ABSTRACT

Objective

Describe driving patterns following moderate-to-severe traumatic brain injury (TBI). Participants: Adults (N = 438) with TBI that required inpatient acute rehabilitation who had resumed driving.

Design

Cross-sectional, observational design.

Setting

Eight TBI Model System sites.

Main Measures

A driving survey was completed at phone follow-up.

Results

Most respondents reported driving daily, although 41% reported driving less than before their injury. Driving patterns were primarily associated with employment, family income, sex, residence, and time since injury, but not injury severity. Confidence in driving was high for most participants and was associated with a perception that the TBI had not diminished driving ability. Lower confidence and perceived loss of ability were associated with altered driving patterns.

Conclusion

Most people with moderate-to-severe TBI resume driving but perhaps not at pre-injury or normal levels compared to healthy drivers. Some driving situations are restricted. The relationship between low confidence/perceived loss of ability and driving patterns/restrictions suggests people with TBI are exhibiting some degree of caution consistent with those perceptions. Careful assessment of driving skills and monitoring during early stages of RTD is warranted, particularly for younger, male, and/or single drivers who express higher levels of confidence.

中文翻译：

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中度至重度创伤性脑损伤后的驾驶模式、信心和能力感知：TBI 模型系统研究

摘要

客观的

描述中度至重度创伤性脑损伤 (TBI) 后的驾驶模式。参与者：需要住院急性康复的 TBI 成人（N = 438）已恢复驾驶。

设计

横截面观察设计。

环境

八个 TBI 模型系统站点。

主要措施

在电话随访中完成了驾驶调查。

结果

大多数受访者表示每天开车，尽管 41% 的人表示比受伤前少开车。驾驶模式主要与就业、家庭收入、性别、居住地和受伤后的时间有关，但与受伤的严重程度无关。大多数参与者对驾驶的信心很高，并且认为 TBI 并没有降低驾驶能力。较低的信心和感知到的能力丧失与改变的驾驶模式有关。

结论

大多数患有中度至重度 TBI 的人会恢复驾驶，但与健康驾驶员相比，可能不会达到受伤前或正常水平。某些驾驶情况受到限制。低信心/感知能力丧失与驾驶模式/限制之间的关系表明，TBI 患者表现出与这些感知一致的某种程度的谨慎。在 RTD 的早期阶段仔细评估和监控驾驶技能是有必要的，特别是对于表现出较高信心的年轻、男性和/或单身司机。