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A preliminary assessment of the medical and functional factors associated with vehicle crashes by older adults
Author(s)Richard V Sims, Cynthia Owsley, Richard M Allman
Journal titleJournal of the American Geriatrics Society, vol 46, no 5, May 1998
Pagespp 556-561
KeywordsDrivers accidents ; Driving capability ; Health [elderly] ; United States of America.
AnnotationCompared with other age groups, older drivers have among the highest crash, injury, and mortality rates per mile driven. This US study examined associations between medical and functional variables and at-fault car crashes in a cohort of 174 older drivers. Results showed that 99 older drivers experienced between one and seven at-fault vehicle crashes during the period 1985 through 1991, whereas 75 drivers did not. Logistic regression models indicated that the following variables were independently associated with crash involvement: a 40% or greater reduction in the useful field of view, being black, a history of falling in the previous 2 years, and not taking a beta-blocking drug. The study concluded that functional assessments, such as a comprehensive test of visual processing, a falls history, and a review of current medications may be of greater relevance than specific medical conditions in the identification of older at-risk drivers. (AKM).
Accession NumberCPA-981009402 A
ClassmarkOPD: OPF: CC: 7T

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