The Effects of Medical Conditions on Driving Performance: A Literature Review and Synthesis
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2018-07-01
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Edition:Final Report
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Abstract:This literature review relates changes in performance or safety outcome measures for older drivers to their medical conditions or medication use, and associated functional impairments. It was carried out as an initial task in the project, The Effects of Medical Conditions on Driving Performance. Researchers conducted a search of peer-reviewed journals, technical reports, and government reports that bear on medical fitness to drive, published between 2000 through 2011. Results were integrated with knowledge gained through a prior, exhaustive literature review carried out under the NHTSA project, Taxonomy of Older Driver Behaviors and Crash Risk, to produce a synthesis that considered the prevalence within the U.S. population, effects on the functional abilities needed for safe driving, effects on driving performance, and relationships with motor vehicle crash and violation risk. Researchers prioritized diabetes, dementia, glaucoma, hepatic encephalopathy, macular degeneration, obstructive sleep apnea, Parkinson’s disease, and stroke in terms of the potential for impaired performance and crash risk among older drivers.
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