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Driving after an injury or disease affecting the brain: an analysis of clinical data
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Rehabilitation Medicine.
Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Rehabilitation Medicine.
Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in Central Östergötland, Department of Acute Internal Medicine and Geriatrics.
2018 (English)In: British Journal of Occupational Therapy, ISSN 0308-0226, E-ISSN 1477-6006, Vol. 81, no 7, p. 376-383Article in journal (Refereed) Published
Abstract [en]

Introduction: Traffic safety may be affected if a licence holder has experienced illness or injury that may have an impact on cognition. Occupational therapists are involved in assessing cognitive functions that might affect a patients ability to drive a car using different evaluation tools in different countries and settings. The aim of this study was to look at the predictive value of some of the assessment tools available to occupational therapists for making judgements about resuming driving after cognitive impairment due to brain trauma or disease. Method: A retrospective study based on clinical data from 204 patients referred to a specialist department for recommendations on ability to drive after brain injury or disease. All patients underwent three assessments: stroke drivers screening assessment, useful field of view and simulated driving skill. In addition, an on-road assessment was added in 76% of the sample. Results: Useful field of view had the highest sensitivity (78%) and, combined with the results from the simulator, the sensitivity was 87 degrees/o. The specificity for the two methods was 55%. Conclusion: The results from useful field of view and a simulator test combined best predicted the final recommendation from the multi-professional team discussion on which clients should be recommended not to resume driving.

Place, publisher, year, edition, pages
SAGE PUBLICATIONS LTD , 2018. Vol. 81, no 7, p. 376-383
Keywords [en]
Acquired brain injury; cognition; dementia
National Category
Occupational Therapy
Identifiers
URN: urn:nbn:se:liu:diva-150291DOI: 10.1177/0308022618755999ISI: 000438555500003OAI: oai:DiVA.org:liu-150291DiVA, id: diva2:1239531
Note

Funding Agencies|County Council of Ostergotland, Sweden

Available from: 2018-08-16 Created: 2018-08-16 Last updated: 2018-08-16

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Samuelsson, KerstiModig-Arding, IngalillWressle, Ewa
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Division of Community MedicineFaculty of Medicine and Health SciencesDepartment of Rehabilitation MedicineDivision of Neuro and Inflammation ScienceDepartment of Acute Internal Medicine and Geriatrics
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British Journal of Occupational Therapy
Occupational Therapy

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