Division of General Internal Medicine and Geriatrics, Oregon Health and Science University, Mail Code L-475, 3181 South West Sam Jackson Park Road, Portland, OR 97239, USA.
Clin Geriatr Med. 2018 Feb;34(1):107-115. doi: 10.1016/j.cger.2017.09.006.
Clinical assessment of fitness to drive can be a challenging part of primary care of older adults. There are no guidelines on screening for driver safety, so it falls to provider judgment on when to assess older drivers. This review offers recommendations on when to assess for driver safety based on red flag conditions, medications, acute events, and patient or family concerns. It reviews how to assess for visual, cognitive, and neuromuscular impairments and what to do as next steps for at-risk drivers once they are identified. Laws regarding driver reporting are also reviewed.
临床评估驾驶适能可能是老年人群初级保健的一个具有挑战性的部分。目前没有关于驾驶员安全筛查的指南，因此何时评估老年驾驶员取决于提供者的判断。本综述根据警示症状、药物、急性事件以及患者或家属的担忧，就何时评估驾驶员安全提供了建议。它还回顾了如何评估视觉、认知和神经肌肉损伤，以及一旦确定了高危驾驶员，下一步该怎么做。此外，还审查了有关驾驶员报告的法律。
