Driving continuity in cognitively impaired older drivers
Aim Cognitive impairment can negatively affect driving performance and increase the risk of driving errors, leading to vehicle crashes. We used a population‐based survey to identify the prevalence of cognitive impairments in older drivers. Methods A total of 10 073 older adults were enrolled in the...
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| Veröffentlicht in: | Geriatrics & gerontology international 2016-04, Vol.16 (4), p.508-514 |
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| creator | Shimada, Hiroyuki Tsutsumimoto, Kota Lee, Sangyoon Doi, Takehiko Makizako, Hyuma Lee, Songchul Harada, Kazuhiro Hotta, Ryo Bae, Seongryu Nakakubo, Sho Uemura, Kazuki Park, Hyuntae Suzuki, Takao |
| description | Aim
Cognitive impairment can negatively affect driving performance and increase the risk of driving errors, leading to vehicle crashes. We used a population‐based survey to identify the prevalence of cognitive impairments in older drivers.
Methods
A total of 10 073 older adults were enrolled in the National Center for Geriatrics and Gerontology – Study of Geriatric Syndromes. We characterized general cognitive impairment using the Mini‐Mental State Examination (MMSE). We also used the National Center for Geriatrics and Gerontology‐Functional Assessment Tool, which includes six tasks to assess word list memory, logical memory, attention and executive function, processing speed, and visuospatial skill.
Results
Just 15% of older women with moderate cognitive decline (MMSE ≤20) drove, whereas 61% of older men with moderate cognitive decline drove. Cognitively normal participants (MMSE score 27 and over) scored significantly better on six cognitive tests compared with those with mild (MMSE score 21–26) or moderate cognitive decline, and those in the mild cognitive decline group scored significantly better on six cognitive tests than those in the moderate cognitive decline group.
Conclusion
A total of 61% of older men with moderate cognitive decline did not cease driving. These older drivers showed poor cognitive performance in multiple domains compared with those with normal and mild cognitive decline. Further studies are required to clarify the relationships between cognitive decline and car crashes in these high‐risk populations. Geriatr Gerontol Int 2016; 16: 508‐514. |
| doi_str_mv | 10.1111/ggi.12504 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1778399682</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>4007712651</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4814-c24d44662c75c63b5d5b87c33b5cb1d3a28f05259dccfc84318ffdb76c39b0fd3</originalsourceid><addsrcrecordid>eNp1kElPwzAQhS0EgrIc-AMoEhc4BOx4zREKFERVOLDdrMR2KkOWYieF_nvchR6QmMvMSN97enoAHCJ4hsKcj8f2DCUUkg3QQ4TwGNKUbC5uEiMq2A7Y9f4dQsRThLbBTkJTiiFOekBcOTu19ThSTd3aurPtLLJ1-Ma1be3UlOGtJpl1RkdNqY2LdBAY5_fBVpGV3hys9h54vrl-6t_Gw4fBXf9iGCsiEIlVQjQhjCWKU8VwTjXNBVc4XCpHGmeJKCANebRShRIEI1EUOudM4TSHhcZ74GTpO3HNZ2d8KyvrlSnLrDZN5yXiXOA0ZSIJ6PEf9L3pXB3SzSnOGeJsTp0uKeUa750p5MTZKnMziaCc1ylDnXJRZ2CPVo5dXhm9Jn_7C8D5EviypZn97yQHg7tfy3ipsL4132tF5j4k45hT-ToayEv49ng_ehGS4h9UBYzP</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1777761762</pqid></control><display><type>article</type><title>Driving continuity in cognitively impaired older drivers</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Shimada, Hiroyuki ; Tsutsumimoto, Kota ; Lee, Sangyoon ; Doi, Takehiko ; Makizako, Hyuma ; Lee, Songchul ; Harada, Kazuhiro ; Hotta, Ryo ; Bae, Seongryu ; Nakakubo, Sho ; Uemura, Kazuki ; Park, Hyuntae ; Suzuki, Takao</creator><creatorcontrib>Shimada, Hiroyuki ; Tsutsumimoto, Kota ; Lee, Sangyoon ; Doi, Takehiko ; Makizako, Hyuma ; Lee, Songchul ; Harada, Kazuhiro ; Hotta, Ryo ; Bae, Seongryu ; Nakakubo, Sho ; Uemura, Kazuki ; Park, Hyuntae ; Suzuki, Takao</creatorcontrib><description>Aim
Cognitive impairment can negatively affect driving performance and increase the risk of driving errors, leading to vehicle crashes. We used a population‐based survey to identify the prevalence of cognitive impairments in older drivers.
