How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

644 results for

Elderly Drivers with Cognitive Impairment

by
...
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

101. Cross-modal Warnings for Orienting Attention in Older Drivers with and without Attention Impairments Full Text available with Trip Pro

Cross-modal Warnings for Orienting Attention in Older Drivers with and without Attention Impairments Older adults are overrepresented in fatal crashes on a per-mile basis. Those with useful field of view (UFOV) reductions show a particularly elevated crash risk that might be mitigated with vehicle-based warnings. To evaluate cross-modal cues that could be used in these warnings, we applied a variation of Posner's orienting of attention paradigm. Twenty-nine older drivers with UFOV impairments (...) and 32 older drivers without impairments participated. Cues were presented in either a single modality or a combination of modalities (visual, auditory, haptic). Drivers experienced three cue types (valid spatial information, invalid spatial information, neutral) and an uncued baseline. Following each cue, drivers discriminated the direction of a target (a Landolt square with a gap facing up or down) in the visual panorama. Drivers with and without UFOV impairments showed comparable response times

2011 Applied ergonomics

102. Accuracy of the DriveABLE cognitive assessment to determine cognitive fitness to drive Full Text available with Trip Pro

Accuracy of the DriveABLE cognitive assessment to determine cognitive fitness to drive To evaluate the accuracy of the DriveABLE In-Office cognitive assessment in predicting cognitively impaired drivers' performance on the DriveABLE On-Road Evaluation (DORE).Retrospective study comparing data from DriveABLE In-Office cognitive assessment outcomes with DORE outcomes.Nineteen of the locations in North America providing the DriveABLE assessment between the years 2007 and 2010.Database records from (...) 3662 patients (2639 men, mean age 74.1 years, range 18 to 99 years of age; 1023 women, mean age 73.5 years, range 18 to 94 years of age) with suspected or confirmed cognitive impairment. All patients were referred for DriveABLE evaluation and received both the In-Office cognitive assessment and, regardless of the In-Office test results, the DORE. This is a subset of the database because typically the DriveABLE In-Office cognitive assessment serves as the cognitive assessment and only those whose

2013 Canadian Family Physician

103. Interventions with the Older Driver

Interventions with the Older Driver Interventions with the Older Driver - Geriatrics - MSD Manual Professional Edition Brought to you by The trusted provider of medical information since 1899 SEARCH SEARCH MEDICAL TOPICS Common Health Topics Resources QUIZZES & CASES Quizzes Cases The trusted provider of medical information since 1899 SEARCH SEARCH MEDICAL TOPICS Common Health Topics Resources QUIZZES & CASES Quizzes Cases / / / / IN THIS TOPIC OTHER TOPICS IN THIS CHAPTER Test your knowledge (...) and older drivers acknowledge these deficits but still wish to continue driving, practitioners can offer treatment to help correct the deficits or impairments. Aside from treating medical conditions that impair driving ability, most practitioners are ill-equipped to formulate or execute a driving rehabilitation plan; referral to specialists is often helpful. If deficits and impairments cannot be corrected enough to allow safe driving, practitioners may need to be proactive in regards to driving

2013 Merck Manual (19th Edition)

104. Medical Assessment of the Older Driver

Medical Assessment of the Older Driver Medical Assessment of the Older Driver - Geriatrics - MSD Manual Professional Edition Brought to you by The trusted provider of medical information since 1899 SEARCH SEARCH MEDICAL TOPICS Common Health Topics Resources QUIZZES & CASES Quizzes Cases The trusted provider of medical information since 1899 SEARCH SEARCH MEDICAL TOPICS Common Health Topics Resources QUIZZES & CASES Quizzes Cases / / / / IN THIS TOPIC OTHER TOPICS IN THIS CHAPTER Test your (...) ) monitoring of hospitalized patients, according... SOCIAL MEDIA Add to Any Platform Loading , OTD, OTR/L, BSW, SCDCM, CDRS, FAOTA, Washington University Medical School; , MD, Washington University School of Medicine Click here for Patient Education NOTE: This is the Professional Version. CONSUMERS: Topic Resources Medical assessment of the older driver includes a thorough review of medical conditions and/or drugs that can impair driving ability. Such medical conditions can be chronic disorders that impair

