Fitness to drive in older drivers with cognitive impairment.

J Int Neuropsychol Soc 2000 May;6(4):480-90

Department of Neuropsychology and Gerontology, University of Groningen, The Netherlands.

This paper is a literature review on assessment of fitness to drive in older drivers with cognitive impairment. Early studies on dementia and driving generally failed to distinguish between safe and unsafe drivers on the basis of cognitive test performance. Predictive studies demonstrated that cognitively impaired persons as a group perform significantly worse than controls on both neuropsychological and driving measures. A high prevalence of cognitive impairment was found in groups of older drivers involved in traffic accidents and crashes. However, a large range in neuropsychological test scores has been found. Low to moderate correlations could be established between neuropsychological test results and on-road driving performance, making it difficult to discriminate between cognitively impaired subjects who are fit or unfit to drive. The review concludes with a discussion of methodological difficulties in the field of dementia and driving, including participant selection, the choice of neuropsychological tests, and the operationalization of driving performance.

Download full-text PDF

Source
http://dx.doi.org/10.1017/s1355617700644065DOI Listing
May 2000
2 Reads

Publication Analysis

Top Keywords

older drivers
12
cognitive impairment
12
dementia driving
8
neuropsychological test
8
drivers cognitive
8
cognitively impaired
8
drive older
8
driving performance
8
fitness drive
8
driving
5
range neuropsychological
4
large range
4
crashes large
4
accidents crashes
4
test scores
4
scores low
4
moderate correlations
4
low moderate
4
correlations established
4
groups older
4

Similar Publications