Lum Hillary D, Ginde Adit A, Betz Marian E
Division of Geriatric Medicine, University of Colorado School of Medicine, Aurora, CO ; Veterans Affairs Eastern Colorado Healthcare System, Denver, CO.
Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO.
Ann Longterm Care. 2015 Jul;23(7):21-26.
Residential care facilities (RCF) provide assistance to older adults who cannot live independently, but it is unclear whether these residents have retired from driving. Here, we characterize older adults living in RCFs who still drive from a national cross-sectional survey of residents (2010 National Survey of Residential Care Facilities), representing ~733,000 adults living in RCFs such as assisted living facilities and personal care homes. Key resident characteristics were health, function, mobility and community activity indicators, which could be associated with increased driving risk. Of 8,087 residents, 4.5% (95%CI=3.9-5.1) were current drivers. Many drivers were older than 80 years (74%, 95%CI=67-79), in very good health (31%, 95%CI=25-38) or good health (35%, 95%CI=29-42), and had a median of two medical conditions. Most were independent with activities of daily living, though some needed assistance with walking and used gait devices. Given these results, RCF staff and healthcare providers need a heightened awareness of factors associated with driving risk to promote safety of older drivers and provide resources for likely transition to other transportation.
住宿护理机构（RCF）为无法独立生活的老年人提供帮助，但尚不清楚这些居民是否已经不再开车。在此，我们从一项针对居民的全国性横断面调查（2010年全国住宿护理机构调查）中，对仍在开车的居住在RCF的老年人进行了特征描述，该调查涵盖了约73.3万名居住在辅助生活设施和个人护理之家等RCF中的成年人。关键的居民特征包括健康、功能、行动能力和社区活动指标，这些可能与驾驶风险增加有关。在8087名居民中，4.5%（95%置信区间=3.9-5.1）为当前驾驶者。许多驾驶者年龄超过80岁（74%，95%置信区间=67-79），健康状况非常好（31%，95%置信区间=25-38）或良好（35%，95%置信区间=29-42），且平均患有两种疾病。大多数人在日常生活活动中能够自理，不过有些人行走需要帮助并使用助行器。鉴于这些结果，RCF工作人员和医疗保健提供者需要提高对与驾驶风险相关因素的认识，以促进老年驾驶者的安全，并为可能向其他交通方式的转变提供资源。
