Cent Eur J Public Health 2017, 25(3):211-215 | DOI: 10.21101/cejph.a4642

Patients' Risk of Causing Traffic Violations and Traffic Accidents While Driving

Nevenka Šestan1, Metoda Dodič Fikfak1, Zvone Balantič2
1 Ljubljana University Medical Centre, Clinical Institute of Occupational, Traffic, and Sports Medicine, Ljubljana, Slovenia
2 Faculty of Organizational Sciences, University of Maribor, Maribor, Slovenia

Objectives: This study examines whether drivers suffering from epilepsy, chronic alcoholism and/or hazardous drinking, psychoactive substance abuse, other diseases of the nervous system, mental and behavioural disorders, cardiovascular diseases, severe diabetes, and severe eye diseases are at a greater risk of causing traffic accidents and traffic violations than drivers that cause accidents and violations without these diagnoses.

Methods: A case control study was carried out. The cases were drivers checked by a special medical committee in the period observed suffering from the diseases listed above. Matched controls were taken from the cohort of those that caused accidents and violations during the same period observed. The descriptive statistics were followed by calculation of correlations, t-tests and χ2, and the odds ratio.

Results: Drivers with referrals for diseases of the nervous system are five times more likely to cause a traffic accident compared to controls (OR = 5.18; 95% CI = 2.59-10.34); in addition, a high risk is associated with drivers with mental and behavioural disorders (OR = 3.64; 95% CI = 1.91-6.94), drivers with epilepsy (OR = 1.99; 95% CI = 1.01-3.92), and drivers addicted to alcohol (OR = 1.71; 95% CI = 1.01-2.89).

Conclusion: Drivers suffering from addiction, a disease of the nervous system, or epilepsy are more likely to cause a traffic accident, which is a contribution to the inconclusive findings of previous studies. The multiple reasons for risks of patients suffering from mental and behavioural disorders need to be further investigated.

Keywords: traffic accidents, at-risk drivers, alcoholism, epilepsy, mental and behavioural disorders

Received: November 23, 2015; Revised: January 16, 2017; Published: October 10, 2017  Show citation

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Šestan N, Dodič Fikfak M, Balantič Z. Patients' Risk of Causing Traffic Violations and Traffic Accidents While Driving. Cent Eur J Public Health. 2017;25(3):211-215. doi: 10.21101/cejph.a4642. PubMed PMID: 29022680.
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    References

    1. Rus-Makovec M, Jakopič J. Driving under alcohol influence and road-traffic safety: to punish or to treat alcohol non-dependent and dependent drivers? Zdrav Vestn. 2010;79(7-8):582-92. (In Slovenian.)
    2. Sewell RA, Poling J, Sofuoglu M. The effect of cannabis compared with alcohol on driving. Am J Addict. 2009;18(3):185-93. Go to original source... Go to PubMed...
    3. Engeland A, Skurtveit S, Mørland J. Risk of road traffic accidents associated with the prescription of drugs: a registry-based cohort study. Ann Epidemiol. 2007;17(8):597-602. Go to original source... Go to PubMed...
    4. Kanaan A, Huertas P, Santiago A, Sanchez JA, Martinez P. Incidence of different health factors and their influence on traffic accidents in the province of Madrid, Spain. Leg Med. 2009;11 Suppl 1:S333-6. Go to original source... Go to PubMed...
    5. Rainio J, Sulander P, Hantula L, Nuutinen J, Karkola K. Diseases and motor vehicle fatalities in Finland in 2001 and 2002. Traffic Inj Prev. 2007;8(3):321-8. Go to original source... Go to PubMed...
    6. Kaasik T, Väli M, Saar I. Road traffic mortality in Estonia: alcohol as the main contributing factor. Int J Inj Contr Saf Promot. 2007;14(3):163-70. Go to original source... Go to PubMed...
    7. Niveau G, Kelley-Puskas M. Psychiatric disorders and fitness to drive. J Med Ethics. 2001;27(1):36-9. Go to original source...
    8. Grad A, Mesec A, Mesec Rodi P, Meglič B, editors. Urgent neurology. 2nd ed. Ljubljana: Slovenian associations of neurologists; 2009. (In Slovenian.)
    9. McLachlan RS, Starreveld E, Lee MA. Impact of mandatory physician reporting on accident risk in epilepsy. Epilepsia. 2007;48(8):1500-5. Go to original source... Go to PubMed...
    10. Sheth SG, Krauss G, Krumholz A, Li G. Mortality in epilepsy: driving fatalities vs other causes of death in patients with epilepsy. Neurology. 2004;63(6):1002-7. Go to original source... Go to PubMed...
    11. Beran RG, Ainley LA, Beran ME. Opinions, attitudes and practices of Australian neurologists with regard to epilepsy and driving. Intern Med J. 2007;37(4):251-7. Go to original source... Go to PubMed...
    12. Bon J, Koritnik B, Bresjanac M, Repovš G, Pregelj P, Dobnik B, et al. Cost of disorders of the brain in Slovenia in 2010. Zdrav Vestn. 2013;82(3):164-75. (In Slovenian.)
    13. Koprivšek J. Depression and distinct population groups. Farm Vestn. 2006;57(4):258-61. (In Slovenian.)
    14. Zupan A, Marinček Č. Assessment of driving abilities and car adaptations. Rehabilitacija. 2013;12 Suppl 1:36-44. (In Slovenian.)
    15. International statistical classification of diseases and related health problems, tenth revision, Australian Modification (ICD-10-AM)-Tabular list of diseases. 6th ed. Lidcombe, NSW : National Centre for Classification in Health ; 2008.
    16. Tomson T, Beghi E, Sundgvist A, Johannessen SI. Medical risks in epilepsy: a review with focus on physical injuries, mortality, traffic accidents and their prevention. Epilepsy Res. 2004; 60(1):1-16. Go to original source... Go to PubMed...
    17. Mavrič M, Zavrnik Č, Bilban M, Grošelj J. Epilepsy and driving. Zdrav Vestn. 2015;84(4):294-305. (In Slovenian.) Go to original source...
    18. Krumholz A. Driving issues in epilepsy: past, present, and future. Epilepsy Curr. 2009;9(2):31-5. Go to original source... Go to PubMed...
    19. Martinović, LB. Stigma of epilepsy is worse than the disease. Novilist.hr [Internet]. 2012 Feb 25 [cited 2015 May 10]; Health and beauty. Available from: http://www.novilist.hr/Zivot-i-stil/Zdravlje-ljepota/Zdravlje/Stigma-epilepsije-gora-je-od-bolesti. (In Croatian.)
    20. Christophersen AS, Gjerde H. Prevalence of alcohol and drugs among car and van drivers killed in road accidents in Norway: an overview from 2001 to 2010. Traffic Inj Prev. 2014;15(6):523-31. Go to original source... Go to PubMed...
    21. Glojar, N. Reintegration of patients in society and workplace after CVI. eSynapsa [Internet]. 2014[cited 2015 Jun 15]; 2014(7). Available from: http://www.sinapsa.org/eSinapsa/stevilke/2014-7/102/Reintegracija bolnikov po možganski kapi v družbi in na delovnem mestu. (In Slovenian.)
    22. De Las Cuevas C, Sanz EJ. Fitness to drive of psychiatric patients. Prim Care Companion J Clin Psychiatry. 2008;10(5):384-90. Go to original source...

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