@article{ref1,
title="Predictors of on-road driver performance following traumatic brain injury",
journal="Archives of physical medicine and rehabilitation",
year="2014",
author="Ross, Pamela E. and Ponsford, Jennie L. and Di Stefano, Marilyn and Spitz, Gershon",
volume="96",
number="3",
pages="440-446",
abstract="OBJECTIVE: To examine assessment outcomes and factors associated with passing an occupational therapy (OT) on-road driver assessment, after traumatic brain injury (TBI). <br><br>DESIGN: Retrospective analysis of outcomes of on-road driver assessments completed by persons with a TBI over an eight year period. SETTING: Inpatient and outpatient rehabilitation hospital. PARTICIPANTS: A consecutive sample of 207 individuals with mild to severe TBI, who completed an on-road driver assessment and were assessed at least 3 months post injury. INTERVENTION: Not applicable MAIN OUTCOME MEASURES: Outcome of on-road driver assessment RESULTS: Sixty-six percent of TBI drivers (n=137) passed the initial on-road driver assessment (pass group), while 34% (n=70) required on-road driver rehabilitation and/or one or more on-road assessments (rehabilitation group). After driver rehabilitation, only 3 of this group did not resume driving. Participants who were male, had shorter posttraumatic amnesia (PTA) duration, no physical and/or visual impairment, as well as faster reaction times were significantly more likely to be in the pass group. In combination, these variables correctly classified 87.6% of the pass group and 71.2 % of the rehabilitation group. <br><br>CONCLUSIONS: PTA duration, proved to be a better predictor of driver assessment outcome than Glasgow coma scale score and in combination with the presence of physical/visual impairment and slowed reaction times, could assist clinicians to determine referral. criteria for OT driver assessment. On-road driver rehabilitation, followed by on-road re-assessments were associated with a high probability of return to driving after TBI.<p /> <p>Language: en</p>",
language="en",
issn="0003-9993",
doi="10.1016/j.apmr.2014.09.027",
url="http://dx.doi.org/10.1016/j.apmr.2014.09.027"
}