TY  - JOUR
PY  - 2010//
TI  - Response letter to Drs. O'Callaghan and O'Neill, Comments on article on older drivers in Australia
JO  - Journal of the American Geriatrics Society
A1  - Ross, Lesley A.
A1  - Anstey, Kaarin J.
A1  - Kiely, Kim M.
A1  - Luszcz, Mary A.
A1  - Byles, Julie E.
A1  - Mitchell, Paul
SP  - 1213
EP  - 1214
VL  - 58
IS  - 6
N2  - We appreciate the important issues detailed by O'Callaghan and O'Neill, although our reading of the evidence is that, despite the majority of safe older drivers, there is a proportion of older drivers who may be unsafe because of cognitive impairment. Given population aging, the size of this subgroup will increase. Persons classified as cognitively impaired (including those with a mean Mini-Mental State Examination (MMSE) score of 26.5 or MMSE scores of ≤26) have demonstrated poorer driving performance in on-road driving assessments, crashes, driving simulators, and other performance measures. Although many older adults may begin to modify their driving behaviors, reducing their exposure to higher-risk situations, such modifications may not be sufficient for drivers who are at greater risk of crashing. Our study identifies a large proportion of older drivers with MMSE scores of 26 or lower. Additionally, the sample is likely to be biased toward higher-functioning older adults because of selection effects at entry to the studies, hence underestimating the numbers with possible cognitive impairment.<p />
LA  - 
SN  - 0002-8614
UR  - http://dx.doi.org/10.1111/j.1532-5415.2010.02894.x
ID  - ref1
ER  -