Non-frail elderly people and their license to drive motor vehicles

Lenardt, Maria Helena; García, Adolfo Cobo; Binotto, Maria Angélica; Carneiro, Nathalia Hammerschmidt Kolb; Lourenço, Tânia Maria; Cechinel, Clovis

doi:10.1590/0034-7167-2016-0675

Cited by 6 publications

(2 citation statements)

References 17 publications

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“…The external cause of injury, especially falls and struck by/against an object, nearly clustered in accordance to the severity, with falls linked to patients with system-level and neurological disorders and severe TBI, and being struck by/against an object linked to superficial injuries, overexertion, orthopaedic injuries, and mild TBI and concussions 67 , 68 . Notably, MVCs showed very few associations, all negative, the most significant of which, across clusters, were orthopaedic injuries, seizure disorders, and disorders of older people; these conditions linked to obstacles to, or lack of authorisation to operate a machinery 69 – 71 .…”

Section: Discussionmentioning

confidence: 99%

Decoding health status transitions of over 200 000 patients with traumatic brain injury from preceding injury to the injury event

Mollayeva

Tran

Chan

et al. 2022

Sci Rep

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For centuries, the study of traumatic brain injury (TBI) has been centred on historical observation and analyses of personal, social, and environmental processes, which have been examined separately. Today, computation implementation and vast patient data repositories can enable a concurrent analysis of personal, social, and environmental processes, providing insight into changes in health status transitions over time. We applied computational and data visualization techniques to categorize decade-long health records of 235,003 patients with TBI in Canada, from preceding injury to the injury event itself. Our results highlighted that health status transition patterns in TBI emerged along with the projection of comorbidity where many disorders, social and environmental adversities preceding injury are reflected in external causes of injury and injury severity. The strongest associations between health status preceding TBI and health status at the injury event were between multiple body system pathology and advanced age-related brain pathology networks. The interwoven aspects of health status on a time continuum can influence post-injury trajectories and should be considered in TBI risk analysis to improve prevention, diagnosis, and care.

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Section: Discussionmentioning

confidence: 99%

Decoding health status transitions of over 200 000 patients with traumatic brain injury from preceding injury to the injury event

Mollayeva

Tran

Chan

et al. 2022

Sci Rep

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“…Despite the importance of driving in old age, few studies have investigated older Brazilian drivers (Alonso et al, 2016; Binotto et al, 2019; Hauser et al, 2020; Lenardt et al, 2018). These studies were conducted with a non-probability sample and addressed aspects such as non-fragility and license to drive (Lenardt et al, 2018), lower extremity function (Binotto et al, 2019), and determinants of braking time (Alonso et al, 2016). Recently, Hauser et al (2020) estimated the prevalence of drivers aged 65 and older in a nationally representative sample.…”

Section: Introductionmentioning

confidence: 99%

Factors Associated With Driving Status Among Brazilian Older Adults

et al. 2022

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This study analyzed the factors associated with driving status among older adults in Brazil. The sample consisted of 15,221 older adults (≥65 years) residing in Brazilian capitals in 2018. The following question established the participants’ driving status: “ Do you drive a car, motorcycle, and/or another vehicle?” Sociodemographic, health conditions, and health-related behaviors were derived through standard procedures. Poisson regression analysis was performed to estimate prevalence ratios and 95% confidence interval. The prevalence of drivers was 28.83%. We found that being physically active during leisure time and higher daily recreational screen time (>3 h/day) were associated with driving status. Self-perceived negative health and being physically active by commuting showed an inverse association with driving status. The high prevalence of older drivers and the characteristics associated with driving reinforces the importance of public policy strategies for these individuals.

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Prevalence of Prefrailty and Frailty in South America: A Systematic Review of Observational Studies

et al. 2020

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Objectives: The present study aimed at investigating the prevalence of prefrailty and frailty in South American older adults according to the setting and region. Design: A literature search combining the terms “frailty”, “South America” or a specific country name was performed on PubMed, EMBASE, Lilacs, and Scielo to retrieve articles published in English, Portuguese or Spanish on or before August 2019. Participants: Older adults aged 60+ years from any setting classified as frail according to a validated scale were included in the study. Measurements: Frailty assessment by a validated scale. Results: One-hundred eighteen reports (98 performed from Brazil, seven from Chile, five from Peru, four from Colombia, two from Ecuador, one from Argentina, and one from Venezuela) were included in the study. The mean prevalence of prefrailty in South America was 46.8% (50.7% in older in-patients, 47.6% in the community, and 29.8% in nursing-home residents). The mean prevalence of frailty in South America was 21.7% (55.8% in nursing-home residents, 39.1% in hospitalized older adults, and 23.0% in the community). Conclusions: Prefrailty and frailty are highly prevalent in South American older adults, with rates higher than those reported in Europe and Asia. In the community, almost one-in-two is prefrail and one-in-five is frail, while hospitalized persons and nursing-home residents are more frequently affected. These findings indicate the need for immediate attention to avoid frailty progression toward negative health outcomes. Our findings also highlight the need for specific guidelines for the management of frailty in South America.

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Non-frail elderly people and their license to drive motor vehicles

Cited by 6 publications

References 17 publications

Decoding health status transitions of over 200 000 patients with traumatic brain injury from preceding injury to the injury event

Decoding health status transitions of over 200 000 patients with traumatic brain injury from preceding injury to the injury event

Factors Associated With Driving Status Among Brazilian Older Adults

Prevalence of Prefrailty and Frailty in South America: A Systematic Review of Observational Studies

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