University of Toronto Faculty of Medicine, Toronto, Ontario, Canada.
Division of Neurosurgery, St. Michael's Hospital, Toronto, Ontario, Canada.
Sci Rep. 2018 Mar 15;8(1):4635. doi: 10.1038/s41598-018-22937-y.
The purpose of the study is to determine driving habits and behaviors of patients with brain tumors in order to better inform discussions around driving safety in this population. Eight-four patients with brain tumors participated in a survey on their driving behaviors since their diagnosis. Thirteen of these patients and thirteen sex- and age-matched healthy controls participated in cognitive testing and several driving simulation scenarios in order to objectively assess driving performance. Survey responses demonstrated that patients with brain tumors engage in a variety of driving scenarios with little subjectve difficulty. On the driving simulation tasks, patients and healthy controls performed similarly except that patients had more speed exceedances (U = 41, p < 0.05) and a greater variability in speed (U = 57, p < 0.05). Performance on the selective attention component of the UFOV was significantly associated with greater total errors in the Bus Following task for patients with brain tumors compared to healthy controls (rs = 0.722, p < 0.05, CI [0.080, 0.957]). Better comprehensive driving assessments are needed to identify patients with driving behaviors that put themselves and others at risk on the road.
本研究旨在确定脑瘤患者的驾驶习惯和行为,以便更好地讨论该人群的驾驶安全问题。84 名脑瘤患者参与了一项关于其驾驶行为的调查,这些患者自诊断以来一直在参与调查。其中 13 名患者和 13 名性别和年龄匹配的健康对照者参与了认知测试和几项驾驶模拟场景,以客观评估驾驶表现。调查结果表明,脑瘤患者在驾驶时会遇到各种场景,但他们主观上认为没有困难。在驾驶模拟任务中,患者和健康对照组的表现相似,但患者的超速次数更多(U=41,p<0.05),速度变化更大(U=57,p<0.05)。与健康对照组相比,脑瘤患者在 UFOV 的选择性注意成分上的表现与在巴士跟随任务中的总错误显著相关(rs=0.722,p<0.05,CI [0.080,0.957])。需要更好的综合驾驶评估来识别那些存在驾驶风险的患者,以确保他们自己和他人在路上的安全。