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Journal Article

Citation

Finestone HM, Marshall SC, Rozenberg D, Moussa RC, Hunt L, Greene-Finestone LS. Am. J. Phys. Med. Rehabil. 2009; 88(11): 904-923.

Affiliation

Elisabeth Bruyere Hospital, Bruyere Continuing Care (HMF); CanDRIVE Research Program, Canadian Institutes of Health Research; The Ottawa Hospital Rehabilitation Centre.

Copyright

(Copyright © 2009, Lippincott Williams and Wilkins)

DOI

10.1097/PHM.0b013e3181aa001e

PMID

19487920

Abstract

OBJECTIVE:: To determine the demographic, medical, and transportation use characteristics of stroke survivors wanting to drive who resumed or did not resume driving and compare the driving habits of those who drove with those of a nonstroke control group. DESIGN:: One hundred and six stroke survivors who underwent a driving evaluation at a rehabilitation center in Ottawa, Canada, between 1995 and 2003, participated in a structured telephone interview 4-5 yrs after the evaluation. Information on driving history and transportation use before the driving assessment was obtained from the driving assessment client database. The nonstroke control group was derived from the literature. RESULTS:: After stroke, 66% of subjects had resumed driving. Prestroke driving history was similar for drivers and nondrivers. Drivers were younger than nondrivers (mean age +/- SD, 62.7 +/- 12.7 yrs vs. 69.2 +/- 13.4 yrs; P = 0.02), had less medical comorbidity (mean modified Cumulative Illness Rating Scale score, 3.7 +/- 1.97 vs. 5.0 +/- 2.89; P = 0.01), and were less likely to rely on a walker (1.4% vs. 19.4%, P < 0.001). Self-imposed restrictions were reported by 35.7% of drivers. More nondrivers than drivers relied on family/friends (94.4% vs. 41.4%), public transportation (60.7% vs. 35.3%), or taxis (27.8% vs. 2.9%) (all P < 0.05). Drivers reported fewer driving difficulties (e.g., skill, weather, or traffic related;

Language: en

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