Methods
A total of 10 073 older adults were enrolled in the National Center for Geriatrics and Gerontology – Study of Geriatric Syndromes. We characterized general cognitive impairment using the Mini‐Mental State Examination (MMSE). We also used the National Center for Geriatrics and Gerontology‐Functional Assessment Tool, which includes six tasks to assess word list memory, logical memory, attention and executive function, processing speed, and visuospatial skill.
Results
Just 15% of older women with moderate cognitive decline (MMSE ≤20) drove, whereas 61% of older men with moderate cognitive decline drove. Cognitively normal participants (MMSE score 27 and over) scored significantly better on six cognitive tests compared with those with mild (MMSE score 21–26) or moderate cognitive decline, and those in the mild cognitive decline group scored significantly better on six cognitive tests than those in the moderate cognitive decline group.
Conclusion
A total of 61% of older men with moderate cognitive decline did not cease driving. These older drivers showed poor cognitive performance in multiple domains compared with those with normal and mild cognitive decline. Further studies are required to clarify the relationships between cognitive decline and car crashes in these high‐risk populations. Geriatr Gerontol Int 2016; 16: 508‐514.</description><identifier>ISSN: 1444-1586</identifier><identifier>EISSN: 1447-0594</identifier><identifier>DOI: 10.1111/ggi.12504</identifier><identifier>PMID: 25953032</identifier><language>eng</language><publisher>Japan: Blackwell Publishing Ltd</publisher><subject>Age Factors ; Aged ; Aged, 80 and over ; aging ; Attention - physiology ; Automobile driving ; Automobile Driving - psychology ; Automobile Driving - statistics & numerical data ; Cognition - physiology ; Cognition Disorders - diagnosis ; Cognition Disorders - epidemiology ; Cognition Disorders - psychology ; Cognitive ability ; dementia ; driving ; Executive Function - physiology ; Female ; Geriatrics ; Humans ; Japan - epidemiology ; Male ; mental status examination ; Neuropsychological Tests ; Prevalence ; Retrospective Studies ; Traffic accidents & safety</subject><ispartof>Geriatrics & gerontology international, 2016-04, Vol.16 (4), p.508-514</ispartof><rights>2015 Japan Geriatrics Society</rights><rights>2015 Japan Geriatrics Society.</rights><rights>Copyright © 2016 Japan Geriatrics Society</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4814-c24d44662c75c63b5d5b87c33b5cb1d3a28f05259dccfc84318ffdb76c39b0fd3</citedby><cites>FETCH-LOGICAL-c4814-c24d44662c75c63b5d5b87c33b5cb1d3a28f05259dccfc84318ffdb76c39b0fd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fggi.12504$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fggi.12504$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25953032$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shimada, Hiroyuki</creatorcontrib><creatorcontrib>Tsutsumimoto, Kota</creatorcontrib><creatorcontrib>Lee, Sangyoon</creatorcontrib><creatorcontrib>Doi, Takehiko</creatorcontrib><creatorcontrib>Makizako, Hyuma</creatorcontrib><creatorcontrib>Lee, Songchul</creatorcontrib><creatorcontrib>Harada, Kazuhiro</creatorcontrib><creatorcontrib>Hotta, Ryo</creatorcontrib><creatorcontrib>Bae, Seongryu</creatorcontrib><creatorcontrib>Nakakubo, Sho</creatorcontrib><creatorcontrib>Uemura, Kazuki</creatorcontrib><creatorcontrib>Park, Hyuntae</creatorcontrib><creatorcontrib>Suzuki, Takao</creatorcontrib><title>Driving continuity in cognitively impaired older drivers</title><title>Geriatrics & gerontology international</title><addtitle>Geriatrics & Gerontology International</addtitle><description>Aim
Cognitive impairment can negatively affect driving performance and increase the risk of driving errors, leading to vehicle crashes. We used a population‐based survey to identify the prevalence of cognitive impairments in older drivers.
Methods
A total of 10 073 older adults were enrolled in the National Center for Geriatrics and Gerontology – Study of Geriatric Syndromes. We characterized general cognitive impairment using the Mini‐Mental State Examination (MMSE). We also used the National Center for Geriatrics and Gerontology‐Functional Assessment Tool, which includes six tasks to assess word list memory, logical memory, attention and executive function, processing speed, and visuospatial skill.
