SYSTEMATIC REVIEW OF THE RISK OF MOTOR VEHICLE COLLISION AFTER STROKE OR TRANSIENT ISCHEMIC ATTACK. (11th November 2018)

• Record Type: Journal Article
• Authors: Marottoli, R; Rapoport, M; Bayley, M; Finestone, H M
• Is Part Of: Innovation in aging. Volume 2(2018)Supplement 1
• Page Start: 612
• Page End: 612
• Publication Date: 2018-11-11
• Subjects: Aging -- Periodicals; Gerontology -- Periodicals; 612.67
• DOI: 10.1093/geroni/igy023.2276
• Languages: English
• ISSNs: 2399-5300

Abstract

Abstract: Stroke can impair the motor and cognitive skills required to drive safely. The purpose of the present study was to determine whether stroke and/or transient ischemic attack (TIA) are associated with an increased MVC risk. We searched MEDLINE, CINAHL, EMBASE, PsychINFO and TRID through December 2016. Results: From the 5, 605 citations identified, 12 articles met our inclusion criteria. Only one of three case-control studies showed an increased risk of stroke in persons with at-fault MVC (OR 1.9, 95% CI 1.0–3.9). Of five cohort reports, only one study, limited to self-report, found an increased risk of MVC associated with stroke or TIA (RR 2.71, 95% CI 1.11–6.61). Discussion: The decline in driving skills following stroke identified in prior reviews does not appear to translate into a robust increase in risk of MVCs. However, there is a paucity of high quality studies of the impact of stroke on driving.