Pyykkö Ilmari, Manchaiah Vinaya, Zou Jing, Levo Hilla, Kentala Erna
Department of Otolaryngology, Hearing and Balance Research Unit, University of Tampere, Tampere, Finland.
Department of Speech and Hearing Sciences, Lamar University, Beaumont, Texas, USA;Department of Speech and Hearing, School of Allied Health Sciences, Manipal University, Manipal, Karnataka, India.
J Int Adv Otol. 2019 Aug;15(2):289-295. doi: 10.5152/iao.2019.5915.
The study evaluated the driving habits and risk of traffic accidents among people with Ménière's disease (MD) in Finland.
The study used a cross-sectional survey design. Members of the Finnish Ménière Federation (FMF) were contacted and requested to participate in an online survey. In total, 558 FMF members (58.7% response rate) responded to the survey.
People with MD were responsible for significantly fewer traffic accidents (0.8%) annually than individuals in the general population (1.7%). In addition, the lifetime risk of car accidents was lower among subjects with MD (8.3%) than that among individuals in the general population (24 to 28%). Nearly half of the total participants had either reduced the frequency of driving or had given up driving because of their condition. Factors such as gender, balance problems, visual problems with visual aura, and syncope during vestibular drop attacks can help explain the reasons for giving up car driving. One third (35.9%) of the participants were able to anticipate the MD attack before they decided to drive a car. Participants with falls during a vestibular drop attack, attacks of rotary vertigo, syncope during vestibular drop attacks, and those who were of a younger age were at a higher risk of experiencing a vertigo attack while driving a car. The most common strategies to avoid car accidents were selective driving and not driving when symptoms appeared.
The results show that people with MD are at a lower risk of traffic accidents than individuals in the general population, which can be explained by selective driving.
本研究评估了芬兰梅尼埃病（MD）患者的驾驶习惯和交通事故风险。
本研究采用横断面调查设计。联系了芬兰梅尼埃病联盟（FMF）的成员，并要求他们参与一项在线调查。共有558名FMF成员回复了调查（回复率为58.7%）。
MD患者每年发生的交通事故显著少于普通人群（0.8%对1.7%）。此外，MD患者发生车祸的终生风险（8.3%）低于普通人群（24%至28%）。近一半的参与者因自身状况减少了驾驶频率或放弃了驾驶。性别、平衡问题、伴有视觉先兆的视觉问题以及前庭性跌倒发作时的晕厥等因素有助于解释放弃驾车的原因。三分之一（35.9%）的参与者在决定开车前能够预感到MD发作。在前庭性跌倒发作时跌倒的参与者、旋转性眩晕发作的参与者、前庭性跌倒发作时晕厥的参与者以及年龄较小的参与者在驾车时发生眩晕发作的风险较高。避免发生车祸的最常见策略是选择性驾驶以及症状出现时不驾驶。
结果表明，MD患者发生交通事故的风险低于普通人群，这可以通过选择性驾驶来解释。
