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在中度至重度创伤性脑损伤后恢复驾驶:A TBI模型系统纵向调查
Thomas A Novack1,2, Yue Zhang1,2, Richard Kennedy1,2
1Author Affiliations: Department of Physical Medicine and Rehabilitation, University of Alabama at Birmingham, Birmingham, Alabama (Dr Novack, Ms Marwitz, and Dr Brunner); Division of Gerontology, Geriatrics, and Palliative Care, Department of Medicine Integrative Center for Aging Research, University of Alabama at Birmingham, Birmingham, Alabama (Drs Zhang and Kennedy); Department of Psychology, Wayne State University, Detroit, Michigan (Dr Rapport); Department of Psychology and Neuropsychology, Tampa General Hospital, Tampa, Florida (Dr Mahoney); Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, Minnesota (Dr Bergquist); Department of Physical Medicine and Rehabilitation, University of Washington, Seattle, Washington (Dr Bombardier); Research Department, Craig Hospital, Englewood, Colorado (Dr Tefertiller); Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, Virginia (Dr Walker); and Department of Physical Medicine and Rehabilitation, Moss Rehabilitation at Elkins Park/Einstein Healthcare Network, Elkins Park, Pennsylvania (Dr Watanabe).
大多数创伤性脑损伤 (TBI) 患者会恢复驾驶,但往往频率会降低,并避免遇到具有挑战性的情况. 创伤后机率较高,这表明需要进一步研究风险因素.
科学领域:
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
- 公共卫生 公共卫生
背景情况:
- 创伤性脑损伤 (TBI) 显著影响认知和身体功能,影响驾驶等日常活动.
- 了解恢复驾驶 (RTD) 模式和相关风险对于创伤后恢复和安全至关重要.
研究的目的:
- 调查RTD的纵向趋势,驾驶行为和中度至重度TBI后的撞车发生率.
- 为了识别与RTD和驾驶修改后受伤相关的因素.
主要方法:
- 一项纵向观察性研究,涉及8个TBI模型系统站点的334名TBI成年人.
- 驾驶习惯和事故数据是通过康复期间的调查以及1年和2年的随访收集的.
主要成果:
- 创伤后一年的RTD率为65%,创伤后2年为70%,与家庭收入有积极的关联.
- 驾驶频率和距离减少,避免挑战性驾驶条件 (例如,夜间,繁忙的交通).
- 事故发生率在受伤后的第一年为9.9%,在受伤后的第二年为6%,而在受伤前为14.9%.
结论:
- 在TBI后,RTD很常见,但驾驶模式经常发生变化,减少参与和避免复杂的情况.
- 虽然事故发生率在受伤后下降,但仍然高于一般人群的事故发生率,这表明持续存在的风险.
- 需要进一步的研究,以确定预测TBI人群中撞车风险的特征.
