Thursday, December 12, 2013

Predictors of return to driving after stroke

And still these researchers don't know how to define cause and effect. The proper way to do this to make it repeatable would be to describe the damaged areas and correlate them to the specific needs in driving. That would be difficult but damn it all, I don't give a shit how difficult it is for those normals.
Do it the right way or go into a different line of work.

Predictors of return to driving after stroke

American Journal of Physical Medicine and Rehabilitation , Volume 92(7) , Pgs. 627-634.

NARIC Accession Number: J66837.  What's this?
ISSN: 0894-9115.
Author(s): Aufman, Elyse L.; Bland, Marghuretta D.; Barco, Peggy P.; Carr, David B.; Lang, Catherine E..
Publication Year: 2013.
Number of Pages: 8.
Abstract: Study identified patient factors present at admission to an inpatient rehabilitation hospital that can be used to identify which patients who have had acute stroke will and will not return to driving. One hundred ninety-eight participants were divided into 3 groups: those who returned to driving (returners), those who had not returned to driving (non-returners), and those who were not driving before their stroke (non-drivers). After comparing returners and non-returners on demographic and clinical characteristics, a logistic regression model with return to driving as the outcome variable was built using the backward stepwise method. Forty-eight of the 156 patients (31 percent) who had been driving before their stroke returned to driving 6 months after stroke. The final regression model, using Functional Independence Measure (FIM) cognition and lower-extremity Motricity Index scores, predicted the driving outcome with an accuracy of 75 percent. The findings suggest that patients with lower FIM cognition and lower-extremity Motricity Index scores at admission to inpatient rehabilitation are less likely to return to driving at 6 months. This model could be used by rehabilitation professionals to help counsel patients and their families and focus treatment goals.
Descriptor Terms: CLIENT CHARACTERISTICS, DRIVING, MOTOR VEHICLES, OUTCOMES, PREDICTION, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.

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