The association of select medical conditions with road transport and other hospitalised injury among older adults-Reference-Cited by-同舟云学术

The association of select medical conditions with road transport and other hospitalised injury among older adults

Published:2020-02-01 Issue:1 Volume:31 Page:20-29
ISSN:2652-4252
Container-title:Journal of Road Safety
language:en
Short-container-title:JRS

Author:

Mitchell Rebecca¹,Harvey Lara²,Toson Barbara²,Draper Brian³,Brodaty Henry³,Close Jacqueline⁴

Affiliation:

1. Australian Institute of Health Innovation, Macquarie University, North Ryde, Australia

2. Falls, Balance and Injury Research Centre, Neuroscience Research Australia, University of New South Wales, Randwick, Australia

3. Dementia Centre for Research Collaboration, School of Psychiatry, University of New South Wales, Kensington, Australia; Centre for Healthy Brain Ageing, School of Psychiatry, University of New South Wales, Kensington, Australia

4. Falls, Balance and Injury Research Centre, Neuroscience Research Australia, University of New South Wales, Randwick, Australia; Prince of Wales Clinical School, University of New South Wales, Kensington, Australia

Abstract

Introduction: Certain cognitive and physical conditions have been associated with increased risk of injury, particularly risk of vehicle crashes among older car drivers. This study aims to examine the association of seven select medical conditions among hospitalised road users compared to other hospitalised injuries, and to estimate the hospitalised injury rates of car drivers, car passengers and pedestrians with these medical conditions. Method: An examination of road transport and nonroad transport hospitalised injury involving adults aged ≥50 years identified during 2003-2012 in New South Wales, Australia was conducted. Medical conditions were identified from hospital diagnosis records. Conditional fixed effects logistic regression conditioned on the matched cases and comparison-cohort estimated odds ratios for each medical condition by road user type. Results: There were 35,134 road transport injuries (10,664 car drivers and 4,907 pedestrians) and 447,858 nonroad transport injuries. Individuals with vision disorders, cardiovascular disease including stroke, diabetes, and osteoarthritis had higher odds of hospitalisation for an injury as a car driver compared to all other hospitalised injuries. Individuals with diagnoses of dementia or alcohol dependence had a lower odds of an injury hospital admission as a road user (excluding pedestrians) compared to all other hospitalised injuries. Conclusions: As the population ages, there are likely to be more older road users with comorbidities that may affect their ability to drive or safely cross the road. Community mobility strategies need to take into account the influence of comorbid health conditions for older adults.

Publisher

Australasian College of Road Safety

Reference44 articles.

1. Adler, G., & Silverstein, N. (2008). At-risk drivers with Alzheimer’s diseases: Recognition, response, and referral. Traffic Injury Prevention, 9, 299-303.

2. Australian Bureau of Statistics. (2011). Population Projections, Australia, 2006 to 2101. Cat. no. 3222.0. Canberra: ABS.

3. Australian Bureau of Statistics. (2014). Australian demographic statistics. Cat. no. 3101.0. Canberra: ABS.

4. Australian Bureau of Statistics. (2016). Australian demographic statistics. Cat. no. 3101.0. Canberra.

5. ABS. Australian Government Department of Health. (2008). Visual impairment and blindness in Australia. Retrieved from http://www.health.gov.au/internet/publications/publishing.nsf/Content/ageing-eyehealth-risk-factors.htm~ageingeyehealth-risk-factors-4.htm~ageing-eyehealth-riskfactors-4-1.htm

Cited by 1 articles. 订阅此论文施引文献订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献

1. Impact of comorbidities on survival following major injury across different types of road users;Injury;2022-10