Why older people stop to drive? A cohort study of older patients admitted to a rehabilitation setting

Aging Clin Exp Res. 2018 May;30(5):543-546. doi: 10.1007/s40520-017-0804-x. Epub 2017 Aug 8.

Abstract

The aim of this study is to describe the predictive factors of driving cessation at 6-month follow-up in older patients discharged from a rehabilitation setting and evaluated by an occupational therapist in a multidisciplinary team. Of 95 patients, at 6-month 27.4% ceased to drive. The reasons for driving cessation were a patients' voluntary choice (42.3%) or a choice of their family (23.1%), and only in 34.6% of the patients the license was revoked by a medical commission. In a multivariate analysis greater functional impairment-measured with the Timed Up and Go test-(OR 12.60, CI 2.74-57.89; p < 0.01) was the only predictor of driving cessation. This study shows that the ability to walk safely and independently is a significant predictor of driving cessation. The simple assessment of this factor using the TUG might be an easy screening tool to prompt a second level evaluation to accurately identify unsafe driving.

Keywords: Age; Driving; Functional impairment; Occupational therapy; Older adults.

Publication types

  • Observational Study

MeSH terms

  • Accidents, Traffic / statistics & numerical data
  • Aged
  • Aged, 80 and over
  • Aging / physiology*
  • Automobile Driving*
  • Caregivers / psychology
  • Choice Behavior*
  • Cognition / physiology
  • Cohort Studies
  • Female
  • Humans
  • Male
  • Multivariate Analysis