Marx Peter
Fortschr Neurol Psychiatr. 2018 Jan;86(1):20-27. doi: 10.1055/s-0043-122393. Epub 2018 Jan 17.
In Germany, patient information and expert testimony on driving ability requires knowledge of the corresponding legislation and the Guideline for expertises on driver aptitude. The testimony should clearly identify handicaps with regard to driving, give estimates on the future risks of a sudden loss of control, and also consider personal attitudes such as inadequate behavior, lack of insight etc. Physical handicaps often can be compensated for by restrains or restrictions such as vehicle modifications, daylight driving only etc.Both, information and testimony must give estimates on the risks of a sudden loss of control while driving by stroke recurrence or epileptic seizures. In accordance with the Risk-of-Harm-Formula of the Canadian Cardiovascular Society methods are being discussed, by which an estimate of harmful traffic accidents due to stroke recurrence can be calculated.
在德国,关于驾驶能力的患者信息和专家证词需要了解相应的法规以及驾驶员资质鉴定指南。证词应明确指出驾驶方面的缺陷,预估突然失去控制的未来风险,同时还要考虑诸如行为不当、缺乏洞察力等个人态度。身体缺陷通常可以通过诸如车辆改装、仅在白天驾驶等限制措施来弥补。信息和证词都必须预估中风复发或癫痫发作导致驾驶时突然失去控制的风险。根据加拿大心血管学会的伤害风险公式,正在讨论一些方法,通过这些方法可以计算出因中风复发导致的有害交通事故的预估。