ArticleJournal of the American Geriatrics Society2018
Cognitive Decline and Older Driver Crash Risk.
Article in Journal of the American Geriatrics Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 29 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
29 citing papers in PubMed, 162 citations in OpenAlex.
- TECH preserves global cognition of older adults with MCI compared with a control group: a randomized controlled trial.Aging clinical and experimental research · 2024Trial
- Partner-inflicted brain injury may cognitively age survivors by over a decade.medRxiv : the preprint server for health sciences · 2026Article
- Self-Reported Driving Problems Predict Future Traffic Crashes in Older Men: Prevalence and Determinants of Unrecognized Imminent Risk.Journal of the American Geriatrics Society · 2026Article
- Assessing Risky Driving Behaviours of Chinese Drivers Aged 55-65 Years: Adaptation of the Road Traffic Behaviours Questionnaire and Its Associations with Personality Traits and Social Desirability.Behavioral sciences (Basel, Switzerland) · 2025Article
- Mediating role of frailty/pre-frailty on the association between exercise participation and traffic crashes among Japanese community-dwelling older drivers.BMC geriatrics · 2025Article
- Identifying major depressive disorder in older adults through naturalistic driving behaviors and machine learning.NPJ digital medicine · 2025Article
- Evaluation and Modification of the Multifactorial Model of Driving Safety Among Older Adults.Innovation in aging · 2025Article
- Hierarchical model for taxi crashes considering the intrinsic factors of taxi drivers and companies in South Korea.PloS one · 2025Article
- Metacognitive Awareness of Older Adult Drivers with Mild Cognitive Impairment: Relationships with Demographics, Subjective Evaluation of Cognition, and Driving Self-Efficacy.Behavioral sciences (Basel, Switzerland) · 2024Article
- The Impact of Spatial Orientation Changes on Driving Behavior in Healthy Aging.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024Article
- Study protocol for "In-vehicle sensors to detect changes in cognition of older drivers".BMC geriatrics · 2023Article
- Special Report from the CDC: Provider knowledge and practices around driving safety and fall prevention screening and recommendations for their older adult patients, DocStyles 2019.Journal of safety research · 2023Article
- Research on driving behavior characteristics of older drivers based on drivers' behavior graphs analysis.Heliyon · 2023Article
- Associations of cannabis use with motor vehicle crashes and traffic stops among older drivers: AAA LongROAD study.Traffic injury prevention · 2023Article
- Olfactory discrimination and identification as prognostic markers of fitness-to-drive in older drivers.Scientific reports · 2022Article
- Driving Cessation: What Are Family Members' Experiences and What Do They Think about Driving Simulators?Geriatrics (Basel, Switzerland) · 2022Article
- Examining Patterns of Driving Avoidance Behaviors Among Older People Using Latent Class Analysis.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022Article
- An innovative therapeutic educational program to support older drivers with cognitive disorders: Description of a randomized controlled trial study protocol.Frontiers in neurology · 2022Article
- Do healthcare providers assess for risk factors and talk to patients about return to driving after a mild traumatic brain injury (mTBI)? Findings from the 2020 DocStyles Survey.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2021Article
- Cognitive Efficiency and Fitness-to-Drive along the Lifespan: The Mediation Effect of Visuospatial Transformations.Brain sciences · 2021Article
Corrections and comments
- Erratum issuedCorrigendum.2019
Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
Abstract
objectivesTo examine automobile crash risk associated with cognition in older drivers without dementia.
designRetrospective secondary analysis of longitudinal cohort study.
settingOur study used data from the Adult Changes in Thought (ACT) Study merged with Washington State crash reports and licensure records. Data were available from 2002 to 2015.
participantsGroup Health enrollees from Washington State aged 65 and older with active driver's licenses (N=2,615). MEASUREMENTS: Cognitive function was assessed using the Cognitive Abilities Screening Instrument scored using item response theory (CASI-IRT). The study outcome was police-reported motor vehicle crash. We used a negative binomial mixed-effects model with robust standard errors clustered on the individual and considered associations between crash risk, level of cognition, and amount of decline since the previous study visit. Covariates included age, sex, education, alcohol, depression, medical comorbidities, eyesight, hearing, and physical function. Individuals were censored at dementia diagnosis, death, or failure to renew their license.
resultsOver an average of 7 years of follow-up, 350 (13%) people had at least one crash. A 1-unit lower CASI-IRT score was associated with a higher adjusted incidence rate ratio of crash of 1.26 (95% confidence interval=1.08-1.51). Beyond level of cognition, amount of cognitive decline between study visits was not associated with crash risk.
conclusionThis study suggests that, in older drivers, poorer performance on the CASI-IRT may be a risk factor for motor vehicle crashes, even in individuals without diagnosed dementia. Further research is needed to understand driving behavior and inform driving decisions for older adults with poor cognitive function.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.