Association of hospitalization with driving reduction and cessation in older adults.
Association of hospitalization with driving reduction and cessation in older adults.
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DOI：
10.1111/jgs.17178
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发表时间：
2021-08
影响因子：
6.3
通讯作者：
Betz ME
中科院分区：
文献类型：
--
作者：
Gaulton TG;Neuman MD;Brown RT;Betz ME
驾驶尚未被视为急性疾病的社会成本的一部分，在老年人的院后护理中可能会被忽视。尚未对住院后驾驶和高危人群的减少进行调查。通过使用全国代表性数据，确定老年人减少驾驶和停止驾驶与住院之间的关系。回顾性队列分析2004年至2014年的健康与退休研究调查65岁及以上的成年人，他们能够驾驶并有可用的汽车（n = 12 110; 40，364次访谈）自我报告需要住院过夜，驾驶模式的变化，包括驾驶停止或2年内的限制，共病状况，健康利用和行为。在65岁及以上的成年人住院治疗中，22%与2年内驾驶模式的减少有关。与未住院相比，住院时减少或停止驾驶的相对风险为1.62（95% CI：1.54，1.70，p < 0.001）。基线功能、认知和视力障碍、一般或较差的自评健康状况和糖尿病被确定为住院后驾驶模式减少的独立危险因素。老年人住院后驾驶模式的变化很常见。研究结果表明，驾驶，虽然不是目前的目标，院后护理，是重要的持续自主性和社区流动性的老年人，需要解决的一部分，出院规划和恢复。
Driving has not been considered as part of the social cost of acute illness and may go unnoticed in the post-hospital care of older adults. Decreases in driving after hospitalization and at-risk populations has not been investigated. To determine the association between driving reduction and cessation and hospitalization in older adults by using nationally representative data. Retrospective cohort analysis Health and Retirement Study survey from 2004 to 2014 Adults aged 65 years and older who were able to drive and had an available car (n = 12,110; 40,364 interviews) Self-report of a hospitalization requiring an overnight stay, changes in driving patterns including driving cessation or limitations over a 2-year period, comorbid conditions, health utilization and behaviors. Of hospitalizations in adults aged 65 years and older, 22% were associated with a decrease in driving patterns within 2 years. The relative risk of a reduction or cessation in driving was 1.62 (95% CI: 1.54, 1.70, p < 0.001) when there was a hospitalization compared to when a hospitalization did not occur. Baseline functional, cognitive, and visual impairment, fair or poor self-rated health, and diabetes were identified as independent risk factors for decreased driving patterns following hospitalization. Changes in driving patterns are common after a hospitalization in older adults. The findings suggest that driving, although not a current goal of post-hospital care, is important to the continued autonomy and community mobility of older adults and needs to be addressed as part of discharge planning and their recovery.
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影响因子：
5.7
作者：
Langa, KM;Plassman, BL;Willis, RJ
通讯作者：
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DOI：
10.1097/phm.0b013e318282bc0d
发表时间：
2013-07
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