Are cardiac patients in Saudi Arabia provided adequate instructions when they should not drive?

Objective: Driving capability can be significantly affected by different heath disorders; cardiovascular diseases (CVDs) should be considered when assessing patients for medical fitness to drive (MFTD). The aim of this study was to evaluate the awareness of Saudi patients about driving recommendatio...

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Autores principales:	Rami M Abazid, Mohammed Ewid, Hossam Sherif, Osama A Smettei, Abdul Salim Khan, Abdullah A Altorbag, Mohammad F Alharbi, Abdulrahman N Aljaber, Suliman M Alharbi, Nora A Altorbak, Sarah A Altorbak, Ahmad Almeman
Formato:	article
Lenguaje:	EN
Publicado:	Thieme Medical and Scientific Publishers Pvt. Ltd. 2019
Materias:	cardiovascular diseases medical fitness to drive motor vehicle accidents saudi arabia Medicine R
Acceso en línea:	https://doaj.org/article/4ad01d77cffa4eeea55d512dc6cd232b
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spelling	oai:doaj.org-article:4ad01d77cffa4eeea55d512dc6cd232b2021-12-02T16:37:01ZAre cardiac patients in Saudi Arabia provided adequate instructions when they should not drive?2231-07702249-446410.4103/ajm.AJM_69_19https://doaj.org/article/4ad01d77cffa4eeea55d512dc6cd232b2019-10-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.4103/ajm.AJM_69_19https://doaj.org/toc/2231-0770https://doaj.org/toc/2249-4464Objective: Driving capability can be significantly affected by different heath disorders; cardiovascular diseases (CVDs) should be considered when assessing patients for medical fitness to drive (MFTD). The aim of this study was to evaluate the awareness of Saudi patients about driving recommendations and to assess the incidence of motor vehicle accidents (MVAs) among cardiac patients. Materials and Methods: We conducted a cross-sectional survey-based study. Male patients diagnosed with CVDs and who were visiting outpatient departments were invited to complete a questionnaire regarding their awareness of driving recommendations. Patients’ demographics, clinical diagnosis, echocardiography parameters, and time-to-CVD diagnosis were all obtained from the patients’ medical records. Women were excluded because it was illegal for women to drive in Saudi Arabia during the study period. Results: In total, 800 men were included, with a mean age of 54 ± 12 years. Driving counseling had been provided to 241 participants (30%). Of these, 207 (25%) were advised not to drive for a period of between one week and six months. Five percent of the patients had a history of MVAs during the follow-up period of 6.2 ± 4 years. We found that the presence of a dyspnea ≥2, according to the New York Heart Association (NYHA), and a history of loss of consciousness (syncope/pre-syncope) were significantly associated with accidents (46% vs. 20%, P < 0.0001 and 41% vs. 10%, P < 0.0001, respectively). Conclusion: Patient–physician discussion about MFTD was only performed with 30% of the patients with CVDs in Saudi Arabia. Dyspnea NYHA class ≥2 or a prior history of syncope were significantly associated with the incidence of MVAs.Rami M AbazidMohammed EwidHossam SherifOsama A SmetteiAbdul Salim KhanAbdullah A AltorbagMohammad F AlharbiAbdulrahman N AljaberSuliman M AlharbiNora A AltorbakSarah A AltorbakAhmad AlmemanThieme Medical and Scientific Publishers Pvt. Ltd.articlecardiovascular diseasesmedical fitness to drivemotor vehicle accidentssaudi arabiaMedicineRENAvicenna Journal of Medicine, Vol 09, Iss 04, Pp 148-153 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	cardiovascular diseases medical fitness to drive motor vehicle accidents saudi arabia Medicine R
spellingShingle	cardiovascular diseases medical fitness to drive motor vehicle accidents saudi arabia Medicine R Rami M Abazid Mohammed Ewid Hossam Sherif Osama A Smettei Abdul Salim Khan Abdullah A Altorbag Mohammad F Alharbi Abdulrahman N Aljaber Suliman M Alharbi Nora A Altorbak Sarah A Altorbak Ahmad Almeman Are cardiac patients in Saudi Arabia provided adequate instructions when they should not drive?
description	Objective: Driving capability can be significantly affected by different heath disorders; cardiovascular diseases (CVDs) should be considered when assessing patients for medical fitness to drive (MFTD). The aim of this study was to evaluate the awareness of Saudi patients about driving recommendations and to assess the incidence of motor vehicle accidents (MVAs) among cardiac patients. Materials and Methods: We conducted a cross-sectional survey-based study. Male patients diagnosed with CVDs and who were visiting outpatient departments were invited to complete a questionnaire regarding their awareness of driving recommendations. Patients’ demographics, clinical diagnosis, echocardiography parameters, and time-to-CVD diagnosis were all obtained from the patients’ medical records. Women were excluded because it was illegal for women to drive in Saudi Arabia during the study period. Results: In total, 800 men were included, with a mean age of 54 ± 12 years. Driving counseling had been provided to 241 participants (30%). Of these, 207 (25%) were advised not to drive for a period of between one week and six months. Five percent of the patients had a history of MVAs during the follow-up period of 6.2 ± 4 years. We found that the presence of a dyspnea ≥2, according to the New York Heart Association (NYHA), and a history of loss of consciousness (syncope/pre-syncope) were significantly associated with accidents (46% vs. 20%, P < 0.0001 and 41% vs. 10%, P < 0.0001, respectively). Conclusion: Patient–physician discussion about MFTD was only performed with 30% of the patients with CVDs in Saudi Arabia. Dyspnea NYHA class ≥2 or a prior history of syncope were significantly associated with the incidence of MVAs.
format	article
author	Rami M Abazid Mohammed Ewid Hossam Sherif Osama A Smettei Abdul Salim Khan Abdullah A Altorbag Mohammad F Alharbi Abdulrahman N Aljaber Suliman M Alharbi Nora A Altorbak Sarah A Altorbak Ahmad Almeman
author_facet	Rami M Abazid Mohammed Ewid Hossam Sherif Osama A Smettei Abdul Salim Khan Abdullah A Altorbag Mohammad F Alharbi Abdulrahman N Aljaber Suliman M Alharbi Nora A Altorbak Sarah A Altorbak Ahmad Almeman
author_sort	Rami M Abazid
title	Are cardiac patients in Saudi Arabia provided adequate instructions when they should not drive?
title_short	Are cardiac patients in Saudi Arabia provided adequate instructions when they should not drive?
title_full	Are cardiac patients in Saudi Arabia provided adequate instructions when they should not drive?
title_fullStr	Are cardiac patients in Saudi Arabia provided adequate instructions when they should not drive?
title_full_unstemmed	Are cardiac patients in Saudi Arabia provided adequate instructions when they should not drive?
title_sort	are cardiac patients in saudi arabia provided adequate instructions when they should not drive?
publisher	Thieme Medical and Scientific Publishers Pvt. Ltd.
publishDate	2019
url	https://doaj.org/article/4ad01d77cffa4eeea55d512dc6cd232b
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Are cardiac patients in Saudi Arabia provided adequate instructions when they should not drive?

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