在老年成年司机中,多药和硬车事件之间的关联
Qi Jian1, Stanford Chihuri2, Howard F Andrews3
1Department of Biostatistics, Mailman School of Public Health, Columbia University, New York, NY 10032, USA.
Accident; analysis and prevention
|May 31, 2024
概括
多药性,即使用多种药物,显著增加了老年司机硬制动事件的风险. 减少药物使用可能会提高这群人群的驾驶安全.
科学领域:
- 老年学是一门学科.
- 运输安全运输安全
- 临床药理学 临床药理学
背景情况:
- 多药性 (同时使用≥2种药物) 是老年司机的重大安全问题.
- 这项研究调查了老年人中多药和硬车事件之间的联系.
研究的目的:
- 评估多药与老年司机硬制动事件发生率之间的关联.
- 量化使用越来越多的药物增加的硬制动事件的风险增加.
主要方法:
- 一项自然驾驶研究涉及2990名44个月的老年人.
- 通过"棕色袋审查"收集的药物数据;硬制动被定义为≥0.4g减速.
- 用于分析关联的多变量负二项式回归.
主要成果:
- 在2872名符合条件的司机中,94.5%使用了2种或以上的药物.
- 与使用<2种药物的人相比,硬制动的风险增加了8% (2-5种药物),12% (6-9种药物),19% (10-13种药物) 和34% (≥14种药物).
- 在药物数量和硬车事件之间观察到剂量反应关系.
结论:
- 多药性与老年司机硬制动事件的发生率增加有显著的关联.
- 增加的风险表明了明确的剂量反应关系.
- 减少多药的干预措施可能会提高老年人驾驶安全.
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