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大学・研究所にある論文を検索できる 「Social Environmental Factors Related to Resuming Driving after Brain Injury : A Multicenter Retrospective Cohort Study.」の論文概要。リケラボ論文検索は、全国の大学リポジトリにある学位論文・教授論文を一括検索できる論文検索サービスです。

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Social Environmental Factors Related to Resuming Driving after Brain Injury : A Multicenter Retrospective Cohort Study.

SATO Mamiko 0000-0002-2947-9743 KOBAYASHI Yasutaka FUJITA Kazuki 0000-0003-0332-5831 HITOSUGI Masahito 90328352 0000-0001-5243-8766 滋賀医科大学

2021.10.29

概要

Many patients resume driving after brain injury regardless of their ability to drive safely. Predictors for resuming driving in terms of actual resumption status and environmental factors are unclear. We evaluated the reasons for resuming driving after brain injury and examined whether social environmental factors are useful predictors of resuming driving. This retrospective cohort study was based on a multicenter questionnaire survey at least 18 months after discharge of brain injury patients with rehabilitation. A total of 206 brain injury patients (cerebrovascular disease and traumatic brain injury) were included in the study, which was conducted according to the International Classification of Functioning (ICF) items using log-binominal regression analysis, evaluating social environmental factors as associated factors of resuming driving after brain injury. Social environmental factors, inadequate public transport (risk ratio (RR), 1.38), and no alternative driver (RR, 1.53) were included as significant independent associated factors. We found that models using ICF categories were effective for investigating factors associated with resuming driving in patients after brain injury and significant association between resuming driving and social environmental factors. Therefore, social environmental factors should be considered when predicting driving resumption in patients after brain injury, which may lead to better counseling and environmental adjustment.

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