Influence of chronic illness on crash involvement of motor vehicle drivers: 2nd edition

Influence of chronic illness on crash involvement of motor vehicle drivers: 2nd edition
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慢性病对机动车驾驶员碰撞事故的影响:第二版

DOI:
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发表时间:
2010
期刊:
影响因子:
--
通讯作者:
M. Scully
M. Scully
中科院分区:
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文献类型:
--
作者:
J. Charlton;S. Koppel;Morris Odell;Anna Devlin;J. Langford;M. O'Hare;Chelvi Kopinathan;D. Andrea;Geoff Smith;B. Khodr;J. Edquist;Carlyn Muir;M. Scully

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在道路安全方面需要考虑的一个重要问题是医疗条件对撞车和受伤风险的影响。该项目的目的是更新第一版报告:查尔顿等人(2004年)。慢性疾病对机动车驾驶员碰撞涉入的影响。第213号报告。克莱顿,澳大利亚:莫纳什大学事故研究中心。该报告审查了2003年5月至2009年年中期间慢性疾病和损伤对机动车驾驶员参与碰撞的影响的证据,建立在以前的研究基础上,并提供了自上次报告以来对证据的最新审查。一些方法的问题进行了讨论,最近的研究结果进行了批判性的评价。风险评级系统适用于所有感兴趣的医疗条件。这提供了一种手段,可以确定哪些情况风险最大。根据新的证据和2003年5月之前的证据,与相关对照组相比,发现8种情况的撞车风险至少适度升高(相对风险大于2.0)。这些疾病与2004年报告中确定的疾病相同:酗酒和酒精依赖、痴呆、癫痫、多发性硬化症、精神疾病(作为一组考虑)、精神分裂症、睡眠呼吸暂停和白内障。还根据撞车风险的证据,审议了关于从选定管辖区开车的适宜性的准则。这些比较揭示了不同司法管辖区之间的一些差异,并突出了与坠机风险现有证据的一些不一致之处。提出了一些结论,这可能有助于制定管理与医疗条件相关的伤害事故的风险的建议。这次审查的结果还突出表明,需要对未来的研究采取国际合作办法,利用基于人口的前瞻性研究,以促进将医疗条件造成的损害与撞车风险联系起来的科学知识。
A significant issue for consideration in road safety is the impact of medical conditions on crash involvement and risk of injury. The aim of this project was to update the first edition report: Charlton et al. (2004). Influence of Chronic Illness on Crash Involvement of Motor Vehicle Drivers. Report No. 213. Clayton, Australia: Monash University Accident Research Centre. The report reviews the evidence for the influence of chronic illness and impairments on crash involvement of motor vehicle drivers for the period May 2003 to mid-2009, builds on previous research and provides an updated review of evidence since the last report. A number of methodological issues are discussed and recent research findings are critically evaluated. A risk rating system was applied to all medical conditions of interest. This provided a means of identifying those conditions that presented the greatest risk. Based on both new evidence and pre-May 2003 evidence, eight conditions were found to have a least a moderately elevated risk of crash involvement (relative risk greater than 2.0) compared with their relevant control group. These comprised the same conditions identified in the 2004 report: alcohol abuse and dependence, dementia, epilepsy, multiple sclerosis, psychiatric disorders (considered as a group), schizophrenia, sleep apnoea and cataracts. Guidelines regarding fitness to drive from selected jurisdictions were also considered in the light of evidence for crash risk. These comparisons revealed a number of differences across the jurisdictions and highlighted some inconsistencies with the available evidence for crash risk. A number of conclusions are presented which may contribute to the formulation of recommendations for managing the risk of injury crashes associated with medical conditions. The findings of this review also highlighted the need for a cooperative international approach to future research using population-based, prospective studies to advance scientific knowledge linking impairment from medical conditions and crash risk.
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