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Alzheimer's disease and driving
 — prediction and assessment of driving ability
Author(s)Gillian K Fox, Stephen C Bowden, Guy M Bashford
Journal titleJournal of the American Geriatrics Society, vol 45, no 8, August 1997
Pagespp 949-953
KeywordsDementia ; Screening ; Driving capability ; Evaluation ; Australia.
Annotation19 subjects with a diagnosis of probable Alzheimer's disease (AD) were examined for driving competence at the Coorabel Driver Assessment Centre of the Royal Rehabilitation Centre in Sydney, Australia. The validity of a standardised medical examination, including administration of the Mini-Mental Status Examination (MMSE), and standardised neuropsychological assessment as predictors of open road driving performance. 7 subjects passed the on-road driving evaluation, and 12 failed. MMSE was found to be a significant predictor of final on-road result. The physician's prediction, the neuropsychology test scores, and the neuropsychologist's prediction were not found to be significantly associated with the final on-road result. The on-road driving evaluation was a reliable test. Inasmuch as all subjects except one were still driving and all wished to continue to drive, it is important to note that 63.2% of subjects failed the on-road evaluation. Conversely, 36.8% were judged safe to drive, suggesting that AD diagnosis alone may be insufficient criteria for cessation of driving. A standardised road test may be the only appropriate means of determining driving competence in those diagnosed with AD. (RH).
Accession NumberCPA-981026002 A
ClassmarkEA: 3V: OPF: 4C: 7YA

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