TY  - JOUR
PY  - 2006//
TI  - Prediction of driving after stroke: a prospective study
JO  - Neurorehabilitation and neural repair
A1  - De Weerdt, Willy
A1  - Feys, Hilde
A1  - Akinwuntan, Abiodun Emmanuel
A1  - Kiekens, Carlotte
A1  - Arno, Patricia
A1  - Baten, Guido
SP  - 417
EP  - 423
VL  - 20
IS  - 3
N2  - BACKGROUND: The process of determining whether patients with stroke should drive again often involves off-road evaluations and road tests that usually take about 2 to 3 h to complete. OBJECTIVES: This prospective study sought to identify the combination of tests that best predicts fitness to drive after stroke. The main aim was to develop a short and predictive predriving assessment battery. METHODS: Sixty-eight consecutive stroke patients were studied who performed a mandatory predriving assessment at the Belgian Road Safety Institute, Brussels, within 18 months. Performance in a predriving assessment included medical examination (when needed), visual and neuropsychological evaluations, and an on-road test. Based on these assessments, a physician, psychologist, and the driving safety expert who administered the tests decided if a subject was either "fit to drive,""temporarily unfit to drive," or "unfit to drive." RESULTS: Logistic regression analysis revealed a combination of visual neglect, figure of Rey, and on-road tests as the model that best predicted (R(2) = 0.73) fitness to drive after stroke. Using a discriminant function that included the 3 tests of the logistic model, the fitness to drive judgments of 59 (86.8%) subjects were correctly predicted. The sensitivity and specificity of the predictions were 79.4% and 94.1%, respectively. CONCLUSION: Fitness to drive after stroke can be predicted from performance on a few road-related tests with a high degree of accuracy. However, some individuals require extended assessments and further tests.<p />  <p>Language: en</p>
LA  - en
SN  - 1545-9683
UR  - http://dx.doi.org/10.1177/1545968306287157
ID  - ref1
ER  -