Gresset J, Meyer F
Groupe de Recherche en Epidémiologie, Faculté de Médecine, Université Laval, Montreal, Quebec.
Can J Public Health. 1994 Jul-Aug;85(4):282-5.
A case-control study was conducted in Quebec elderly men in order to document the risk of road accidents associated with impairments or chronic medical conditions. All 1,400 drivers who had had an accident with either mild bodily injury or only property damage during their 70th year in 1988 and 1989 were selected as cases from the accident file of the "Société de l'Assurance Automobile du Québec" (SAAQ). They were compared to 2,636 controls randomly selected among drivers of the same age. Information on medical conditions was also obtained for all subjects from the SAAQ. Mileage and driving habits were documented through a mail questionnaire. Relative risk of accidents associated with medical conditions were estimated while controlling for confounders. Overall, the results suggest that elderly drivers of private vehicles with impairments or chronic medical conditions are not at increased risk of road accidents. Only those with arrhythmias had a significant increase in risk (OR = 1.63, CI: 1.00-2.65). This study does not support more severe norms for elderly drivers.
为了记录与损伤或慢性疾病相关的道路交通事故风险，在魁北克老年男性中开展了一项病例对照研究。从“魁北克汽车保险公司”（SAAQ）的事故档案中选取了1988年和1989年在其70岁时发生过轻微身体伤害或仅造成财产损失事故的所有1400名驾驶员作为病例。将他们与从同年龄驾驶员中随机选取的2636名对照进行比较。还从SAAQ获取了所有受试者的健康状况信息。通过邮寄问卷记录里程数和驾驶习惯。在控制混杂因素的同时，估计了与健康状况相关的事故相对风险。总体而言，结果表明，患有损伤或慢性疾病的私家车老年驾驶员发生道路交通事故的风险并未增加。只有患有心律失常的驾驶员风险显著增加（比值比=1.63，置信区间：1.00 - 2.65）。本研究不支持对老年驾驶员制定更严格的规范。