2013 Merck Manual (19th Edition)

105. Overview of the Older Driver

and can have negative outcomes (eg, social isolation, depression, fewer driving destinations). Age-related and disease-related changes in physical, motor, sensory, and cognitive function can impair driving ability and account for some of the increase in MVC rates per miles driven in older drivers. Many older drivers self-regulate their behavior. Older adults are more vulnerable to injury and death in a MVC than other age groups. The role of practitioners is to do functional and medical assessments (...) , 37,461 people died in MVCs on US roads in 2016, an increase of 5.6% from 2015, with an 8.2% increase in MVCs involving drivers ≥ 65 yr. The number of older drivers involved in fatal MVCs has increased over a recent 10-yr period; however, this trend parallels the increased percentage of older people in the population ( ). (See table .) Table Comparison of 10-Year Percentage Change of Drivers Involved in Fatal Crashes with 10-Year Percentage Change of Population Estimates (2007-2016) Age Group 10-Year

2013 Merck Manual (19th Edition)

106. Functional Assessment of the Older Driver

Functional Assessment of the Older Driver Functional Assessment of the Older Driver - Geriatrics - MSD Manual Professional Edition Brought to you by The trusted provider of medical information since 1899 SEARCH SEARCH MEDICAL TOPICS Common Health Topics Resources QUIZZES & CASES Quizzes Cases The trusted provider of medical information since 1899 SEARCH SEARCH MEDICAL TOPICS Common Health Topics Resources QUIZZES & CASES Quizzes Cases / / / / IN THIS TOPIC OTHER TOPICS IN THIS CHAPTER Test your (...) knowledge Quality of Life in the Elderly Which of the following factors can influence health-related quality of life in an elderly patient but may not be obvious or known by the patient’s practitioner? Chronic pain Functional status Religion and personal values Social isolation NEWS & VIDEOS Few Seniors Receive Regular Brief Cognitive Assessments WEDNESDAY, March 6, 2019 (HealthDay News) -- Only 16 percent of seniors receive regular cognitive assessments, according to the Alzheimer's Disease Facts

2013 Merck Manual (19th Edition)

107. Lower Hippocampal Volume Predicts Decrements in Lane Control among Drivers with Amnestic MCI Full Text available with Trip Pro

Lower Hippocampal Volume Predicts Decrements in Lane Control among Drivers with Amnestic MCI There are few methods to discern driving risks in patients with early dementia and mild cognitive impairment (MCI). We aimed to determine whether structural magnetic resonance imaging (MRI) of the hippocampus-a biomarker of probable Alzheimer pathology and a measure of disease severity in those affected--is linked to objective ratings of on-road driving performance in older adults with and without

2013 Journal of Geriatric Psychiatry and Neurology

108. Driver self-regulation and depressive symptoms in cataract patients awaiting surgery: a cross-sectional study. Full Text available with Trip Pro

Driver self-regulation and depressive symptoms in cataract patients awaiting surgery: a cross-sectional study. Cataract is an extremely common visual condition of ageing. Evidence suggests that visual impairment influences driving patterns and self-regulatory behavior among older drivers. However, little is known about the psychological effects of driver self-regulation among older drivers. Therefore, this study aimed to describe driver self-regulation practices among older bilateral cataract (...) patients and to determine the association between self-regulation and depressive symptoms.Ninety-nine older drivers with bilateral cataract were assessed the week before first eye cataract surgery. Driver self-regulation was measured via the Driving Habits Questionnaire. Depressive symptoms were assessed using the 20-item Center for Epidemiological Studies Depression Scale. Visual, demographic and cognitive data were also collected. Differences between self-regulators and non self-regulators were

2013 BMC Ophthalmology

109. Neuroscience of Marijuana Impaired Driving

and/or recreational use, that will likely result in more cannabis intoxicated drivers. Social and legal policy will be unable to effectively address the many concerns about driving safety raised by more frequent and widespread use of cannabis without new research to better determine the parameters within which cannabis use does, or does not, increase automobile accident risk. The purpose of this study is to better describe specific, driving-related cognitive impairments caused by acute cannabis intoxication (...) , is linked to cognitive impairment, and may be a major contributor to intoxication-related accidents - either alone or with alcohol. However, cannabis intoxication is little studied in relation to driving compared to alcohol. Not only does the current NHTSA Strategic Plan for Behavioral Research prioritize understanding how drugs other than alcohol contribute to traffic crashes, it has recently become more pressing to understand the effects of cannabis because of increasing rates of legalized medical

2016 Clinical Trials

110. Allocation of Rehabilitation Services for Older Adults in the Ontario Home Care System Full Text available with Trip Pro

and postoperative care. Participants identified challenges in providing home care rehabilitation to older adults, including impaired cognition and limited capacity in the home care system. Conclusions: Considering the changing demands for home care services, knowledge of current practices across the home care system can inform efforts to optimize rehabilitation services for the growing number of older adults. Further research is needed to advance the understanding of, and optimize rehabilitation service (...) was to develop a preliminary understanding of the factors that influence decisions to allocate rehabilitation therapy services to older clients in the Ontario home care system, as perceived by three stakeholder groups. Methods: Semi-structured interviews were conducted with 10 key informants from three stakeholder groups: case managers, service providers, and health system policymakers. Results: Drivers of the allocation of occupational therapy and physiotherapy for older adults included functional needs

