Skip to main content
Article thumbnail
Location of Repository

Return to driving after head injury

By Carol Hawley

Abstract

Objectives:\ud To determine whether patients who return to driving after head injury can be considered safe to do so and to compare the patient characteristics of those who return to driving with those who do not.\ud Methods:\ud In a multicentre qualitative study ten rehabilitation units collectively registered 563 adults with traumatic brain injury during a 2.5 year period. Recruitment to the study varied from immediately after hospital admission to several years post injury. Patients and their families were interviewed around three to six months following recruitment. 383 (67.5%) subjects were interviewed within one year of injury, of whom 270 (47.6%) were interviewed within 6 months of injury. Main outcome measures were the presence or absence of driving related problems reported by drivers and ex-drivers, and scores on driving related items of the Functional Independence/Functional Assessment Measure (FIM+FAM).\ud Results:\ud Of the 563 patients 381 were drivers before the injury and 139 had returned to driving at interview. Many current drivers reported problems with behaviour (anger, aggression, irritability) (67 (48.2%)), memory ( 89 (64%)), concentration and attention (39 (28.1%)), and vision (39 (28.1%)). Drivers reported most driving-related problems as frequently as ex-drivers, main exceptions were epilepsy and community mobility. Current drivers scored significantly higher on the FIM+FAM (i.e. more independent), than ex-drivers. The driving group had sustained less severe head injuries than ex-drivers, nevertheless 78 (56.2%) of current drivers had received a severe head injury. Few (61, 16%) previous drivers reported receiving formal advice about driving following injury.\ud Conclusions:\ud The existence of problems which could significantly affect driving do not prevent patients returning to driving after TBI. Patients should be assessed for both mental and physical status before returning to driving after a head injury, and systems put in place to enable clear and consistent advice to be given to patients regarding driving

Topics: RC0321
Publisher: BMJ
Year: 2001
OAI identifier: oai:wrap.warwick.ac.uk:73

Suggested articles

Citations

  1. A National Multicentre Study of PostAcute Rehabilitation for Adults After Traumatic Brain Injury. doi
  2. (1987). Acquired Brain Damage and Driving: A Review. Archives of Physical Medicine and Rehabilitation
  3. Assessment of coma and impaired consciousness: a practical scale. doi
  4. Characteristics and comparisons of functional assessment indices: Disability Rating Scale, Functional Independence Measure, and Functional Assessment Measure. doi
  5. (1990). Characteristics of the head injured patient.
  6. (1989). Driving After a Head Injury. National Head Injuries Association
  7. Driving after a severe head injury. doi
  8. Driving after a stroke. doi
  9. (1998). Driving following traumatic brain injury: prevalence, exposure, advice and evaluations. doi
  10. (1995). Epilepsy and Neurosurgical Disorders. In:
  11. Fitness to Drive a Car After Recovery From Severe Head Injury. Archives of Physical Medicine and Rehabilitation
  12. (1996). Functional Measures After Traumatic Brain Injury: Ceiling Effects of FIM, FIM+FAM, DRS, and CIQ. doi
  13. (1995). In doi
  14. (1992). Late psychosocial outcome in severe traumatic brain injury. Preliminary results of a third follow-up study after 20 years.
  15. (1995). Medical Aspects of Fitness to Drive. A Guide for Medical Practitioners. London: The Medical Commission on Accident Prevention doi
  16. (1996). Medical Practitioners: At a Glance Guide to the Current Medical Standards of Fitness to Drive.
  17. (1995). Medico-legal Considerations. In
  18. (1998). of Rehabilitation Medicine. Rehabilitation after Traumatic Brain Injury. London: British Society of Rehabilitation Medicine doi
  19. (1981). Psychosocial outcome for the survivors of severe blunt head injury: the results from a consecutive series of 100 patients. doi
  20. (1998). Quality of life 10 years after a very severe traumatic brain injury (TBI): the perspective of the injured and the closest relative. doi
  21. (1991). Rehabilitation programmes for the brain injured adult. Discussion paper for the Department of Health,
  22. (1995). Social Services Inspectorate Social Services Department. Information Strategies and Systems (with reference to community care): Inspection Overview. London: Department of Health doi
  23. (1988). Society. The Management of Traumatic Brain Injury. London: Royal College of Physicians
  24. (1991). The disabled driver: an unmet challenge.
  25. The Report of The National Traumatic doi
  26. The short-term outcome of severe blunt head injury as reported by relatives of the injured persons. doi
  27. (1999). The use of the functional asessment measure (FIM + FAM) in head injury rehabilitation: a psychometric analysis. doi
  28. Thematic Review of Mental Health Services: Heading for better care. Commissioning and providing mental health services for people with Huntington’s Disease, Acquired Brain Injury and Early Onset Dementia.
  29. Visual fitness to drive after stroke or head injury. doi

To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.