EMBARGOED FOR RELEASE UNTIL 4 PM ET, February 09, 2009
Tests May Predict Driving Safety in People with Alzheimer鈥檚 Disease
ST. PAUL, Minn. -
Doctors may be able to use certain cognitive tests to help determine whether a person with Alzheimer鈥檚 disease can safely get behind the wheel. The research is published in the February 10, 2009, print issue of Neurology庐, the medical journal of the 好色先生. 鈥淭he number of people with dementia is increasing as our population ages, and we will face a growing public health problem of elderly drivers with memory loss,鈥 says study author Jeffrey Dawson, ScD, with the University of Iowa in Iowa City. In the study, 40 drivers with early Alzheimer鈥檚 disease and 115 elderly drivers without this diagnosis underwent a combination of off-road tests that measured thinking, movement and visual skills. The participants also drove a 35-mile route in and outside the city. Driving safety errors were recorded by a driving expert, based on a video review of the drive. The research found drivers with Alzheimer鈥檚 disease committed an average of 42 safety mistakes, or 27 percent more than the drivers without Alzheimer鈥檚 disease, who made an average of 33 safety errors on the test drive. The most common mistakes were lane violations. For every five years older the participant was, the number of safety errors went up by about two and a half, whether or not they had Alzheimer鈥檚 disease. Among drivers with Alzheimer鈥檚 disease, those who performed better on the off-road tests made fewer on-road safety errors. 鈥淭he goal is to prevent crashes while still maximizing patients鈥 rights and freedom to be mobile,鈥 said Dawson. 鈥淏y measuring driver performance through off-road tests of memory, visual and motor abilities, we may be able to develop a standardized assessment of a person鈥檚 fitness to drive.鈥 The study was supported by the National Institute on Aging.