@article{ref1,
title="Association between road vehicle collisions and recent medical contact in older drivers: a case-crossover study",
journal="Injury prevention",
year="2007",
author="Leproust, Sandy and Lagarde, Emmanuel and Suissa, S. and Salmi, Louis-Rachid",
volume="13",
number="6",
pages="382-387",
abstract="OBJECTIVE: To estimate the association between past medical contacts and the risk of vehicle collision in a population of older drivers from the province of Quebec, Canada. DESIGN: Case-crossover study. SETTING: Quebec. PARTICIPANTS: 111 699 older drivers involved in at least one vehicle collision between January 1988 and December 2000. MAIN OUTCOME MEASURES: For each driver, the risk of having a vehicle collision while exposed and not exposed to a medical contact was compared. Separate conditional logistic regression analyses were conducted for all drivers and in four diagnostic-specific subgroups. RESULTS: The study found a weak but statistically significant increased risk of all collisions being associated with a medical contact within 1 month before the collision, for all drivers (OR = 1.10, 95% CI 1.08 to 1.11) and for drivers with diabetes (OR = 1.07, 95% CI 1.03 to 1.11). CONCLUSION: Older drivers who have a collision are more likely to have been in contact with a physician shortly before the collision. These findings suggest that there might be an opportunity to detect medical conditions that put older drivers at higher risk of collision; however, further research is needed to assess the potential effectiveness and practical modalities of screening.<p /> <p>Language: en</p>",
language="en",
issn="1353-8047",
doi="10.1136/ip.2007.016477",
url="http://dx.doi.org/10.1136/ip.2007.016477"
}