Disobedience and driving in patients with epilepsy in Greece

Zis, Panagiotis; Siatouni, Anna; Kimiskidis, Vasilios Κ.; Verentzioti, Anastasia; Kefalonitis, Georgios; Triantafyllou, Nikolaos; Gatzonis, Stylianos

doi:10.1016/j.yebeh.2014.09.079

Cited by 11 publications

(6 citation statements)

References 17 publications

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“…Univariate binary logistic regression was performed to detect the possible association between clinical and social demographic variables and seizure-related MVA. Variables that yielded P < 0.1 in the univariate binary logistic regression and clinical factors that were associated with seizure-related MVA in previous studies [2,11,[13][14][15][16][17][18] were entered into a model of multiple logistic regression. The multicollinear test was performed before these variables were entered into the regression model.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with seizure-related motor vehicle accidents among patients with epilepsy in West China

Chen

Tong

et al. 2019

Seizure

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This study was conducted to investigate the relevant demographics and clinical factors contributing to seizure-related motor vehicle accidents in west China. Methods: All driving patients who visited our epilepsy clinic in the West China Hospital, between October 2012 and October 2016, were invited to participate. Data on social demographics, clinical features, and motor vehicle accidents were collected during structured interviews. Binary logistic regression was used to identify factors associated with seizure-related motor vehicle accidents. Results: In total, 519 patients reported driving after being diagnosed with epilepsy. Among them, thirty-nine (7.5%) patients experienced at least one seizure-related motor vehicle accidents. Patients who had seizure-free intervals ≥2 years had a 89% reduced chance of crashing compared to patients with shorter intervals. Logistic regression revealed that the interval of seizure freedom (B = -0.384, P = 0.007), number of antiepileptic drugs (AEDs) taken (B = 0.400, P = 0.041), and type of motor vehicle (B = 0.798, P = 0.021) were independently associated with seizure-related motor vehicle accidents. Conclusion:The interval of seizure freedom, number of AEDs taken, and type of motor vehicle should be considered when counseling patients with epilepsy on driving. A longer seizure-free interval suggested a compromised risk of seizure-related motor vehicle accidents.

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Section: Discussionmentioning

confidence: 99%

Factors associated with seizure-related motor vehicle accidents among patients with epilepsy in West China

Chen

Tong

et al. 2019

Seizure

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“…19 Consistent with previous findings, driving was related to being in a relationship or employment, reflecting in part the needs of the family and importance of living independently. 7,12,[20][21][22][23] Owning accommodation has not been investigated in previous studies, but higher household income has been associated with driving, both reflecting family wealth. 21,23,24 Interestingly, people with a family history of epilepsy were less likely to drive in the month before their diagnosis.…”

Section: Discussionmentioning

confidence: 99%

“…This may have led to an overestimation of the frequency of driving, because depression has been associated with the cessation of driving after acute stroke 30,31 and employment with driving. 7,12,20,22,23 We acknowledge the possibility of recall bias for 65% of the participants who completed their baseline interviews >28 days after the diagnosis. Although our study was large, we acknowledge that the sample sizes used in the models were still too small to provide precise estimates.…”

Section: Discussionmentioning

confidence: 99%

“…1 As in many other countries, driver's licenses in the state of New South Wales, Australia are issued to people who have experienced 1 or more seizures only if their risk of a collision due to a seizure is considered acceptable, either because of the nature of the seizures or because there is a low risk of recurrence. However, as loss of a driver's license can have significant consequences on many aspects of one's life, 2 including influencing medical reviews and adherence to medication, 3 and restricting socialization 4 and leisure activities, 5 it is understandable that people with epilepsy rank driving as their most important concern 6 and are often distressed 7,8 by driving restrictions. Some will continue to drive against advice, 9 and some will conceal their diagnosis from the licensing authority.…”

Section: Introductionmentioning

confidence: 99%

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Return to driving after a diagnosis of epilepsy: A prospective registry study

Hackett

Glozier

et al. 2018

Epilepsia

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“…Despite the abovementioned European directive, there are still fundamental differences among member states, particularly in terms of how the authorities are informed of the condition. Several research studies from the United States [23] and Greece [24] have highlighted the risk of information being withheld by patients with epilepsy who provided self-reports.…”

Section: Introductionmentioning

confidence: 99%

Recent Medico-Legal Developments on the Issue of Epilepsy and Driver’s License Requirements in the Italian and European Legislation

Mazzariol

Pastorini

Luca

et al. 2019

Behavioural Neurology

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Epilepsy is a condition that comprises a group of neurological disorders characterized by seizures. Forms of epilepsy that produce abrupt bouts that cause lapses in consciousness may pose a major road safety problem for drivers who, while going through a seizure, could seriously harm themselves as well as others. A fundamental strategy for the purpose of reducing the risk of car accidents caused by epileptic drivers is constituted by prevention, in addition to adequate pharmacological therapies. In that respect, forensic medicine plays a pivotal role, since it deals with the set of requirements that must be met by those who have been diagnosed with epilepsy in order to get a driver's license, and with the obligation to signal such individuals to the national Driver and Vehicle Licensing Agency (in Italian: Motorizzazione Civile). In that regard, the Italian legislative framework is partly hazy in some respects, which the authors have set out to analyze herein, taking into account recently issued European norms. The aim of this paper was to better understand the current Italian legislation in the matter of epilepsy and driver's license requirements, especially regarding the medical criteria that must be met in order to obtain the driving license. The importance of those criteria is underlined by the fact that they directly influence (and are influenced by) the safety for the drivers and for the persons involved in car accidents. Thus, we can consider the issue not only strictly of medico-legal relevance but also from the standpoint of primary prevention. The analysis was conducted by reviewing the most recent documents of medico-legal relevance, in the light of European Union legislation. The authors have ultimately stressed the need for clearer and straightforward regulations, given that professional liability may arise whenever a driver's license is issued, in disregard of legal norms, to an individual who then causes a road accident.

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Disobedience and driving in patients with epilepsy in Greece

Cited by 11 publications

References 17 publications

Factors associated with seizure-related motor vehicle accidents among patients with epilepsy in West China

Factors associated with seizure-related motor vehicle accidents among patients with epilepsy in West China

Return to driving after a diagnosis of epilepsy: A prospective registry study

Recent Medico-Legal Developments on the Issue of Epilepsy and Driver’s License Requirements in the Italian and European Legislation

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