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The impact of cognitive deficit on self-reported car crashes in ultra-octogenarian population
 — data of an Italian population-based study
Author(s)Luca Rozzini, Maddalena Riva, Marina Zanetti
Journal titleInternational Journal of Geriatric Psychiatry, vol 28, no 6, June 2013
PublisherWiley, June 2013
Pagespp 562-566
Sourcewww.orangejournal.org
KeywordsOctogenarians ; Driving capability ; Drivers accidents ; At risk ; Accident prevention ; Cognitive impairment ; Italy.
AnnotationThe objective of the present study was to examine the usefulness of specific neurocognitive tests for predicting car crash involvement in an ultra-octogenarian population. A total of 800 subjects (mean age 82.4 + 3.1 years) underwent a battery of neuropsychological tests. Global intellectual functioning was assessed using the Mini Mental State Examination, mental flexibility and information processing speed were assessed using the Trail Making Test parts A and B (TMT-A and TMT-B), long-term memory was evaluated with the short story, and visuo-spatial skills were tested with Clock Drawing Test. One year after this evaluation, 343 (43%) participants had been interviewed by a telephone call to know if they were currently driving and if they had a car crash during this period. 297 subjects had their driving license renewed and completed the follow-up one year after. Data showed that less than 11% of this group had a car crash during the first year of observation (Crash Involved). Older subjects involved in a car crash showed significant worse performances on TMT-B and on the short story memory test. Trail Making test B and short story memory have been demonstrated to provide a predictive value of driving performance of older people. Therefore it is suggested that a simple and standardised battery of neuropsychological tests, lasting about 30 minutes and administered by an experienced staff, is a good diagnostic instrument for risk prevention of driving activity of older drivers. (JL).
Accession NumberCPA-130531206 A
ClassmarkBBM: OPF: OPD: CA3: OQ: E4: 76V

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