Document Detail

Patient factors associated with return to driving poststroke: findings from a multicenter cohort study.
MedLine Citation:
PMID:  20510976     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To estimate the extent to which body structure, function, activity, and context explain driving resumption at 1 year. DESIGN: Cohort study with relationships modeled in a path analysis. SETTING: Three urban Canadian communities. PARTICIPANTS: Patients admitted to hospital with acute stroke who had driven before their stroke (n=290) who participated in a longitudinal study of stroke outcomes. MAIN OUTCOME MEASURES: Driving resumption 1 year after the initial stroke diagnosis. RESULTS: One hundred seventy-seven patients (61%) returned to driving after 1 year. Direct relationships were found between measures of strength and motor activity (Stroke Impact Scale), cognition (Mini-Mental State Examination), type of stroke (hemorrhagic vs ischemic), and driving resumption at 1 year. The effects of stroke severity, fatigue, and sex on driving resumption were mediated through strength and motor activity shown by a model that had excellent fit (comparative fit index=.985, Tucker-Lewis Index=.952, root mean square error of approximation=.046). CONCLUSIONS: There are multiple direct and indirect influences on driving resumption at 1 year, from the type of stroke, physical strength and motor activity, cognition, sex, and fatigue measured at 3 months. The paths outlined by this model highlight how stroke sequelae influence community mobility, as well as factors related to driving resumption that are amenable to intervention.
Marie-Josée Perrier; Nicol Korner-Bitensky; Nancy E Mayo
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Archives of physical medicine and rehabilitation     Volume:  91     ISSN:  1532-821X     ISO Abbreviation:  Arch Phys Med Rehabil     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-31     Completed Date:  2010-07-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2985158R     Medline TA:  Arch Phys Med Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  868-73     Citation Subset:  AIM; IM    
Copyright Information:
Copyright 2010 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, Quebec, Canada.
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MeSH Terms
Aged, 80 and over
Automobile Driving / statistics & numerical data*
Disability Evaluation
Logistic Models
Longitudinal Studies
Middle Aged
Muscle Strength
Quality of Life
Recovery of Function
Stroke / physiopathology,  rehabilitation*
Time Factors
Urban Population
Grant Support
//Canadian Institutes of Health Research

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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