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Driving ability in patients with dizziness: a systematic review
Marie-Hélène Uwents1,2, Cathérine Jorissen1,2, Angelique Van Ombergen2,3
1Departments of Otorhinolaryngology and Head and Neck Surgery, Antwerp University Hospital, Wilrijkstraat 10, 2650, Edegem, Belgium.
Summary
Dizziness and vestibular disorders often negatively impact driving performance, though study results vary. More research is needed to establish a clear link between these conditions and driving ability.
Area of Science:
- Neurology
- Ophthalmology
- Audiology
Background:
- Vestibular disorders and dizziness significantly affect patient quality of life.
- Driving is a crucial activity for independence, making driving performance in affected individuals a critical concern.
Purpose of the Study:
- To systematically review and evaluate existing literature on the driving performance of patients experiencing dizziness or diagnosed with vestibular disorders.
Main Methods:
- A systematic review was conducted following PRISMA guidelines, searching PubMed, Embase, and Cochrane Library.
- Included studies focused on driving ability and difficulties in patients with dizziness or vestibular disorders.
- Data extraction encompassed patient characteristics, diagnostic criteria, sample size, and driving evaluation methods and outcomes.
Main Results:
- Eight studies met inclusion criteria, exhibiting significant heterogeneity in populations, designs, and outcomes.
- Most studies indicated a negative impact of dizziness/vestibular disorders on self-reported driving ability and accident rates.
- However, some studies found no significant impairment in driving ability.
Conclusions:
- While the majority of studies suggest a negative impact of dizziness and vestibular disorders on driving, significant heterogeneity and contradictory findings exist.
- A definitive causal relationship between dizziness and driving ability could not be established.
- Prospective studies with validated subjective and objective measures are needed to assess driving performance across various vestibular disorders.
