PubMed · 10628137
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M I Schwager. 1999. The elderly driver.. https://pubmed.ncbi.nlm.nih.gov/10628137/
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This study investigated the incidence of problems related to illicit drugs and fitness to drive among 8043 Spanish drivers assessed in 25 Medical Driving Test Centres at national level. In accordance with Spanish and European Union legislation, driving licences cannot be issued or renewed to people suffering from illicit drug-related problems. A small percentage (0.3%; n=24) of drivers interviewed had problems relating to drug use (abuse, dependence and induced disorders) and half of them (n=12) were also diagnosed as having problems with alcohol. Drivers with illicit drug-related problems were more often involved in road accidents and committed more traffic infractions during the last year (33.3%, n=8, and 79.2%, n=19, respectively) than those without problems related to illegal drug taking (12.3%, n=986, and 9.3%, n=748, respectively). Of drivers with drug problems 70.8% (n=17) were considered fit to drive. The results show that the incidence of drug-related problems is rare among Spanish drivers, and that in three out of four cases drivers with drug-related problems were considered fit to drive.
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OBJECTIVE: To determine driving accident frequency in a cohort of patients with epilepsy. METHODS: A 10-year historical cohort register study of 159 subjects with epilepsy and 559 controls individually matched for age, gender, place of residence, and exposure period was carried out. All had nonprofessional driver's licenses without restrictions. Persons with recorded diagnoses of other neurologic diseases, diabetes, psychoses, seizures, abuse, or poisoning of any kind were not included. The outcome measure was treatment at the casualty department after an accident as a car driver. RESULTS: Ten patients with epilepsy and five controls had been treated at the casualty department, the rate per 1,000 person-years with exposure being seven times higher (CI 2.18 to 26.13) in those with epilepsy than in the control cohort. CONCLUSIONS: Drivers with epilepsy are more likely than healthy controls to be treated at a casualty department after having a motor vehicle accident.