TY  - JOUR
PY  - 2007//
TI  - Association between road vehicle collisions and recent medical contact in older drivers: a case-crossover study
JO  - Injury prevention
A1  - Leproust, Sandy
A1  - Lagarde, Emmanuel
A1  - Suissa, S.
A1  - Salmi, Louis-Rachid
SP  - 382
EP  - 387
VL  - 13
IS  - 6
N2  - 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>
LA  - en
SN  - 1353-8047
UR  - http://dx.doi.org/10.1136/ip.2007.016477
ID  - ref1
ER  -