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Heart failure is a risk factor for incident driving cessation among community-dwelling older adults: findings from a

Richard V Sims1, Marjan Mujib, Gerald McGwin

  • 1Veterans Affairs Medical Center, Birmingham, Alabama, USA.

Journal of Cardiac Failure
|November 30, 2011
PubMed

Insights

Heart failure (HF) is a significant risk factor for driving cessation in older adults. Interventions targeting factors like age, gender, and mobility issues may help maintain driving independence for HF patients.

Area of Science:

  • Gerontology
  • Cardiology
  • Public Health

Background:

  • Heart failure (HF) significantly impacts older adults' independence and access to care.
  • Driving cessation in older adults with HF poses challenges for accessing essential medical services.

Purpose of the Study:

  • To determine if heart failure (HF) is a risk factor for driving cessation in community-dwelling older drivers.
  • To identify other predictors of driving cessation among older adults with HF.

Main Methods:

  • Analysis of Cardiovascular Health Study (CHS) data from 5,383 drivers aged 65+.
  • Examined incident driving cessation rates over 9 years for individuals with and without HF.
  • Multivariable regression analysis identified predictors of driving cessation in HF patients.

Main Results:

  • Heart failure (HF) was independently associated with a 43% increased risk of driving cessation (HR 1.43).
  • Higher rates of driving cessation were observed in HF patients compared to those without HF.
  • Predictors of driving cessation in HF patients included advanced age (≥75), female gender, walking difficulty, vision problems, and history of stroke.

Conclusions:

  • Heart failure (HF) is an independent risk factor for driving cessation in older adults.
  • Identifying specific patient characteristics can inform interventions to prevent driving cessation in this population.
Abstract

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