Cessation of Driving and Unsafe Motor Vehicle Operation by Dementia Patients

doi:10.1001/archinte.1991.00400050087017

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Vol. 151 No. 5, MAY 1991

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Cessation of Driving and Unsafe Motor Vehicle Operation by Dementia Patients

David W. Gilley, PhD; Robert S. Wilson, PhD; David A. Bennett, MD; Glenn T. Stebbins, PhD; Bryan A. Bernard, PhD; Mary E. Whalen; Jacob H. Fox, MD

Arch Intern Med. 1991;151(5):941-946.

Abstract

We surveyed 522 consecutive patients from a dementia clinicto assess duration of driving after disease onset and instancesof unsafe motor vehicle operation in the preceding 6 months.Among the 333 patients licensed to drive at the onset of dementia,the median duration of driving after onset was 28.6 months.Patients with a clinical diagnosis of Alzheimer's disease drovesignificantly longer than those with other dementia syndromes.Of the 93 patients still driving at the time of the survey,approximately one third were reported to have had at least oneform of unsafe motor vehicle operation in the past 6 months,including 21 patients with motor vehicle accidents. Motor vehicleaccidents were associated with use of prescription medicationswith sedative properties and with lower subjective ratings ofthe patient's driving ability by the informant.

(Arch Intern Med. 1991;151:941-946)

Author Affiliations

From the Rush Alzheimer's Disease Center and Rush-Presbyterian-St Luke's Medical Center (Drs Gilley and Bennett and Ms Whalen) and Departments of Psychology and Social Sciences (Drs Wilson and Bernard) and Neurological Sciences (Dr Fox), Rush-Presbyterian-St Luke's Medical Center, Chicago, Ill; and Department of Psychology, University of Victoria (British Columbia) (Dr Stebbins).

Footnotes

Accepted for publication November 19, 1990.

Reprint requests to the Rush Alzheimer's Disease Center, 710S Paulina St, 8 North, Chicago, IL 60612 (Dr Gilley).

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