Research Institute, Department of Rehabilitation, Social Medical Corporation Steel Memorial Yawata Hospital, Kitakyushu, Japan, Harunomachi1-1-1, Yawatahigasi-ward, Kitakyushu, Fukuoka, 805-0050, Japan.
Research Institute, Department of Rehabilitation, Social Medical Corporation Steel Memorial Yawata Hospital, Kitakyushu, Japan, Harunomachi1-1-1, Yawatahigasi-ward, Kitakyushu, Fukuoka, 805-0050, Japan.
J Stroke Cerebrovasc Dis. 2024 Aug;33(8):107808. doi: 10.1016/j.jstrokecerebrovasdis.2024.107808. Epub 2024 Jun 6.
We hypothesized that neuropsychological testing and history of falls would be associated with difficulty resume driving after acute acquired brain injury (ABI). This study aimed to analyze ABI facing difficulties in resuming driving in the acute phase.
We retrospectively analyzed 63 patients receiving assistance in driving-resumption after ABI. Patients were categorized into two groups: driving-resumption-possible and driving-resumption-difficult. Discriminant analysis delineated characteristics of patients experiencing driving-resumption difficulty. Additionally, significant predictors were analyzed using ROC curves.
42 patients were able to resume driving, and 21 experienced difficulties in driving resumption. Factors predicting difficulty returning to driving were age, history of falls, TMT Part B, and ROCF. Furthermore, cut-off values for each were 72 years, 148 seconds for TMT Part B, and 29.5 points for ROCF.
Patients with advanced age, history of falls, delayed TMT Part B, and poor ROCF outcomes may face challenges in resuming driving after ABI. These factors may serve as a valuable metric to assess driving resumption difficulties after ABI.
我们假设神经心理学测试和跌倒史与急性获得性脑损伤（ABI）后恢复驾驶的困难有关。本研究旨在分析急性阶段 ABI 患者恢复驾驶的困难。
我们回顾性分析了 63 名在 ABI 后接受驾驶恢复帮助的患者。患者分为两组：能够恢复驾驶和难以恢复驾驶。判别分析描绘了具有驾驶恢复困难特征的患者。此外，使用 ROC 曲线分析了显著预测因子。
42 名患者能够恢复驾驶，21 名患者在恢复驾驶方面存在困难。预测难以恢复驾驶的因素有年龄、跌倒史、TMT 部分 B 和 ROCF。此外，每个因素的截断值分别为 72 岁、TMT 部分 B 的 148 秒和 ROCF 的 29.5 分。
年龄较大、有跌倒史、TMT 部分 B 延迟以及 ROCF 结果较差的患者在 ABI 后可能难以恢复驾驶。这些因素可以作为评估 ABI 后恢复驾驶困难的有用指标。
