van Leeuwen Roeland B, Schermer Tjard R, Colijn Carla, Bruintjes Tjasse D
Department of Neurology Gelre Hospitals, Apeldoorn Dizziness Centre, Gelre Hospitals, Apeldoorn, Netherlands.
Department of Epidemiology and Statistics, Apeldoorn Dizziness Centre, Gelre Hospitals, Apeldoorn, Netherlands.
Front Neurol. 2021 Jul 1;12:693963. doi: 10.3389/fneur.2021.693963. eCollection 2021.
People with dizziness may experience driving-related limitations. Few data are available about the impact of dizziness on driving. The aim of this study is to investigate the impact of dizziness on driving, factors related to impairment (age, gender, and type of diagnosis), and the potential consequences for patients' ability to work. We also investigated whether the patients expected and actually received information about their dizziness-related fitness to drive from their physician. A cross-sectional, observational study was conducted in the Apeldoorn Dizziness Centre, a tertiary care referral centre for patients with dizziness. A consecutive cohort of patients was asked to complete a study-specific questionnaire about driving. Between January 1, 2020, and December 20, 2020, 432 patients were included. Fifty-six percent of the patients in this group were female. The average age of patients was 58.3 years (SD 16). Overall, 191 of the 432 patients (44%) experienced limitations related to driving, and 40% of the patients who experienced limitations also experienced limitations to work related to their inability to drive. The subject of fitness to drive had not been discussed with their physician in 92% of the patients, and 24% of the whole patient group indicated that they would have liked to discuss this topic. The following factors, independently from each other, increased the chance of experiencing driving-related limitations: younger age, female sex, and the diagnosis of Meniere's disease. Dizzy patients, especially younger patients, women, and patients with Meniere's disease, regularly experience limitations related to driving, and this often means that they are unable to work. Driving is hardly ever discussed during a medical consultation. In our opinion, the topic of driving and dizziness should always be addressed during medical consultations in dizzy patients.
头晕患者可能会在驾驶方面受到限制。关于头晕对驾驶影响的数据很少。本研究的目的是调查头晕对驾驶的影响、与驾驶能力受损相关的因素(年龄、性别和诊断类型)以及对患者工作能力的潜在影响。我们还调查了患者是否期望并实际从医生那里获得有关其头晕相关驾驶适宜性的信息。在阿珀尔多恩头晕中心进行了一项横断面观察性研究,该中心是一家为头晕患者提供三级医疗转诊服务的中心。连续纳入一组患者,要求他们填写一份关于驾驶的特定研究问卷。在2020年1月1日至2020年12月20日期间,共纳入432例患者。该组中56%的患者为女性。患者的平均年龄为58.3岁(标准差16)。总体而言,432例患者中有192例(44%)在驾驶方面受到限制,在有驾驶限制的患者中,40%的患者因无法驾驶而在工作方面也受到限制。92%的患者未与医生讨论过驾驶适宜性问题,整个患者组中有24%表示希望讨论这个话题。以下因素相互独立,增加了出现驾驶相关限制的可能性:年龄较小、女性以及梅尼埃病的诊断。头晕患者,尤其是年轻患者、女性和梅尼埃病患者,经常会在驾驶方面受到限制,这通常意味着他们无法工作。在医疗咨询中几乎从不讨论驾驶问题。我们认为,在对头晕患者进行医疗咨询时,应始终提及驾驶和头晕的话题。