Stroke Recurrence among Stroke Patients Referred for Driving Assessment and Rehabilitation: A Cohort Study
Returning to driving is one of the priorities for stroke survivors. However, the fear of the risk of recurrent stroke has led to concern about allowing driving post-stroke. This study was performed to study the impact of various vascular risk factors on stroke recurrence among drivers referred to ou...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-02-01
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| Series: | Journal of Cardiovascular Development and Disease |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2308-3425/10/2/83 |
| _version_ | 1797620259150102528 |
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| author | Narayanaswamy Venketasubramanian Mei Leng Chan |
| author_facet | Narayanaswamy Venketasubramanian Mei Leng Chan |
| author_sort | Narayanaswamy Venketasubramanian |
| collection | DOAJ |
| description | Returning to driving is one of the priorities for stroke survivors. However, the fear of the risk of recurrent stroke has led to concern about allowing driving post-stroke. This study was performed to study the impact of various vascular risk factors on stroke recurrence among drivers referred to our national referral center for Driving Assessment and Rehabilitation Program (DARP). Medical records of subjects who were diagnosed to have a stroke and were referred to DARP were retrospectively reviewed. Data on demographics (age and gender) and vascular risk factors (hypertension—HT, diabetes mellitus—DM, hyperlipidemia—HL, cigarette smoking—SM, previous stroke—PS, and heart disease—HD) were collected. Subjects were contacted and records scrutinized for a report of recurrent stroke. A total of 133 subjects were recruited, median 54 years (range 20–77 years), 95.5% male, 59.4% had HT, 32.3% DM, 65.4% HL, 43.6% SM, 3.8% PS, and 8.3% HD. Over a median follow-up of 30 months (range 1–78 months), the recurrence rate of stroke was 11.3%, 3.69/100 patient-years. On uni-variable analysis, the risk of stroke recurrence rose with age (HR 1.08, 95%CI 1.02–1.15, <i>p</i> = 0.01) and heart disease (HR 5.77, 95%CI 1.46–22.83, <i>p</i> = 0.01). On multivariable analysis, only age remained significant (HR 1.07, 95%CI 1.00–1.13, <i>p</i> = 0.045). Among those aged > 60 years, the HR was 3.88 (95%CI 1.35–11.20, <i>p</i> = 0.012). The risk of stroke recurrence is higher among older drivers and is not influenced by other vascular factors. |
| first_indexed | 2024-03-11T08:38:37Z |
| format | Article |
| id | doaj.art-58c2e4f3cb8c4268853d6424197127bb |
| institution | Directory Open Access Journal |
| issn | 2308-3425 |
| language | English |
| last_indexed | 2024-03-11T08:38:37Z |
| publishDate | 2023-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Cardiovascular Development and Disease |
| spelling | doaj.art-58c2e4f3cb8c4268853d6424197127bb2023-11-16T21:16:47ZengMDPI AGJournal of Cardiovascular Development and Disease2308-34252023-02-011028310.3390/jcdd10020083Stroke Recurrence among Stroke Patients Referred for Driving Assessment and Rehabilitation: A Cohort StudyNarayanaswamy Venketasubramanian0Mei Leng Chan1Raffles Neuroscience Centre, Raffles Hospital, Singapore 188770, SingaporeDepartment of Occupational Therapy, Tan Tock Seng Hospital, Singapore 308433, SingaporeReturning to driving is one of the priorities for stroke survivors. However, the fear of the risk of recurrent stroke has led to concern about allowing driving post-stroke. This study was performed to study the impact of various vascular risk factors on stroke recurrence among drivers referred to our national referral center for Driving Assessment and Rehabilitation Program (DARP). Medical records of subjects who were diagnosed to have a stroke and were referred to DARP were retrospectively reviewed. Data on demographics (age and gender) and vascular risk factors (hypertension—HT, diabetes mellitus—DM, hyperlipidemia—HL, cigarette smoking—SM, previous stroke—PS, and heart disease—HD) were collected. Subjects were contacted and records scrutinized for a report of recurrent stroke. A total of 133 subjects were recruited, median 54 years (range 20–77 years), 95.5% male, 59.4% had HT, 32.3% DM, 65.4% HL, 43.6% SM, 3.8% PS, and 8.3% HD. Over a median follow-up of 30 months (range 1–78 months), the recurrence rate of stroke was 11.3%, 3.69/100 patient-years. On uni-variable analysis, the risk of stroke recurrence rose with age (HR 1.08, 95%CI 1.02–1.15, <i>p</i> = 0.01) and heart disease (HR 5.77, 95%CI 1.46–22.83, <i>p</i> = 0.01). On multivariable analysis, only age remained significant (HR 1.07, 95%CI 1.00–1.13, <i>p</i> = 0.045). Among those aged > 60 years, the HR was 3.88 (95%CI 1.35–11.20, <i>p</i> = 0.012). The risk of stroke recurrence is higher among older drivers and is not influenced by other vascular factors.https://www.mdpi.com/2308-3425/10/2/83strokerecurrencedriving |
| spellingShingle | Narayanaswamy Venketasubramanian Mei Leng Chan Stroke Recurrence among Stroke Patients Referred for Driving Assessment and Rehabilitation: A Cohort Study Journal of Cardiovascular Development and Disease stroke recurrence driving |
| title | Stroke Recurrence among Stroke Patients Referred for Driving Assessment and Rehabilitation: A Cohort Study |
| title_full | Stroke Recurrence among Stroke Patients Referred for Driving Assessment and Rehabilitation: A Cohort Study |
| title_fullStr | Stroke Recurrence among Stroke Patients Referred for Driving Assessment and Rehabilitation: A Cohort Study |
| title_full_unstemmed | Stroke Recurrence among Stroke Patients Referred for Driving Assessment and Rehabilitation: A Cohort Study |
| title_short | Stroke Recurrence among Stroke Patients Referred for Driving Assessment and Rehabilitation: A Cohort Study |
| title_sort | stroke recurrence among stroke patients referred for driving assessment and rehabilitation a cohort study |
| topic | stroke recurrence driving |
| url | https://www.mdpi.com/2308-3425/10/2/83 |
| work_keys_str_mv | AT narayanaswamyvenketasubramanian strokerecurrenceamongstrokepatientsreferredfordrivingassessmentandrehabilitationacohortstudy AT meilengchan strokerecurrenceamongstrokepatientsreferredfordrivingassessmentandrehabilitationacohortstudy |