2016 Physiotherapy Canada

111. Assessment of Driving-Related Skills Prediction of Unsafe Driving in Older Adults in the Office Setting (Abstract)

(n = 47) and cognitive impairment (n = 75).A neurologist completed the ADReS during an office visit. Additional cognitive tests of executive, visuospatial, and visuomotor function were also performed. On a separate day, participants completed a standardized on-road test, assessed by a professional driving instructor using a global safety rating and a quantitative driving score.In this sample of currently active older drivers with and without cognitive impairment, measures of cognition (...) Assessment of Driving-Related Skills Prediction of Unsafe Driving in Older Adults in the Office Setting To examine the sensitivity and specificity of the Assessment of Driving-Related Skills (ADReS), a clinical tool recommended by the American Medical Association for identifying potentially unsafe older drivers that includes tests of vision, motor function, and cognition.Cross-sectional observation study.Memory assessment outpatient clinic of a university hospital.Drivers with normal cognition

2013 EvidenceUpdates

112. Cannabis Effects on Driving-related Skills of Young Drivers

day. The effects of cannabis on mood, cognition, memory and complex reaction time will also be assessed. Identifying factors that affect the collision risks experienced by young drivers is a public health priority. While many young people believe that cannabis does not impair driving, some recent studies suggest that these may be very dangerous beliefs. This study will provide important information on how cannabis may affect the driving skills of young drivers, to inform efforts to understand (...) and address cannabis-related collision in this age group. Condition or disease Intervention/treatment Phase Psychomotor Impairment Drug: delta-9-tetrahydrocannabinol Drug: Placebo Not Applicable Detailed Description: This study will test the prediction that residual effects of an acute dose of cannabis on driving-related skills will be observed in a group of young drivers 48 hours following a single dose of smoked cannabis, and will also examine the effects of an acute dose of cannabis on those skills

2012 Clinical Trials

113. Cognitive components of simulated driving performance: Sleep loss effects and predictors. (Abstract)

Cognitive components of simulated driving performance: Sleep loss effects and predictors. Driving is a complex task, which can be broken down into specific cognitive processes. In order to determine which components contribute to drowsy driving impairments, the current study examined simulated driving and neurocognitive performance after one night of sleep deprivation. Nineteen professional drivers (age 45.3±9.1) underwent two experimental sessions in randomised order: one after normal sleep (...) by sleep loss. PVT performance significantly predicted specific aspects of simulated driving performance. Thus, psychomotor vigilance impairment may be a key cognitive component of driving impairment when sleep deprived. The generalisability of this finding to real-world driving remains to be investigated.Copyright © 2012 Elsevier Ltd. All rights reserved.

2013 Accident; analysis and prevention Controlled trial quality: uncertain

114. The effect of retirement on cognitive functioning. Full Text available with Trip Pro

The effect of retirement on cognitive functioning. Cognitive impairment has emerged as a major driver of disability in old age, with profound effects on individual well-being and decision making at older ages. In the light of policies aimed at postponing retirement ages, an important question is whether continued labour supply helps to maintain high levels of cognition at older ages. We use data of older men from the US Health and Retirement Study to estimate the effect of continued labour (...) market participation at older ages on later-life cognition. As retirement itself is likely to depend on cognitive functioning and may thus be endogenous, we use offers of early retirement windows as instruments for retirement in econometric models for later-life cognitive functioning. These offers of early retirement are legally required to be nondiscriminatory and thus, inter alia, unrelated to cognitive functioning. At the same time, these offers of early retirement options are significant

2012 Health economics

115. Cognitive impairment behind the wheel Full Text available with Trip Pro

Cognitive impairment behind the wheel 21670123 2011 08 11 2018 11 13 1488-2329 183 9 2011 Jun 14 CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne CMAJ Cognitive impairment behind the wheel. 1053 10.1503/cmaj.111-2051 Williams Dorothy Sam DS eng Comment Letter Canada CMAJ 9711805 0820-3946 AIM IM CMAJ. 2011 Apr 19;183(7):784-5 21422135 Aged Automobile Driver Examination Automobile Driving Cognition Disorders diagnosis Dementia diagnosis Humans 2011 6 15

