Mazer B L, Korner-Bitensky N A, Sofer S
Jewish Rehabilitation Hospital Research Center, Jewish Rehabilitation Hospital, Laval, Quebec, Canada.
Arch Phys Med Rehabil. 1998 Jul;79(7):743-50. doi: 10.1016/s0003-9993(98)90350-1.
To determine the ability of perceptual testing to predict on-road driving outcome in subjects with stroke.
Historical cohort study of 84 individuals with stroke who completed both the perceptual testing and the on-road driving evaluation conducted in a driving evaluation service.
Perceptual tests, such as the Motor Free Visual Perception Test (MVPT) and Trail Making B test, and an on-road driving evaluation. Based on driving behaviors, a pass or fail outcome was determined by the examiners.
Subjects who passed the on-road evaluation had better average scores on the majority of perceptual tests compared with those who failed. The MVPT was the most predictive of on-road performance (positive predictive value=86.1%; negative predictive value=58.3%). The combination of tests resulting in the most predictive and parsimonious model was the MVPT plus Trail Making B, such that those who scored poorly on both were 22 times more likely to fail the on-road evaluation.
A screening process is useful in identifying persons who are not ready to undergo an on-road driving evaluation.
确定感知测试对预测中风患者道路驾驶结果的能力。
对84名中风患者进行历史性队列研究，这些患者均完成了在驾驶评估服务机构进行的感知测试和道路驾驶评估。
感知测试，如无运动视觉感知测试（MVPT）和连线测验B，以及道路驾驶评估。根据驾驶行为，由考官确定通过或未通过的结果。
与未通过道路评估的受试者相比，通过道路评估的受试者在大多数感知测试中的平均得分更高。MVPT对道路驾驶表现的预测性最强（阳性预测值=86.1%；阴性预测值=58.3%）。预测性最强且最简洁的测试组合是MVPT加连线测验B，即在这两项测试中得分较低的人在道路评估中未通过的可能性要高22倍。
筛查过程有助于识别那些尚未准备好接受道路驾驶评估的人。
