Visual and medical risk factors for motor vehicle collision involvement among older drivers
Visual and medical risk factors for motor vehicle collision involvement among older drivers
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DOI：
10.1136/bjo.2008.144584
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发表时间：
2009-03-01
影响因子：
4.1
通讯作者：
Owsley, C.
中科院分区：
文献类型：
--
作者：
Cross, J. M.;McGwin, G., Jr.;Owsley, C.
目的：识别视觉和医疗危险因素的机动车碰撞（MVCs.Methods）：数据从四个队列的老年司机从三个国家合并（n = 3158）。在基线时收集健康信息，并前瞻性地获得MVC数据。考克斯比例风险回归被用来估计率比（RR）和95%CI之间的关联医学特征和MVC.Results：共363 MVCs观察在研究期间（1990年至1997年），其中145是错误的，62是有害的。福尔斯跌倒和有用视野（UFOV）受损与总体MVC呈正相关。故障时的MVC也与福尔斯和UFOV损伤呈正相关，与癌症呈负相关。受伤的MVCs与关节炎和神经系统疾病呈正相关，与高血压呈负相关。结论：这些研究结果显示，在所有的风险因素，在故障和受伤的MVCs的相似性和差异，并指出需要验证和可能的干预措施。
Aims: To identify visual and medical risk factors for motor vehicle collisions (MVCs).Methods: Data from four cohorts of older drivers from three states were pooled (n = 3158). Health information was collected at baseline, and MVC data were obtained prospectively. Cox proportional hazards regression was used to estimate rate ratios (RRs) and 95% CIs for associations between medical characteristics and MVCs.Results: A total of 363 MVCs were observed during the study period (1990-1997), of which 145 were at fault, and 62 were injurious. Falls and impaired useful field of view (UFOV) were positively associated with overall MVCs. At-fault MVCs were also positively associated with falls and UFOV impairment, and inversely with cancer. Injurious MVCs were positively associated with arthritis and neurological disease, and inversely with hypertension.Conclusions: These findings show similarities and differences across the risk factors for all, at-fault and injurious MVCs, and point to the need for verification and possible interventions.