Evidence map›Paper›PMID 33864381›Full record

ArticleJournal of the American Geriatrics Society2021

Association of hospitalization with driving reduction and cessation in older adults.

Timothy G Gaulton, Mark D Neuman, Rebecca T Brown, Marian E Betz

Abstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Health-related social needs before and after critical illness among Medicare beneficiaries.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025
    Article
  4. Article
  5. Article
  6. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Timothy G GaultonDepartment of Anesthesiology and Critical Care, University of Pennsylvania, Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Mark D NeumanDepartment of Anesthesiology and Critical Care, University of Pennsylvania, Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Rebecca T BrownDivision of Geriatric Medicine, Department of Medicine, University of Pennsylvania, Perelman School of Medicine, Philadelphia, Pennsylvania, USA.ORCID 0000-0001-7483-4137
Marian E BetzDepartment of Emergency Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.

Funding

Improving Aging in Place for Older Adults Living in Subsidized HousingK76AG057016 · NIA · UNIVERSITY OF PENNSYLVANIA · PI BROWN, REBECCA TYLER · 2018 to 2020
$853k
NIA NIH HHS K76 AG057016
6 · The paper itself

Abstract

backgroundDriving has not been considered as part of the social cost of acute illness and may go unnoticed in the post-hospital care of older adults. Decreases in driving after hospitalization and at-risk populations have not been investigated.

objectiveTo determine the association between driving reduction and cessation and hospitalization in older adults by using nationally representative data.

designRetrospective cohort analysis.

settingHealth and Retirement Study survey from 2004 to 2014.

participantsAdults aged 65 years and older who were able to drive and had an available car (n = 12,110; 40,364 interviews). MEASUREMENTS: Self-report of a hospitalization requiring an overnight stay, changes in driving patterns including driving cessation or limitations over a 2-year period, comorbid conditions, health utilization, and behaviors.

resultsOf hospitalizations in adults aged 65 years and older, 22% were associated with a decrease in driving patterns within 2 years. The relative risk of a reduction or cessation in driving was 1.62 (95% CI: 1.54, 1.70, p < 0.001) when there was a hospitalization compared with when a hospitalization did not occur. Baseline functional, cognitive, and visual impairment, fair or poor self-rated health, and diabetes were identified as independent risk factors for decreased driving patterns after hospitalization.

conclusionsChanges in driving patterns are common after a hospitalization in older adults. The findings suggest that driving, although not a current goal of post-hospital care, is important to the continued autonomy and community mobility of older adults and needs to be addressed as part of discharge planning and their recovery.

Indexed as

AftercareAgedAged, 80 and overAutomobile DrivingFemaleHealth StatusHospitalizationHumansMalePatient DischargeRetrospective StudiesRisk FactorsSurveys and Questionnairesdrivinghospitalizationolder adults

Identifiers

PMID33864381
PMCPMC8751345

What OpenQuestion holds

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Registered trials

None linked

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.