Factors affecting return to driving post-stroke

Tan, Kit Mun; O'Driscoll, A; O’Neill, Desmond

doi:10.1007/s11845-010-0528-9

Cited by 21 publications

(19 citation statements)

References 18 publications

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“…It revealed that approximately 64% of first-ever stroke patients returned to driving before 12 months after stroke. This percentage is higher than previous studies on return to driving 1 year after stroke (16,17,28), but is consistent with some other studies (21,29). In these studies, patients who received inpatient rehabilitation services or cross-sectional status will probably have had more severe stroke than those who received acute care only, thus leading to a lower rate of return to driving.…”

Section: Discussionsupporting

confidence: 89%

Prediction for return to driving after the first-ever stroke in Korea: The KOSCO study

Jee¹,

Sohn²,

Lee³

et al. 2018

J Rehabil Med

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Section: Discussionsupporting

confidence: 89%

Prediction for return to driving after the first-ever stroke in Korea: The KOSCO study

Jee¹,

Sohn²,

Lee³

et al. 2018

J Rehabil Med

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“…One explanation for this may be that the average age of referred men was lower than that of women. The younger the patient, the more likely he/she is to still be driving [22], and vision assessment is crucial in determining ability to drive. This is unfortunate as age is often used as a poor surrogate marker for pre-morbid function and – maybe more importantly – since diagnosing visual field impairments in an elderly population could prevent falling and further injury [9].…”

Section: Discussionmentioning

confidence: 99%

Diagnosis and Rehabilitation of Visual Field Defects in Stroke Patients: A Retrospective Audit

Sand

Thomassen

Næss

et al. 2012

Cerebrovasc Dis Extra

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Objective: Visual field defects (VFD) after stroke can cause significant disability and reduction in quality of life. Adequate diagnosis of VFD and referral to visual rehabilitation are important to improve outcome. Our aim was to conduct a retrospective clinical audit to investigate how neurologists detect and follow up VFD in stroke patients in a university hospital in Norway. Methods: All patients registered in the Bergen NORSTROKE Registry from February 2006 to May 2009 with (1) occipital lobe infarctions and (2) non-occipital infarction and clinically detected VFD were included in the study. Their medical records were reviewed for referral to perimetry for examination of VFD and for referral to a visual rehabilitation program within the first year after brain injury. Results: Of 353 patients, 34 (9.6%) were referred to perimetry and 8 (2.3%) to visual rehabilitation. Patients referred to perimetry were younger (65.1 vs. 74.7 years, p < 0.001), had lower modified Rankin Scale scores (2.53 vs. 3.47, p = 0.003), and scored lower on the National Institutes of Health Stroke Scale upon admission (6.68 vs. 13.90, p < 0.001). Men were more often referred to perimetry than women (73.5 vs. 26.5%, p < 0.001), and those referred were younger (61.2 vs. 75.8 years, p = 0.03). Conclusions: Only few patients were referred to perimetry, and even fewer were offered visual rehabilitation. Age and gender were negative predictors for referral. Neurologists’ awareness of the significant disability related to VFD must be increased. Focused diagnostics on visual impairment and early referral to a visual rehabilitation program should be mandatory in stroke unit services.

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“…Thematic analysis revealed that valued activities could be divided into the following categories: reengagement in valued activities in general (studies about outdoor and indoor activities); 22,25,26,32,33,35–46,48,60–64,67–72 social and community reengagement (studies about social activities outside the home and in the community); 21,23,27, 28,34,47,50,52,55,58,73,74 mobility (studies about moving around as a meaningful activity) 29,51,53,54,56,57,59 and work. 24,49,65,66,75–86 Some single remaining studies on activities such as eating, exercise or leisure …”

Section: Resultsmentioning

confidence: 99%

What environmental factors influence resumption of valued activities post stroke: a systematic review of qualitative and quantitative findings

et al. 2016

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Objective:Identify the environmental factors that influence stroke-survivors’ reengagement in personally valued activities and determine what specific environmental factors are related to specific valued activity types.Data sources:PubMed, CINAHL and PsycINFO were searched until June 2016 using multiple search-terms for stroke, activities, disability, and home and community environments.Review methods:An integrated mixed-method systematic review of qualitative, quantitative and mixed-design studies was conducted. Two researchers independently identified relevant studies, assessed their methodological quality and extracted relevant findings. To validly compare and combine the various findings, all findings were classified and grouped by environmental category and level of evidence.Results:The search yielded 4024 records; 69 studies were included. Most findings came from low-evidence-level studies such as single qualitative studies. All findings were consistent in that the following factors facilitated reengagement post-stroke: personal adapted equipment; accessible environments; transport; services; education and information. Barriers were: others’ negative attitudes and behaviour; long distances and inconvenient environmental conditions (such as bad weather). Each type of valued activity, such as mobility or work, had its own pattern of environmental influences, social support was a facilitator to all types of activities. Although in many qualitative studies others’ attitudes, behaviour and stroke-related knowledge were seen as important for reengagement, these factors were hardly studied quantitatively.Conclusion:A diversity of environmental factors was related to stroke-survivors’ reengagement. Most findings came from low-evidence-level studies so that evidence on causal relationships was scarce. In future, more higher-level-evidence studies, for example on the attitudes of significant others, should be conducted.

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Factors affecting return to driving post-stroke

Abstract: A relatively high level of return to driving can be achieved post-stroke with a pro-active approach to driver assessment and rehabilitation. A structured assessment and referral programme should be offered where appropriate.

Cited by 21 publications

References 18 publications

Prediction for return to driving after the first-ever stroke in Korea: The KOSCO study

Prediction for return to driving after the first-ever stroke in Korea: The KOSCO study

Diagnosis and Rehabilitation of Visual Field Defects in Stroke Patients: A Retrospective Audit

What environmental factors influence resumption of valued activities post stroke: a systematic review of qualitative and quantitative findings

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