Social Environmental Factors Related to Resuming Driving after Brain Injury: A Multicenter Retrospective Cohort Study

Many patients resume driving after brain injury regardless of their ability to drive safely. Predictors for resuming driving in terms of actual resumption status and environmental factors are unclear. We evaluated the reasons for resuming driving after brain injury and examined whether social enviro...

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Autores principales:	Mamiko Sato, Yasutaka Kobayashi, Kazuki Fujita, Masahito Hitosugi
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	resuming driving social environmental factors International Classification of Functioning (ICF) brain injury Medicine R
Acceso en línea:	https://doaj.org/article/766c4d5e06054791b45acd463393ec9f
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spelling	oai:doaj.org-article:766c4d5e06054791b45acd463393ec9f2021-11-25T17:44:23ZSocial Environmental Factors Related to Resuming Driving after Brain Injury: A Multicenter Retrospective Cohort Study10.3390/healthcare91114692227-9032https://doaj.org/article/766c4d5e06054791b45acd463393ec9f2021-10-01T00:00:00Zhttps://www.mdpi.com/2227-9032/9/11/1469https://doaj.org/toc/2227-9032Many patients resume driving after brain injury regardless of their ability to drive safely. Predictors for resuming driving in terms of actual resumption status and environmental factors are unclear. We evaluated the reasons for resuming driving after brain injury and examined whether social environmental factors are useful predictors of resuming driving. This retrospective cohort study was based on a multicenter questionnaire survey at least 18 months after discharge of brain injury patients with rehabilitation. A total of 206 brain injury patients (cerebrovascular disease and traumatic brain injury) were included in the study, which was conducted according to the International Classification of Functioning (ICF) items using log-binominal regression analysis, evaluating social environmental factors as associated factors of resuming driving after brain injury. Social environmental factors, inadequate public transport (risk ratio (RR), 1.38), and no alternative driver (RR, 1.53) were included as significant independent associated factors. We found that models using ICF categories were effective for investigating factors associated with resuming driving in patients after brain injury and significant association between resuming driving and social environmental factors. Therefore, social environmental factors should be considered when predicting driving resumption in patients after brain injury, which may lead to better counseling and environmental adjustment.Mamiko SatoYasutaka KobayashiKazuki FujitaMasahito HitosugiMDPI AGarticleresuming drivingsocial environmental factorsInternational Classification of Functioning (ICF)brain injuryMedicineRENHealthcare, Vol 9, Iss 1469, p 1469 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	resuming driving social environmental factors International Classification of Functioning (ICF) brain injury Medicine R
spellingShingle	resuming driving social environmental factors International Classification of Functioning (ICF) brain injury Medicine R Mamiko Sato Yasutaka Kobayashi Kazuki Fujita Masahito Hitosugi Social Environmental Factors Related to Resuming Driving after Brain Injury: A Multicenter Retrospective Cohort Study
description	Many patients resume driving after brain injury regardless of their ability to drive safely. Predictors for resuming driving in terms of actual resumption status and environmental factors are unclear. We evaluated the reasons for resuming driving after brain injury and examined whether social environmental factors are useful predictors of resuming driving. This retrospective cohort study was based on a multicenter questionnaire survey at least 18 months after discharge of brain injury patients with rehabilitation. A total of 206 brain injury patients (cerebrovascular disease and traumatic brain injury) were included in the study, which was conducted according to the International Classification of Functioning (ICF) items using log-binominal regression analysis, evaluating social environmental factors as associated factors of resuming driving after brain injury. Social environmental factors, inadequate public transport (risk ratio (RR), 1.38), and no alternative driver (RR, 1.53) were included as significant independent associated factors. We found that models using ICF categories were effective for investigating factors associated with resuming driving in patients after brain injury and significant association between resuming driving and social environmental factors. Therefore, social environmental factors should be considered when predicting driving resumption in patients after brain injury, which may lead to better counseling and environmental adjustment.
format	article
author	Mamiko Sato Yasutaka Kobayashi Kazuki Fujita Masahito Hitosugi
author_facet	Mamiko Sato Yasutaka Kobayashi Kazuki Fujita Masahito Hitosugi
author_sort	Mamiko Sato
title	Social Environmental Factors Related to Resuming Driving after Brain Injury: A Multicenter Retrospective Cohort Study
title_short	Social Environmental Factors Related to Resuming Driving after Brain Injury: A Multicenter Retrospective Cohort Study
title_full	Social Environmental Factors Related to Resuming Driving after Brain Injury: A Multicenter Retrospective Cohort Study
title_fullStr	Social Environmental Factors Related to Resuming Driving after Brain Injury: A Multicenter Retrospective Cohort Study
title_full_unstemmed	Social Environmental Factors Related to Resuming Driving after Brain Injury: A Multicenter Retrospective Cohort Study
title_sort	social environmental factors related to resuming driving after brain injury: a multicenter retrospective cohort study
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/766c4d5e06054791b45acd463393ec9f
work_keys_str_mv	AT mamikosato socialenvironmentalfactorsrelatedtoresumingdrivingafterbraininjuryamulticenterretrospectivecohortstudy AT yasutakakobayashi socialenvironmentalfactorsrelatedtoresumingdrivingafterbraininjuryamulticenterretrospectivecohortstudy AT kazukifujita socialenvironmentalfactorsrelatedtoresumingdrivingafterbraininjuryamulticenterretrospectivecohortstudy AT masahitohitosugi socialenvironmentalfactorsrelatedtoresumingdrivingafterbraininjuryamulticenterretrospectivecohortstudy
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Social Environmental Factors Related to Resuming Driving after Brain Injury: A Multicenter Retrospective Cohort Study

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