Results
Just 15% of older women with moderate cognitive decline (MMSE ≤20) drove, whereas 61% of older men with moderate cognitive decline drove. Cognitively normal participants (MMSE score 27 and over) scored significantly better on six cognitive tests compared with those with mild (MMSE score 21–26) or moderate cognitive decline, and those in the mild cognitive decline group scored significantly better on six cognitive tests than those in the moderate cognitive decline group.
Conclusion
A total of 61% of older men with moderate cognitive decline did not cease driving. These older drivers showed poor cognitive performance in multiple domains compared with those with normal and mild cognitive decline. Further studies are required to clarify the relationships between cognitive decline and car crashes in these high‐risk populations. Geriatr Gerontol Int 2016; 16: 508‐514.</description><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>aging</subject><subject>Attention - physiology</subject><subject>Automobile driving</subject><subject>Automobile Driving - psychology</subject><subject>Automobile Driving - statistics & numerical data</subject><subject>Cognition - physiology</subject><subject>Cognition Disorders - diagnosis</subject><subject>Cognition Disorders - epidemiology</subject><subject>Cognition Disorders - psychology</subject><subject>Cognitive ability</subject><subject>dementia</subject><subject>driving</subject><subject>Executive Function - physiology</subject><subject>Female</subject><subject>Geriatrics</subject><subject>Humans</subject><subject>Japan - epidemiology</subject><subject>Male</subject><subject>mental status examination</subject><subject>Neuropsychological Tests</subject><subject>Prevalence</subject><subject>Retrospective Studies</subject><subject>Traffic accidents & safety</subject><issn>1444-1586</issn><issn>1447-0594</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kElPwzAQhS0EgrIc-AMoEhc4BOx4zREKFERVOLDdrMR2KkOWYieF_nvchR6QmMvMSN97enoAHCJ4hsKcj8f2DCUUkg3QQ4TwGNKUbC5uEiMq2A7Y9f4dQsRThLbBTkJTiiFOekBcOTu19ThSTd3aurPtLLJ1-Ma1be3UlOGtJpl1RkdNqY2LdBAY5_fBVpGV3hys9h54vrl-6t_Gw4fBXf9iGCsiEIlVQjQhjCWKU8VwTjXNBVc4XCpHGmeJKCANebRShRIEI1EUOudM4TSHhcZ74GTpO3HNZ2d8KyvrlSnLrDZN5yXiXOA0ZSIJ6PEf9L3pXB3SzSnOGeJsTp0uKeUa750p5MTZKnMziaCc1ylDnXJRZ2CPVo5dXhm9Jn_7C8D5EviypZn97yQHg7tfy3ipsL4132tF5j4k45hT-ToayEv49ng_ehGS4h9UBYzP</recordid><startdate>201604</startdate><enddate>201604</enddate><creator>Shimada, Hiroyuki</creator><creator>Tsutsumimoto, Kota</creator><creator>Lee, Sangyoon</creator><creator>Doi, Takehiko</creator><creator>Makizako, Hyuma</creator><creator>Lee, Songchul</creator><creator>Harada, Kazuhiro</creator><creator>Hotta, Ryo</creator><creator>Bae, Seongryu</creator><creator>Nakakubo, Sho</creator><creator>Uemura, Kazuki</creator><creator>Park, Hyuntae</creator><creator>Suzuki, Takao</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201604</creationdate><title>Driving continuity in cognitively impaired older drivers</title><author>Shimada, Hiroyuki ; Tsutsumimoto, Kota ; Lee, Sangyoon ; Doi, Takehiko ; Makizako, Hyuma ; Lee, Songchul ; Harada, Kazuhiro ; Hotta, Ryo ; Bae, Seongryu ; Nakakubo, Sho ; Uemura, Kazuki ; Park, Hyuntae ; Suzuki, Takao</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4814-c24d44662c75c63b5d5b87c33b5cb1d3a28f05259dccfc84318ffdb76c39b0fd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>aging</topic><topic>Attention - physiology</topic><topic>Automobile driving</topic><topic>Automobile Driving - psychology</topic><topic>Automobile Driving - statistics & numerical data</topic><topic>Cognition - physiology</topic><topic>Cognition Disorders - diagnosis</topic><topic>Cognition Disorders - epidemiology</topic><topic>Cognition Disorders - psychology</topic><topic>Cognitive ability</topic><topic>dementia</topic><topic>driving</topic><topic>Executive Function - physiology</topic><topic>Female</topic><topic>Geriatrics</topic><topic>Humans</topic><topic>Japan - epidemiology</topic><topic>Male</topic><topic>mental status examination</topic><topic>Neuropsychological Tests</topic><topic>Prevalence</topic><topic>Retrospective