Visual processing impairment and risk of motor vehicle crash among older adults

被引:578
作者
Owsley, C
Ball, K
McGwin, G
Sloane, ME
Roenker, DL
White, MF
Overley, ET
机构
[1] Univ Alabama Birmingham, Sch Med, Dept Ophthalmol, Birmingham, AL USA
[2] Univ Alabama Birmingham, Sch Med, Dept Psychol, Birmingham, AL USA
[3] Univ Alabama Birmingham, Sch Med, Dept Epidemiol, Birmingham, AL USA
[4] Univ Alabama Birmingham, Sch Med, Dept Physiol Opt, Birmingham, AL USA
[5] Western Kentucky Univ, Dept Psychol, Bowling Green, KY 42101 USA
来源
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION | 1998年 / 279卷 / 14期
关键词
D O I
10.1001/jama.279.14.1083
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Context.-Motor vehicle crash risk in older drivers has been associated with visual acuity loss, but only weakly so, suggesting other factors contribute. The useful field of view is a measure that reflects decline in visual sensory function, slowed visual processing speed, and impaired visual attention skills. Objective.-To identify whether measures of visual processing ability, including the useful field of view test, are associated with crash involvement by older drivers. Design.-Prospective cohort study with 3 years of follow-up, 1990-1993. Setting.-Ophthalmology clinic assessment of community-based sample. Patients.-A total of 294 drivers aged 55 to 87 years at enrollment. Main Outcome Measure.-Motor vehicle crash occurrence. Results.-Older drivers with a 40% or greater impairment in the useful field of view were 2.2 times (95% confidence interval, 1.2-4.1) more likely to incur a crash during 3 years of follow-up, after adjusting for age, sex, race, chronic medical conditions, mental status, and days driven per week, This association was primarily mediated by difficulty in dividing attention under brief target durations. Conclusion.-Reduction in the useful field of view increases crash risk in older drivers, Given the relatively high prevalence of visual processing impairment among the elderly, visual dysfunction and eye disease deserve further examination as causes of motor vehicle crashes and injury.
引用
收藏
页码:1083 / 1088
页数:6
相关论文
共 44 条
[1]  
Allison P., 1995, SURVIVAL ANAL USING
[2]  
Ball K, 1993, J Am Optom Assoc, V64, P71
[3]  
BALL K, 1993, INVEST OPHTH VIS SCI, V34, P3110
[4]  
BALL K, IN PRESS ACCID ANAL
[5]  
Ball K. K., 1990, The development of attention: research and theory, P489, DOI [10.1016/S0166-4115(08)60472-0, DOI 10.1016/S0166-4115(08)60472-0]
[6]   AGE AND VISUAL-SEARCH - EXPANDING THE USEFUL FIELD OF VIEW [J].
BALL, KK ;
BEARD, BL ;
ROENKER, DL ;
MILLER, RL ;
GRIGGS, DS .
JOURNAL OF THE OPTICAL SOCIETY OF AMERICA A-OPTICS IMAGE SCIENCE AND VISION, 1988, 5 (12) :2210-2219
[7]   THE NORMAL VISUAL-FIELD ON THE HUMPHREY FIELD ANALYZER [J].
BRENTON, RS ;
PHELPS, CD .
OPHTHALMOLOGICA, 1986, 193 (1-2) :56-74
[8]  
Collett D., 1994, Modelling Survival Data in Medical Research
[9]   VEHICLE CRASH INVOLVEMENT AND COGNITIVE DEFICIT IN OLDER DRIVERS [J].
COOPER, PJ ;
TALLMAN, K ;
TUOKKO, H ;
BEATTIE, BL .
JOURNAL OF SAFETY RESEARCH, 1993, 24 (01) :9-17
[10]   RETROSPECTIVE EVALUATION OF ALTERNATIVE VISION SCREENING CRITERIA FOR OLDER AND YOUNGER DRIVERS [J].
DECINA, LE ;
STAPLIN, L .
ACCIDENT ANALYSIS AND PREVENTION, 1993, 25 (03) :267-275