Concussion and Driving Skills in the Young Driver

项目摘要/摘要 研究目标。这项前瞻性队列研究严格检查了 脑震荡对16-24岁年轻司机的模拟和真实驾驶表现的影响。 重要性。脑震荡损害认知处理速度、注意力、注意力和整合技能 这对安全驾驶也很重要。与新的“回归学习”指导方针不同，没有基于证据的指导方针 脑震荡患者何时可以安全恢复驾驶的“返回驾驶”指南。 目标。进行一项前瞻性配对队列研究，以探索在模拟和 真实的驾驶条件。我们提出了三个具体目标和第四个探索性目标： (I)研究脑震荡是否会对青少年的模拟驾驶行为产生负面影响 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 与年轻司机相比，脑震荡后一个月的脑震荡症状和体征 没有最近的脑震荡。 (3)衡量脑震荡和康复对现实世界驾驶暴露的影响，以及 性能。 (四)[探索性]检查脑震荡症状和神经心理障碍是否 与较高的驾驶罚款率或报道的撞车事故有关。 研究设计。前瞻性对照配对队列研究。 背景/参与者。50名最近有脑震荡的司机；50名年龄/性别匹配的16-25岁的对照组。 学习礼仪。脑震荡参与者将在脑震荡后两周内被招募。病例和控制 参与者将完成1)驾驶风险调查；2)神经心理测试和3)模拟驾驶任务 基线和1个月。商业上可用的监控技术将记录危险驾驶3个月 结果衡量标准。(I)模拟驾驶风险分数；(Ii)真实世界驾驶风险分数(快速制动、快速 加速、超速)；(3)报告的引用率和撞车率。 冲击力。这项研究将对阐明神经认知后遗症产生重大的人群健康影响。 最近的驾驶脑震荡。结果将告知患有脑震荡的年轻司机恢复安全驾驶。

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.