From Salient CRGT Inc. (Y.A.), Health Services, Silver Spring, MD; Departments of Behavioral and Community Health Sciences (S.M.A., P.I.D.) and Biostatistics (A.O.Y.), University of Pittsburgh, PA; Kaiser Permanente-Denver (C.A.S.), Institute for Health Research, CO; Healthcare Cost and Utilization Project, Agency for Healthcare Research and Quality (C.A.S.), DHHS, Rockville, MD.
Neurology. 2018 Feb 27;90(9):e808-e813. doi: 10.1212/WNL.0000000000005022. Epub 2018 Jan 31.
To determine the effect of physician reporting laws and state licensing requirements on crash hospitalizations among drivers with dementia.
A study of drivers hospitalized because of vehicle crashes, identified from the State Inpatient Databases of the Agency for Healthcare Research and Quality. Multivariable logistic regression was used to examine the effect of mandatory physician reporting of at-risk drivers and state licensing requirement on the prevalence of dementia among hospitalized drivers.
Physician reporting laws, mandated or legally protected, were not associated with a lower likelihood of dementia among crash hospitalized drivers. Hospitalized drivers aged 60 to 69 years in states with in-person renewal laws were 37% to 38% less likely to have dementia than drivers in other states and 23% to 28% less likely in states with vision testing at in-person renewal. Road testing was associated with lower dementia prevalence among hospitalized drivers aged 80 years and older.
Vision testing at in-person renewal and in-person renewal requirements were significantly related with a lower prevalence of dementia in hospitalized older adults among drivers aged 60 to 69 years. Road testing was significantly associated with a lower proportion of dementia among hospitalized drivers aged 80 years and older. Mandatory physician driver reporting laws lacked any independent association with prevalence of dementia among hospitalized drivers.
确定医生报告法规和州许可要求对痴呆症患者撞车住院的影响。
这项研究对因车祸住院的司机进行了调查，这些司机是从医疗保健研究和质量机构的州住院数据库中确定的。采用多变量逻辑回归来检查强制性医生报告高危司机和州许可要求对住院司机中痴呆症患病率的影响。
强制性医生报告法规，无论是强制性的还是受法律保护的，与撞车住院司机痴呆症的可能性降低无关。在实施现场更新法规的州，年龄在 60 至 69 岁的住院司机患痴呆症的可能性比其他州的司机低 37%至 38%，在实施现场视力测试更新法规的州，这一比例低 23%至 28%。路试与 80 岁及以上住院司机痴呆症患病率降低有关。
现场更新时的视力测试和现场更新要求与 60 至 69 岁住院老年司机痴呆症患病率较低显著相关。路试与 80 岁及以上住院司机痴呆症的比例降低显著相关。强制性医生报告司机法规与住院司机痴呆症患病率无独立关联。
