Legh-Smith J, Wade D T, Hewer R L
J R Soc Med. 1986 Apr;79(4):200-3. doi: 10.1177/014107688607900404.
Four hundred and thirty-eight stroke patients from a community register covering a period of 28 months were interviewed at one year post-stroke. Of 144 (34%) living at home who had been driving prior to their stroke, 82 (58%) did not resume post-stroke. Assessments of arm function, walking, functional ability and IQ showed ex-drivers to be significantly more disabled than drivers. Stopping driving was associated with a loss of social activities and with a higher frequency of depression amongst ex-drivers when compared with drivers. This was despite 79% of ex-drivers having easy access to alternative car transport. Extending mobility allowance to the 49 (60%) ex-drivers over 65 years old at the time of their stroke might ease their situation. More appropriate assessments would be needed to establish whether ex-drivers would benefit from retraining or car adaptations to enable them to return to driving.
对社区登记的438名中风患者进行了访谈，这些患者中风后一年的时间跨度为28个月。在中风前开车的144名（34%）居家患者中，82名（58%）中风后未恢复开车。对上肢功能、步行能力、功能状态和智商的评估显示，曾经开车的患者比仍在开车的患者残疾程度明显更高。与仍在开车的患者相比，停止开车与社交活动减少以及曾经开车的患者中抑郁症发病率较高有关。尽管79%曾经开车的患者很容易获得替代的汽车交通方式，但情况依然如此。将行动津贴扩大到中风时年龄在65岁以上的49名（60%）曾经开车的患者，可能会缓解他们的状况。需要进行更合适的评估，以确定曾经开车的患者是否会从再培训或车辆改装中受益，从而能够恢复开车。
