Cognitive dysfunction is a predictor of driving cessation in older adults and a common sequela of heart failure (HF). Although HF has been associated with an increased risk of driving cessation, the independent relationship between HF and driving cessation after cognitive function is considered remains to be established. The objective of these analyses is to examine HF as an independent predictor of driving cessation across three years among a cohort of older drivers in the United States. Analyses included 850 older adults who completed sensory, cognitive, and physical measures at baseline and mobility and health measures at a three-year follow-up. Cox regression was used to examine the effects of HF, stroke, vision, cognition, and physical function as predictors of incident driving cessation over three years. Participants with HF were over three times more likely to cease driving, HR = 3.19, 95% CI [1.27, 8.02], p = .014. However, HF was no longer a significant predictor of driving cessation when cognitive performance was considered, HR = 1.70, 95% CI [0.67, 4.30], p = .262. These findings suggest that the risk of driving cessation may be a consequence of the cognitive dysfunction associated with HF, rather than from HF itself. Cognitive training should be investigated among persons with HF to potentially prolong driving mobility.

中文翻译：

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检查心力衰竭是否会导致驾驶中止。

认知功能障碍是老年人开车停止的预兆，也是心力衰竭（HF）的常见后遗症。尽管心力衰竭与停止驾驶的风险增加有关，但考虑到认知功能后心力衰竭与驾驶停止之间的独立关系仍有待建立。这些分析的目的是要检查HF是美国一群年长驾驶员中三年内驾驶停止的独立预测因子。分析包括850名老年人，他们在基线期完成了感官，认知和身体方面的措施，并在三年的随访中完成了活动性和健康措施。Cox回归用于检查心衰，中风，视力，认知和身体功能的影响，作为三年内事故驾驶停止的预测指标。患有心力衰竭的参与者停止驾驶的可能性高出三倍以上，HR = 3.19，95％CI [1.27，8.02]，p = .014。但是，考虑到认知能力时，心力衰竭不再是驾驶停止的重要预测指标，HR = 1.70，95％CI [0.67，4.30]，p = .262。这些发现表明，驾驶停止的风险可能是与HF相关的认知功能障碍的结果，而不是由HF本身引起的。应该对心衰患者进行认知培训，以潜在地延长驾驶灵活性。这些发现表明，驾驶停止的风险可能是与HF相关的认知功能障碍的结果，而不是由HF本身引起的。应该对心衰患者进行认知培训，以潜在地延长驾驶灵活性。这些发现表明，驾驶停止的风险可能是与HF相关的认知功能障碍的结果，而不是由HF本身引起的。应该对心衰患者进行认知培训，以潜在地延长驾驶灵活性。