TY - JOUR
T1 - Driving in stroke survivors aged 18–65 years
T2 - The Psychosocial Outcomes In StrokE (POISE) Cohort Study
AU - Yu, Sungwook
AU - Muhunthan, Janani
AU - Lindley, Richard
AU - Glozier, Nick
AU - Jan, Stephen
AU - Anderson, Craig
AU - Li, Qiang
AU - Hackett, Maree L.
N1 - Publisher Copyright:
© 2016, © 2016 World Stroke Organization.
PY - 2016/10/1
Y1 - 2016/10/1
N2 - Background: There is limited information regarding return to driving after stroke. Aims: To determine the frequency and predictors of return to driving within 1 month of acute stroke in younger (age 18–65 years) adults. Methods: POISE (Psychosocial Outcomes In StrokE) was a cohort study conducted in Australia between October 2008 and June 2010. Consecutive patients (age 18–65 years) with a recent (≤28 days) acute stroke were recruited. Validated demographic, clinical, mental health, cognitive, and disability measures including return to driving were obtained. Multivariable logistic regression was used to determine factors associated with return to driving within 1 month of stroke. Results: Among 359 participants who were legally able to drive before stroke, 96 (26.7%) returned to driving within 1 month. Compared to those without an early return to driving (n = 263), drivers were more often male, the main income earner, in paid work before stroke and without symptoms of depression or fatigue. Independence in activities of daily living (odds ratio (OR) 30.05, 95% confidence interval (CI) 3.85–234.45), not recalling receiving advice on driving cessation (OR 5.55, 95% CI 2.86–11.11), and having returned to paid work (OR 3.93, 95% CI 1.94–7.96) were associated with early return to driving. Conclusions: One in four young adults resumed driving within a month, contrary to guideline recommendations. These data reinforce the importance of deciding who is responsible for determining fitness to drive after stroke, when, and whether it is reasonable to enforce driving restrictions on those with minimal disability who are fit to return to work. Registration: Australian New Zealand Clinical Trials Registry ANZCTRN 12608000459325.
AB - Background: There is limited information regarding return to driving after stroke. Aims: To determine the frequency and predictors of return to driving within 1 month of acute stroke in younger (age 18–65 years) adults. Methods: POISE (Psychosocial Outcomes In StrokE) was a cohort study conducted in Australia between October 2008 and June 2010. Consecutive patients (age 18–65 years) with a recent (≤28 days) acute stroke were recruited. Validated demographic, clinical, mental health, cognitive, and disability measures including return to driving were obtained. Multivariable logistic regression was used to determine factors associated with return to driving within 1 month of stroke. Results: Among 359 participants who were legally able to drive before stroke, 96 (26.7%) returned to driving within 1 month. Compared to those without an early return to driving (n = 263), drivers were more often male, the main income earner, in paid work before stroke and without symptoms of depression or fatigue. Independence in activities of daily living (odds ratio (OR) 30.05, 95% confidence interval (CI) 3.85–234.45), not recalling receiving advice on driving cessation (OR 5.55, 95% CI 2.86–11.11), and having returned to paid work (OR 3.93, 95% CI 1.94–7.96) were associated with early return to driving. Conclusions: One in four young adults resumed driving within a month, contrary to guideline recommendations. These data reinforce the importance of deciding who is responsible for determining fitness to drive after stroke, when, and whether it is reasonable to enforce driving restrictions on those with minimal disability who are fit to return to work. Registration: Australian New Zealand Clinical Trials Registry ANZCTRN 12608000459325.
KW - Stroke
KW - driving
KW - epidemiology
KW - public health
UR - http://www.scopus.com/inward/record.url?scp=84986294519&partnerID=8YFLogxK
U2 - 10.1177/1747493016641952
DO - 10.1177/1747493016641952
M3 - Article
C2 - 27016514
AN - SCOPUS:84986294519
SN - 1747-4930
VL - 11
SP - 799
EP - 806
JO - International Journal of Stroke
JF - International Journal of Stroke
IS - 7
ER -