younger patients (58.6 +/- A 12.0 vs. 66.5 +/- A 10.5, p = 0.008) with lower Modified Rankin Score (median 1 vs. 2, p = 0.0001) and normal cognition (55 vs. 43%, p = 0.45) were more likely to resume driving. More patients who were assessed returned to driving than those who were not (74 vs. 61%, p = 0.31).A relatively high level of return to driving can be achieved post-stroke with a pro-active approach to driver assessment and rehabilitation. A structured assessment and referral programme should be offered where appropriate.