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Updated: Jan 14, 2026
Driving Simulation in the Clinic: Testing Visual Exploratory Behavior in Daily Life Activities in Patients with Visual Field Defects
Published on: September 18, 2012
Predictors affecting initial assessment results using driving simulator in stroke patients admitted at a subacute
Akihito Yoshida1, Kaho Sumi2, Kanta Kobayashi2
1Department of Integrated Health Science, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.
Introduction:
We surveyed predictors associated with pass/fail test results for initial driving assessment using a driving simulator in stroke patients admitted to a subacute rehabilitation hospital.
Method:
We prospectively analyzed 106 inpatients with stroke. Driving assessment was done using a simulator. Sociodemographic, disease-related (duration from onset to initial assessment using a driving simulator), cognitive (Stroke Driver's Screening Assessment (SDSA)), physical, and activity-related variables were assessed.
Results:
Multivariate logistic regression analyses demonstrated that three independent factors were associated with the pass/fail test result of initial driving assessment. These variables were the duration from onset to initial driving assessment using a driving simulator (per 1 day; odds ratio (OR) = 1.08, 95% confidence interval (CI) 1.05-1.11, p = 0.00), required time (per 1 second; OR = 1.01, 95% CI 1.00-1.01, p = 0.02), and errors of dot cancellation in the (per 1 time; OR = 1.16, 95% CI 1.05-1.28, p = 0.00) SDSA.
Conclusion:
Our results suggest that the duration from onset to initial driving assessment using a driving simulator, required time, and errors of dot cancellation in the SDSA are the three predictors determining the passing/failing of patients with stroke in a driving simulator test.