Studies</topic><topic>Traffic accidents & safety</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shimada, Hiroyuki</creatorcontrib><creatorcontrib>Tsutsumimoto, Kota</creatorcontrib><creatorcontrib>Lee, Sangyoon</creatorcontrib><creatorcontrib>Doi, Takehiko</creatorcontrib><creatorcontrib>Makizako, Hyuma</creatorcontrib><creatorcontrib>Lee, Songchul</creatorcontrib><creatorcontrib>Harada, Kazuhiro</creatorcontrib><creatorcontrib>Hotta, Ryo</creatorcontrib><creatorcontrib>Bae, Seongryu</creatorcontrib><creatorcontrib>Nakakubo, Sho</creatorcontrib><creatorcontrib>Uemura, Kazuki</creatorcontrib><creatorcontrib>Park, Hyuntae</creatorcontrib><creatorcontrib>Suzuki, Takao</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Geriatrics & gerontology international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shimada, Hiroyuki</au><au>Tsutsumimoto, Kota</au><au>Lee, Sangyoon</au><au>Doi, Takehiko</au><au>Makizako, Hyuma</au><au>Lee, Songchul</au><au>Harada, Kazuhiro</au><au>Hotta, Ryo</au><au>Bae, Seongryu</au><au>Nakakubo, Sho</au><au>Uemura, Kazuki</au><au>Park, Hyuntae</au><au>Suzuki, Takao</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Driving continuity in cognitively impaired older drivers</atitle><jtitle>Geriatrics & gerontology international</jtitle><addtitle>Geriatrics & Gerontology International</addtitle><date>2016-04</date><risdate>2016</risdate><volume>16</volume><issue>4</issue><spage>508</spage><epage>514</epage><pages>508-514</pages><issn>1444-1586</issn><eissn>1447-0594</eissn><abstract>Aim
Cognitive impairment can negatively affect driving performance and increase the risk of driving errors, leading to vehicle crashes. We used a population‐based survey to identify the prevalence of cognitive impairments in older drivers.
Methods
A total of 10 073 older adults were enrolled in the National Center for Geriatrics and Gerontology – Study of Geriatric Syndromes. We characterized general cognitive impairment using the Mini‐Mental State Examination (MMSE). We also used the National Center for Geriatrics and Gerontology‐Functional Assessment Tool, which includes six tasks to assess word list memory, logical memory, attention and executive function, processing speed, and visuospatial skill.
Results
Just 15% of older women with moderate cognitive decline (MMSE ≤20) drove, whereas 61% of older men with moderate cognitive decline drove. Cognitively normal participants (MMSE score 27 and over) scored significantly better on six cognitive tests compared with those with mild (MMSE score 21–26) or moderate cognitive decline, and those in the mild cognitive decline group scored significantly better on six cognitive tests than those in the moderate cognitive decline group.
Conclusion
A total of 61% of older men with moderate cognitive decline did not cease driving. These older drivers showed poor cognitive performance in multiple domains compared with those with normal and mild cognitive decline. Further studies are required to clarify the relationships between cognitive decline and car crashes in these high‐risk populations. Geriatr Gerontol Int 2016; 16: 508‐514.</abstract><cop>Japan</cop><pub>Blackwell Publishing Ltd</pub><pmid>25953032</pmid><doi>10.1111/ggi.12504</doi><tpages>7</tpages></addata></record> |
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| ispartof | Geriatrics & gerontology international, 2016-04, Vol.16 (4), p.508-514 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Age Factors Aged Aged, 80 and over aging Attention - physiology Automobile driving Automobile Driving - psychology Automobile Driving - statistics & numerical data Cognition - physiology Cognition Disorders - diagnosis Cognition Disorders - epidemiology Cognition Disorders - psychology Cognitive ability dementia driving Executive Function - physiology Female Geriatrics Humans Japan - epidemiology Male mental status examination Neuropsychological Tests Prevalence Retrospective Studies Traffic accidents & safety |
| title | Driving continuity in cognitively impaired older drivers |
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