TY - JOUR
T1 - Assessing Fitness to Drive in Patients with Different Types of Dementia
AU - Piersma, Dafne
AU - Fuermaier, Anselm B. M.
AU - de Waard, D. Ick
AU - Davidse, Ragnhild J.
AU - de Groot, Jolieke
AU - Doumen, Michelle J. A.
AU - Bredewoud, Ruud A.
AU - Claesen, René
AU - Lemstra, Afina W.
AU - Scheltens, Philip
AU - Vermeeren, Annemiek
AU - Ponds, Rudolf
AU - Verhey, Frans
AU - de Deyn, Peter P.
AU - Brouwer, Wiebo H.
AU - Tucha, Oliver
PY - 2018
Y1 - 2018
N2 - Dementia is a risk factor for unsafe driving. Therefore, an assessment strategy has recently been developed for the prediction of fitness to drive in patients with the Alzheimer disease (AD). The aim of this study was to investigate whether this strategy is also predictive of fitness to drive in patients with non-AD dementia, that is, vascular dementia, frontotemporal dementia, and dementia with Lewy bodies. Predictors were derived from 3 types of assessment: clinical interviews, neuropsychological tests, and driving simulator rides. The criterion was the pass-fail outcome of an official on-road driving assessment. About half of the patients with non-AD dementia (n=34) failed the on-road driving assessment. Neuropsychological assessment [area under the curve (AUC)=0.786] was significantly predictive of fitness to drive in patients with non-AD dementia, however, clinical interviews (AUC=0.559) and driving simulator rides (AUC=0.404) were not. The fitness-to-drive assessment strategy with the 3 types of assessment combined (AUC=0.635) was not found to significantly predict fitness to drive in non-AD dementia. Different types of dementia require different measures and assessment strategies.
AB - Dementia is a risk factor for unsafe driving. Therefore, an assessment strategy has recently been developed for the prediction of fitness to drive in patients with the Alzheimer disease (AD). The aim of this study was to investigate whether this strategy is also predictive of fitness to drive in patients with non-AD dementia, that is, vascular dementia, frontotemporal dementia, and dementia with Lewy bodies. Predictors were derived from 3 types of assessment: clinical interviews, neuropsychological tests, and driving simulator rides. The criterion was the pass-fail outcome of an official on-road driving assessment. About half of the patients with non-AD dementia (n=34) failed the on-road driving assessment. Neuropsychological assessment [area under the curve (AUC)=0.786] was significantly predictive of fitness to drive in patients with non-AD dementia, however, clinical interviews (AUC=0.559) and driving simulator rides (AUC=0.404) were not. The fitness-to-drive assessment strategy with the 3 types of assessment combined (AUC=0.635) was not found to significantly predict fitness to drive in non-AD dementia. Different types of dementia require different measures and assessment strategies.
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85044277156&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/29189301
U2 - https://doi.org/10.1097/WAD.0000000000000221
DO - https://doi.org/10.1097/WAD.0000000000000221
M3 - Article
C2 - 29189301
SN - 0893-0341
VL - 32
SP - 70
EP - 75
JO - Alzheimer Disease and Associated Disorders
JF - Alzheimer Disease and Associated Disorders
IS - 1
ER -