Social Environmental Factors Related to Resuming Driving after Brain Injury: A Multicenter Retrospective Cohort Study
Many patients resume driving after brain injury regardless of their ability to drive safely. Predictors for resuming driving in terms of actual resumption status and environmental factors are unclear. We evaluated the reasons for resuming driving after brain injury and examined whether social enviro...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-10-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/9/11/1469 |
| _version_ | 1797510155054612480 |
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| author | Mamiko Sato Yasutaka Kobayashi Kazuki Fujita Masahito Hitosugi |
| author_facet | Mamiko Sato Yasutaka Kobayashi Kazuki Fujita Masahito Hitosugi |
| author_sort | Mamiko Sato |
| collection | DOAJ |
| description | Many patients resume driving after brain injury regardless of their ability to drive safely. Predictors for resuming driving in terms of actual resumption status and environmental factors are unclear. We evaluated the reasons for resuming driving after brain injury and examined whether social environmental factors are useful predictors of resuming driving. This retrospective cohort study was based on a multicenter questionnaire survey at least 18 months after discharge of brain injury patients with rehabilitation. A total of 206 brain injury patients (cerebrovascular disease and traumatic brain injury) were included in the study, which was conducted according to the International Classification of Functioning (ICF) items using log-binominal regression analysis, evaluating social environmental factors as associated factors of resuming driving after brain injury. Social environmental factors, inadequate public transport (risk ratio (RR), 1.38), and no alternative driver (RR, 1.53) were included as significant independent associated factors. We found that models using ICF categories were effective for investigating factors associated with resuming driving in patients after brain injury and significant association between resuming driving and social environmental factors. Therefore, social environmental factors should be considered when predicting driving resumption in patients after brain injury, which may lead to better counseling and environmental adjustment. |
| first_indexed | 2024-03-10T05:27:35Z |
| format | Article |
| id | doaj.art-766c4d5e06054791b45acd463393ec9f |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-10T05:27:35Z |
| publishDate | 2021-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-766c4d5e06054791b45acd463393ec9f2023-11-22T23:31:20ZengMDPI AGHealthcare2227-90322021-10-01911146910.3390/healthcare9111469Social Environmental Factors Related to Resuming Driving after Brain Injury: A Multicenter Retrospective Cohort StudyMamiko Sato0Yasutaka Kobayashi1Kazuki Fujita2Masahito Hitosugi3Department of Rehabilitation Medicine, Fukui General Hospital, Fukui 910-8561, JapanGraduate School of Health Science, Fukui Health Science University, Fukui 910-3190, JapanGraduate School of Health Science, Fukui Health Science University, Fukui 910-3190, JapanDepartment of Legal Medicine, Shiga University of Medical Science, Shiga 520-2192, JapanMany patients resume driving after brain injury regardless of their ability to drive safely. Predictors for resuming driving in terms of actual resumption status and environmental factors are unclear. We evaluated the reasons for resuming driving after brain injury and examined whether social environmental factors are useful predictors of resuming driving. This retrospective cohort study was based on a multicenter questionnaire survey at least 18 months after discharge of brain injury patients with rehabilitation. A total of 206 brain injury patients (cerebrovascular disease and traumatic brain injury) were included in the study, which was conducted according to the International Classification of Functioning (ICF) items using log-binominal regression analysis, evaluating social environmental factors as associated factors of resuming driving after brain injury. Social environmental factors, inadequate public transport (risk ratio (RR), 1.38), and no alternative driver (RR, 1.53) were included as significant independent associated factors. We found that models using ICF categories were effective for investigating factors associated with resuming driving in patients after brain injury and significant association between resuming driving and social environmental factors. Therefore, social environmental factors should be considered when predicting driving resumption in patients after brain injury, which may lead to better counseling and environmental adjustment.https://www.mdpi.com/2227-9032/9/11/1469resuming drivingsocial environmental factorsInternational Classification of Functioning (ICF)brain injury |
| spellingShingle | Mamiko Sato Yasutaka Kobayashi Kazuki Fujita Masahito Hitosugi Social Environmental Factors Related to Resuming Driving after Brain Injury: A Multicenter Retrospective Cohort Study Healthcare resuming driving social environmental factors International Classification of Functioning (ICF) brain injury |
| title | Social Environmental Factors Related to Resuming Driving after Brain Injury: A Multicenter Retrospective Cohort Study |
| title_full | Social Environmental Factors Related to Resuming Driving after Brain Injury: A Multicenter Retrospective Cohort Study |
| title_fullStr | Social Environmental Factors Related to Resuming Driving after Brain Injury: A Multicenter Retrospective Cohort Study |
| title_full_unstemmed | Social Environmental Factors Related to Resuming Driving after Brain Injury: A Multicenter Retrospective Cohort Study |
| title_short | Social Environmental Factors Related to Resuming Driving after Brain Injury: A Multicenter Retrospective Cohort Study |
| title_sort | social environmental factors related to resuming driving after brain injury a multicenter retrospective cohort study |
| topic | resuming driving social environmental factors International Classification of Functioning (ICF) brain injury |
| url | https://www.mdpi.com/2227-9032/9/11/1469 |
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