SYSTEMATIC REVIEW OF THE RISK OF MOTOR VEHICLE COLLISION AFTER STROKE OR TRANSIENT ISCHEMIC ATTACK

摘要

Stroke can impair the motor and cognitive skills required to drive safely. The purpose of the present study was to determine whether stroke and/or transient ischemic attack (TIA) are associated with an increased MVC risk. We searched MEDLINE, CINAHL, EMBASE, PsychINFO and TRID through December 2016. Results: From the 5,605 citations identified, 12 articles met our inclusion criteria. Only one of three case-control studies showed an increased risk of stroke in persons with at-fault MVC (OR 1.9, 95% CI 1.0–3.9). Of five cohort reports, only one study, limited to self-report, found an increased risk of MVC associated with stroke or TIA (RR 2.71, 95% CI 1.11–6.61). Discussion: The decline in driving skills following stroke identified in prior reviews does not appear to translate into a robust increase in risk of MVCs. However, there is a paucity of high quality studies of the impact of stroke on driving.