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Dementia and motor vehicle crash hospitalizations: Role of physician reporting laws.
- Source :
-
Neurology [Neurology] 2018 Feb 27; Vol. 90 (9), pp. e808-e813. Date of Electronic Publication: 2018 Jan 31. - Publication Year :
- 2018
-
Abstract
- Objective: To determine the effect of physician reporting laws and state licensing requirements on crash hospitalizations among drivers with dementia.<br />Methods: A study of drivers hospitalized because of vehicle crashes, identified from the State Inpatient Databases of the Agency for Healthcare Research and Quality. Multivariable logistic regression was used to examine the effect of mandatory physician reporting of at-risk drivers and state licensing requirement on the prevalence of dementia among hospitalized drivers.<br />Results: Physician reporting laws, mandated or legally protected, were not associated with a lower likelihood of dementia among crash hospitalized drivers. Hospitalized drivers aged 60 to 69 years in states with in-person renewal laws were 37% to 38% less likely to have dementia than drivers in other states and 23% to 28% less likely in states with vision testing at in-person renewal. Road testing was associated with lower dementia prevalence among hospitalized drivers aged 80 years and older.<br />Conclusion: Vision testing at in-person renewal and in-person renewal requirements were significantly related with a lower prevalence of dementia in hospitalized older adults among drivers aged 60 to 69 years. Road testing was significantly associated with a lower proportion of dementia among hospitalized drivers aged 80 years and older. Mandatory physician driver reporting laws lacked any independent association with prevalence of dementia among hospitalized drivers.<br /> (© 2018 American Academy of Neurology.)
- Subjects :
- Accidents, Traffic prevention & control
Age Factors
Aged
Aged, 80 and over
Automobile Driving legislation & jurisprudence
Automobile Driving standards
Automobile Driving statistics & numerical data
Dementia epidemiology
Female
Humans
Male
Middle Aged
Proportional Hazards Models
Retrospective Studies
Accidents, Traffic statistics & numerical data
Dementia complications
Hospitalization
Mandatory Reporting
Physician's Role psychology
Subjects
Details
- Language :
- English
- ISSN :
- 1526-632X
- Volume :
- 90
- Issue :
- 9
- Database :
- MEDLINE
- Journal :
- Neurology
- Publication Type :
- Academic Journal
- Accession number :
- 29386271
- Full Text :
- https://doi.org/10.1212/WNL.0000000000005022