Comorbidities and crash involvement among younger and older drivers.

Previous studies identified comorbidities as predictors of older driver performance and driving pattern, while the direct impact of comorbidities on road crash risk in elderly drivers is still unknown. The present study is a cross-sectional aimed at investigating the association between levels of co...

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Autores principales:	Michela Papa, Virginia Boccardi, Raffaele Prestano, Edith Angellotti, Manuela Desiderio, Luigi Marano, Maria Rosaria Rizzo, Giuseppe Paolisso
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/45132d9334834c9b940d6db9870749b8
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spelling	oai:doaj.org-article:45132d9334834c9b940d6db9870749b82021-11-18T08:23:52ZComorbidities and crash involvement among younger and older drivers.1932-620310.1371/journal.pone.0094564https://doaj.org/article/45132d9334834c9b940d6db9870749b82014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24722619/?tool=EBIhttps://doaj.org/toc/1932-6203Previous studies identified comorbidities as predictors of older driver performance and driving pattern, while the direct impact of comorbidities on road crash risk in elderly drivers is still unknown. The present study is a cross-sectional aimed at investigating the association between levels of comorbidity and crash involvement in adult and elderly drivers. 327 drivers were stratified according to age range in two groups: elderly drivers (age ≥70 years old, referred as older) and adult drivers (age <70 years old, referred as younger). Driving information was obtained through a driving questionnaire. Distance traveled was categorized into low, medium and high on the basis of kilometers driven in a year. CIRS-illness severity (IS) and CIRS-comorbidity indices (CI) in all populations were calculated. Older drivers had a significantly higher crash involvements rate (p = .045) compared with the younger group based on the number of licensed drivers. Dividing comorbidity indices into tertiles among all licensed subjects, the number of current drivers significantly decreased (p<.0001) with increasing level of comorbidity. The number of current drivers among older subjects significantly decreased with increasing comorbidity level (p = .026) while no difference among younger group was found (p = .462). Among younger drivers with increasing comorbidity level, the number of road accidents significantly increased (p = .048) and the logistic regression analysis showed that comorbidity level significantly associated with crash involvement independent of gender and driving exposure. Older subjects with high level of comorbidity are able to self-regulate driving while comorbidity burden represents a significant risk factor for crash involvements among younger drivers.Michela PapaVirginia BoccardiRaffaele PrestanoEdith AngellottiManuela DesiderioLuigi MaranoMaria Rosaria RizzoGiuseppe PaolissoPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 4, p e94564 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Michela Papa Virginia Boccardi Raffaele Prestano Edith Angellotti Manuela Desiderio Luigi Marano Maria Rosaria Rizzo Giuseppe Paolisso Comorbidities and crash involvement among younger and older drivers.
description	Previous studies identified comorbidities as predictors of older driver performance and driving pattern, while the direct impact of comorbidities on road crash risk in elderly drivers is still unknown. The present study is a cross-sectional aimed at investigating the association between levels of comorbidity and crash involvement in adult and elderly drivers. 327 drivers were stratified according to age range in two groups: elderly drivers (age ≥70 years old, referred as older) and adult drivers (age <70 years old, referred as younger). Driving information was obtained through a driving questionnaire. Distance traveled was categorized into low, medium and high on the basis of kilometers driven in a year. CIRS-illness severity (IS) and CIRS-comorbidity indices (CI) in all populations were calculated. Older drivers had a significantly higher crash involvements rate (p = .045) compared with the younger group based on the number of licensed drivers. Dividing comorbidity indices into tertiles among all licensed subjects, the number of current drivers significantly decreased (p<.0001) with increasing level of comorbidity. The number of current drivers among older subjects significantly decreased with increasing comorbidity level (p = .026) while no difference among younger group was found (p = .462). Among younger drivers with increasing comorbidity level, the number of road accidents significantly increased (p = .048) and the logistic regression analysis showed that comorbidity level significantly associated with crash involvement independent of gender and driving exposure. Older subjects with high level of comorbidity are able to self-regulate driving while comorbidity burden represents a significant risk factor for crash involvements among younger drivers.
format	article
author	Michela Papa Virginia Boccardi Raffaele Prestano Edith Angellotti Manuela Desiderio Luigi Marano Maria Rosaria Rizzo Giuseppe Paolisso
author_facet	Michela Papa Virginia Boccardi Raffaele Prestano Edith Angellotti Manuela Desiderio Luigi Marano Maria Rosaria Rizzo Giuseppe Paolisso
author_sort	Michela Papa
title	Comorbidities and crash involvement among younger and older drivers.
title_short	Comorbidities and crash involvement among younger and older drivers.
title_full	Comorbidities and crash involvement among younger and older drivers.
title_fullStr	Comorbidities and crash involvement among younger and older drivers.
title_full_unstemmed	Comorbidities and crash involvement among younger and older drivers.
title_sort	comorbidities and crash involvement among younger and older drivers.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/45132d9334834c9b940d6db9870749b8
work_keys_str_mv	AT michelapapa comorbiditiesandcrashinvolvementamongyoungerandolderdrivers AT virginiaboccardi comorbiditiesandcrashinvolvementamongyoungerandolderdrivers AT raffaeleprestano comorbiditiesandcrashinvolvementamongyoungerandolderdrivers AT edithangellotti comorbiditiesandcrashinvolvementamongyoungerandolderdrivers AT manueladesiderio comorbiditiesandcrashinvolvementamongyoungerandolderdrivers AT luigimarano comorbiditiesandcrashinvolvementamongyoungerandolderdrivers AT mariarosariarizzo comorbiditiesandcrashinvolvementamongyoungerandolderdrivers AT giuseppepaolisso comorbiditiesandcrashinvolvementamongyoungerandolderdrivers
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Comorbidities and crash involvement among younger and older drivers.

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