2011 CMAJ : Canadian Medical Association Journal

116. Driving and off-road impairments underlying failure on road testing in Parkinson's disease. (Abstract)

Driving and off-road impairments underlying failure on road testing in Parkinson's disease. Parkinson's disease (PD) affects driving ability. We aimed to determine the most critical impairments in specific road skills and in clinical characteristics leading to failure on a road test in PD. In this cross-sectional study, certified driving assessment experts evaluated specific driving skills in 104 active, licensed drivers with PD using a standardized, on-road checklist and issued a global (...) decision of pass/fail. Participants also completed an off-road evaluation assessing demographic features, disease characteristics, motor function, vision, and cognition. The most important driving skills and off-road predictors of the pass/fail outcome were identified using multivariate stepwise regression analyses. Eighty-six (65%) passed and 36 (35%) failed the on-road driving evaluation. Persons who failed performed worse on all on-road items. When adjusted for age and gender, poor performances

2013 Movement Disorders

117. Assessment of Ocrelizumab (OCR) Treatment Effects on Functional Impairment of MS Patients Enrolled in the Phase III Orchestra Programme Using Multimodal Evoked Potentials (EP) and Highresolution Electroencephalography (EEG)

Study Details Study Description Go to Brief Summary: Multiple Sclerosis (MS) is not only an 'inflammatory' demyelinating disease, but also includes axonal and neuronal injury in the grey matter . Neurodegenerative processes are partly independent of lesion formation and relapse activity , but represent the direct driver of clinical long-term disability and cognitive decline. Multimodal evoked potentials (EP), i.e. the combination of visual, somato-sensory and motor EP (VEP, SSEP, MEP) have been (...) more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Layout table for eligibility information Ages Eligible for Study: 18 Years and older (Adult, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Sampling Method: Probability Sample Study Population The study population will be a sub-sample of the above mentioned multi-center, randomized, double-blind, phase III trials ("Oratorio", "Opera I

2012 Clinical Trials

118. Improving care of older adults with dementia: description of 6299 hospitalizations over 11 years in a special acute care unit. (Abstract)

admission gradually increased over time, as did the severity of cognitive impairment and the prevalence of unsatisfactory nutritional status (P for trend < .001 for each variable).The evolving patient characteristics and the causes of first-time admissions changed over the course of 11 years. Behavioral and psychological symptoms of dementia, especially agitation-aggressiveness, have progressively become the key drivers of Special Acute Care inpatient Unit hospitalizations. These findings suggest (...) Improving care of older adults with dementia: description of 6299 hospitalizations over 11 years in a special acute care unit. To describe hospitalizations in a Special Acute Care inpatient Unit for older adults with Alzheimer's disease (AD) and other related disorders.An 11-year observational study of consecutive hospitalizations from 1996 to 2006.The Alzheimer Special Acute Care inpatient Unit in the Geriatrics Department of the Toulouse University Hospital, France.A total of 4708 patients

2012 Journal of the American Medical Directors Association

119. Predicting road test performance in drivers with dementia. Full Text available with Trip Pro

Predicting road test performance in drivers with dementia. To develop a cognitive and functional screening battery for the on-road performance of older drivers with dementia.Prospective observational study.On-road driving evaluation clinic at an academic rehabilitation center.Ninety-nine older people with dementia (63% male, mean age 74.2 ± 9), referred by community physicians to an occupational therapy driving clinic.The outcome variable was pass or fail on the modified Washington University (...) Making Test Part A. Visual and motor functioning were not associated with road test failure.A screening battery that could be performed in less than 10 minutes predicted with good accuracy failure rate for the on-road driving test in this sample of older drivers with dementia. A probability of failure calculator is provided from a logistic regression model that may be useful for clinicians in their decision to refer impaired older adults for further testing. More studies are needed in larger

2011 Journal of the American Geriatrics Society

120. The Wechsler Digit Symbol Substitution Test as the Best Indicator of the Risk of Impaired Driving in Alzheimer Disease and Normal Aging. (Abstract)

The Wechsler Digit Symbol Substitution Test as the Best Indicator of the Risk of Impaired Driving in Alzheimer Disease and Normal Aging. Our purpose was to identify cognitive tools associated with unsafe driving among elderly drivers of varying cognitive levels.Twenty drivers with early-stage dementia of the Alzheimer type and 56 nondemented drivers aged 65-85 were recruited. Various cognitive processes were measured and unsafe driving was evaluated during an in-traffic road test with 3 (...) different indicators and a composite indicator.The Wechsler Digit Symbol Substitution Test score was the best cognitive measure to detect unsafe drivers using the composite driving indicator.The Digit Symbol Substitution Test may be used by physicians for the evaluation and follow-up of older patients, with or without Alzheimer-type dementia, as a screening tool of unsafe driving.

2010 Dementia and Geriatric Cognitive Disorders

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>