Concussion and Driving Skills in the Young Driver

年轻驾驶员的脑震荡和驾驶技巧

• 批准号: 9817218
• 负责人: FREDERICK P. RIVARA
• 金额: $ 53.09万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-07-15 至 2023-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9817218
• 关键词: Acceleration; Age; Age-Years; Alcohols; Attention Concentration; Automobile Driving; Brain Concussion; Caring; Clinical; Cognitive; Cohort Studies; Communication; Development; Drug usage; Enrollment; Environment; Face; Gender; Goals; Guidelines; Impaired cognition; Impairment; Individual; Injury; Learning; Measures; Medical; Methods; Monitor; Neurocognitive; Neuropsychological Tests; Neuropsychology; Outcome Measure; Participant; Patients; Pattern; Performance; Plant Roots; Play; Police; Prospective Studies; Prospective cohort study; Protocols documentation; Reaction Time; Recording of previous events; Recovery; Recreation; Reporting; Research; Research Design; Risk; Risk Behaviors; Risk Factors; Schools; Sensitivity and Specificity; Signs and Symptoms; Speed; Surveys; Symptoms; Task Performances; Technology; Voice; Work; Young driver; aged; base; case control; classification trees; cognitive task; cohort; concussive symptom; distracted driving; driving safety; driving skills; evidence base; experience; fitness; functional improvement; impaired driving performance; improved; information processing; innovation; mortality risk; new technology; population health; processing speed; prospective; random forest; recruit; skills; tool

PROJECT SUMMARY/ABSTRACT Research Objectives. This prospective cohort study rigorously examines the neurocognitive impact of concussion on simulated and real-world driving performance among young drivers aged 16-24 years. Importance. Concussion impairs cognitive processing speed, attention, concentration and integration – skills which are also important for safe driving. Unlike new “Return to Learn” guidelines, there are no evidence-based “Return to Drive” guidelines for when individuals with concussion may be safe to return to driving. Objectives. Conduct a prospective matched cohort study to explore the risk of concussion in simulated and real-world driving conditions. We propose three specific aims and a fourth exploratory aim: (i) Examine whether concussion negatively impacts simulated driving performance among young drivers, relative to a cohort of young drivers without concussion. (ii) Determine whether simulated driving task performance correlates with recovery from concussion symptoms and signs in the month following concussion, relative to young drivers without recent concussion. (iii) Measure the impact of concussion and recovery on real-world driving exposure and performance. (iv) [Exploratory] Examine whether concussion symptoms and neuropsychometric impairment are associated with higher rates of driving citations or reported crashes. Study design. Prospective controlled matched cohort study. Setting/participants. 50 drivers with recent concussion; 50 age/gender matched controls aged 16-25 years. Study protocol. Concussion participants will be recruited within two weeks of concussion. Case and control participants will complete 1) driving risk survey; 2) neuropsychological testing an 3) simulated driving tasks at baseline and 1 month. Commercially available monitoring technology will record risky driving for 3 months Outcome measures. (i) simulated driving risk scores; (ii) real world driving risk scores (rapid braking, rapid acceleration, speeding); (iii) reported citations and crash rates. Impact. This study will have a significant population health impact in elucidating the neurocognitive sequelae of recent concussion on driving. Results will inform return to safe driving among young drivers with concussion.

项目总结/摘要 研究目的。这项前瞻性队列研究严格检查了 脑震荡对16-24岁年轻驾驶员的模拟和真实驾驶性能的影响。 重要性脑震荡损害认知处理速度、注意力、集中力和整合技能 这对安全驾驶也很重要。与新的“返回学习”指南不同， “恢复驾驶”指南，当个人与脑震荡可能是安全的恢复驾驶。 目标.进行一项前瞻性匹配队列研究，以探索模拟和 现实世界的驾驶条件。我们提出了三个具体目标和第四个探索性目标： (i)检查脑震荡是否对年轻人的模拟驾驶性能产生负面影响 司机，相对于一群没有脑震荡的年轻司机。 (ii)确定模拟驾驶任务的表现是否与从 脑震荡后一个月内的脑震荡症状和体征，相对于年轻司机 没有脑震荡 (iii)测量脑震荡和恢复对现实世界驾驶暴露的影响， 性能 (iv)[探索性]检查脑震荡症状和神经心理障碍是否 与更高的驾驶引用率或报告的碰撞有关。 研究设计.前瞻性对照匹配队列研究。 设置/参与者。50名最近患有脑震荡的司机; 50名年龄/性别匹配的对照组，年龄在16-25岁之间。 研究方案。脑震荡参与者将在脑震荡后两周内招募。病例和对照 参加者将完成1）驾驶风险调查; 2）神经心理测试; 3）模拟驾驶任务， 基线和1个月。商用监控技术将记录3个月的危险驾驶 结果测量。(i)（ii）真实的世界驾驶风险评分（快速制动、 加速，超速）;（三）报告的引用和碰撞率。 冲击这项研究将有一个显着的人口健康的影响，在阐明神经认知后遗症 最近开车时脑震荡结果将告知脑震荡的年轻司机恢复安全驾驶。