The Rate of Return to Driving after Traumatic Brain Injury in Malaysia and the Changes in Driving Behaviour
Keywords:driving, rehabilitation, traumatic brain injury, vehicle
Objectives: To examine the rate of return to driving among patients with traumatic brain injury (TBI) in Malaysia and its associated factors; and to identify the changes in their driving behavioural pattern.
Study design: A cross sectional study.
Setting: A tertiary hospital in an urban setting in Malaysia.
Subjects: TBI patients of more than six months duration with valid driving licenses, driving cars and/or riding motorcycles prior to the TBI and attended the outpatient clinic follow-up from December 2019 to June 2020
Methods: Personal and medical data were collected via face-to-face interview using a structured questionnaire and from the electronic medical record, respectively.
Results: A total of 52 patients were interviewed with the average age of 39.4 (12.7) years. The commonest cause of TBI was motor vehicle accident (MVA) (86.5%) with almost half (46.1%) of the patients returned to driving post-TBI within the range of 6 months to 17 years. Majority of the post-TBI drivers (70.8%) underwent a formal driver retraining program. This study found that both the cognitive status (p < 0.05, d= 0.1) and the functional status (p < 0.05, d = 0.1) were significantly associated with return to driving. Changes in driving behavioural pattern were reported in 70.8% of the drivers.
Conclusions: The rate of return to driving among patients with TBI is low. Hence there is a need to address the underlying barriers to return to drive in a comprehensive driving rehabilitation program post-TBI.
Keywords: driving, rehabilitation, traumatic brain injury, vehicle
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