Article

OBJECTIVE: To review the current evidence on predictors for the ability to return
to driving after traumatic brain injury. METHODS: Systematic searches were
conducted in MEDLINE, PsycINFO, EMBASE, and CINAHL up to March 1, 2010. Studies
were rigorously rated for their methodological content and quality and
standardized data were extracted from eligible studies. RESULTS: We screened 2341
articles, of which 7 satisfied our inclusion criteria. Five studies were of
limited quality because of undefined, unrepresentative samples and/or absence of
blinding. Studies mentioned 38 candidate predictors and tested 37. The candidate
predictors most frequently mentioned were "selective attention" and "divided
attention" in 4/7 studies, and "executive functions" and "processing speed," both
in 3/7 studies. No association with driving was observed
for 19 candidate
predictors. Eighteen candidate predictors from 3 domains were associated with
driving capacity: patient and trauma characteristics, neuropsychological
assessments, and general assessments; 10 candidate predictors were tested in only
one study and 8 in more than one study. The results of associations were
contradictory for all but one: time between trauma and driving evaluation.
CONCLUSIONS: There is no sound basis at present for predicting driving capacity
after traumatic brain injury because most studies have methodological
limitations.

Langue : ANGLAIS