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Driving Cessation in Younger People with Cognitive Impairment and Dementia

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posted on 01.05.2018, 09:04 by Latha Velayudhan, Sarah Baillon, Gabriela Urbaskova, Laura McCulloch, Samuel Tromans, Mathew Storey, James Lindesay, Sagnik Battacharyya
Background: Although driving by persons with dementia is an important public health concern, little is known about driving cessation in younger people with dementia. We aimed to determine the prevalence and factors affecting driving cessation in individuals with and without dementia in patients attending memory clinic for under 65 years of age in an European setting. Methods: Subjects were consecutive patients assessed at a specialist memory service at a university teaching hospital between 2000-2010. The data collected included demographic, clinical, standardized cognitive assessments as well as information on driving. Dementia diagnosis was made using ICD 10 criteria. Results: Of the 225 people who were or had been drivers, 32/79 (41%) with Young-Onset Dementia (YOD) stopped driving compared to 25/146 (17%) patients who had cognitive impairment due to other causes. Women were more likely to cease driving and voluntarily than men (p <0.001). Diagnosis of YOD was associated with driving cessation (1.1925, 95% CI 0.5703-1.8147, p= 0.0002), and was mediated by impairment in praxis with the highest indirect mediation effect (0.7536, 95% CI 0.1834-1.401, p= 0.0099). Conclusions: YOD diagnosis, female gender and impairment in praxis have higher probability for driving cessation in those under 65 years of age with cognitive impairment.

History

Citation

Dementia and Geriatric Cognitive Disorders Extra, 2018; 8:190–198

Author affiliation

/Organisation/COLLEGE OF LIFE SCIENCES/School of Medicine/Department of Health Sciences

Version

VoR (Version of Record)

Published in

Dementia and Geriatric Cognitive Disorders Extra

Publisher

Karger Publishers

eissn

1664-5464

Acceptance date

12/02/2018

Copyright date

2018

Available date

30/08/2018

Publisher version

https://www.karger.com/Article/FullText/488237

Language

en

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