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Article

Driving Cessation and Cognitive Dysfunction in Patients with Mild Cognitive Impairment

Department of Neurology, Seoul National University College of Medicine and Seoul National University Bundang Hospital, Seongnam-si 13620, Korea
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Author to whom correspondence should be addressed.
J. Clin. Med. 2018, 7(12), 545; https://doi.org/10.3390/jcm7120545
Received: 21 November 2018 / Revised: 10 December 2018 / Accepted: 11 December 2018 / Published: 13 December 2018
(This article belongs to the Special Issue Mild Cognitive Impairment)
Although driving by adults with cognitive impairment is an important public health concern, little is known about the indicators of driving cessation in patients with mild cognitive impairment (MCI). We aimed to investigate the prevalence of driving cessation in patients with MCI and the predictive value of cognitive performances for driving cessation. Patients with MCI were recruited in the Seoul National University Bundang Hospital; they met following inclusion criteria. Age range of 51–80 years, Clinical Dementia Rating scale score of 0.5, and ever car drivers including former and current drivers. All participants underwent comprehensive standardized cognitive assessments and information on driving status was obtained via an interview using a systematic questionnaire. The median age of the 135 participants was 72 years, and 54 participants (40%) were women; 93 patients (68.9%) were current drivers and 42 (31.1%) were former drivers. In univariate analysis, former drivers showed poorer performances in digit span backward and categorical fluency tests than current drivers. In multivariate logistic regression analysis, a poor digit span backward test score was significantly related with driving cessation (odds ratio: 0.493, 95% confidence interval: 0.258–0.939). In patients with MCI, poor performance in the digit span backward test, which represents impaired working memory capacity, was associated with a higher probability of driving cessation. View Full-Text
Keywords: driving cessation; mild cognitive impairment; cognition; working memory driving cessation; mild cognitive impairment; cognition; working memory
MDPI and ACS Style

Pyun, J.-M.; Kang, M.J.; Kim, S.; Baek, M.J.; Wang, M.J.; Kim, S. Driving Cessation and Cognitive Dysfunction in Patients with Mild Cognitive Impairment. J. Clin. Med. 2018, 7, 545. https://doi.org/10.3390/jcm7120545

AMA Style

Pyun J-M, Kang MJ, Kim S, Baek MJ, Wang MJ, Kim S. Driving Cessation and Cognitive Dysfunction in Patients with Mild Cognitive Impairment. Journal of Clinical Medicine. 2018; 7(12):545. https://doi.org/10.3390/jcm7120545

Chicago/Turabian Style

Pyun, Jung-Min, Min J. Kang, Sohee Kim, Min J. Baek, Min J. Wang, and SangYun Kim. 2018. "Driving Cessation and Cognitive Dysfunction in Patients with Mild Cognitive Impairment" Journal of Clinical Medicine 7, no. 12: 545. https://doi.org/10.3390/jcm7120545

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