Psychoactive Medications and Crash Involvement Requiring Hospitalization for Older Drivers: A Population-Based Study

OBJECTIVES: To determine the association between psychoactive medications and crash risk in drivers aged 60 and older. DESIGN: Retrospective population‐based case‐crossover study. SETTING: A database study that linked the Western Australian Hospital Morbidity Data System and the Pharmaceutical Benef...

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Bibliographic Details
Published in:Journal of the American Geriatrics Society (JAGS) 2011-09, Vol.59 (9), p.1575-1580
Main Authors: Meuleners, Lynn B., Duke, Janine, Lee, Andy H., Palamara, Peter, Hildebrand, Janina, Ng, Jonathon Q.
Format: Article
Language:English
Subjects:
Accidents
Accidents, Traffic - statistics & numerical data
Aged
Aged, 80 and over
Analgesics, Opioid - adverse effects
antidepressants
Antidepressive Agents
Automobile drivers
Automobile Driving
Benzodiazepines - adverse effects
Biological and medical sciences
Chronic Disease - epidemiology
crash risk
Cross-Over Studies
Databases, Factual
Drugs
Female
General aspects
Hospitalization - statistics & numerical data
Hospitals
Humans
Male
Medical sciences
Middle Aged
Miscellaneous
Morbidity
older drivers
Older people
psychoactive medications
Psychotropic drugs
Psychotropic Drugs - adverse effects
Public health. Hygiene
Public health. Hygiene-occupational medicine
Retrospective Studies
Risk Factors
Traffic accidents & safety
Western Australia - epidemiology
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Summary:OBJECTIVES: To determine the association between psychoactive medications and crash risk in drivers aged 60 and older. DESIGN: Retrospective population‐based case‐crossover study. SETTING: A database study that linked the Western Australian Hospital Morbidity Data System and the Pharmaceutical Benefits Scheme. PARTICIPANTS: Six hundred sixteen individuals aged 60 and older who were hospitalized as the result of a motor vehicle crash between 2002 and 2008 in Western Australia. MEASUREMENTS: Hospitalization after a motor vehicle crash. RESULTS: Greater risk for a hospitalization crash was found for older drivers prescribed benzodiazepines (odds ratio (OR)=5.3, 95% confidence interval (CI)=3.6–7.8, P
ISSN:0002-8614
1532-5415
DOI:10.1111/j.1532-5415.2011.03561.x