Mild cognitive impairment and fitness to drive: An audit of practice in a driving specialist clinic in Australia

Claire Spargo, Kate Laver, Zoe Adey-Wakeling, Angela Berndt, Stacey George

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To describe current practice and outcomes relating to fitness to drive for people with mild cognitive impairment (MCI) attending a specialist driving clinic. Methods: Retrospective medical record audit from a driving fitness assessment clinic at a tertiary medical centre, South Australia, from 2015 to 2019. Results: Of 100 notes audited, n = 40 had a documented diagnosis of MCI and n = 60 had subjective cognitive concerns characteristic of MCI. Participants mean age was 80.0 years (SD 6.7), and mean Mini-Mental State Examination score was 26.1 (SD 2.1). Medical practitioners completed a comprehensive initial assessment relating to medical fitness to drive, considering scores from a cognitive assessment battery and non-cognitive factors (driving history, current driving needs, vision, physical abilities and collateral from family). After the initial assessment, most participants (84%) were referred for a practical on-road assessment, before receiving a final driving recommendation. Over half of participants continued driving (51%), most with conditions, while 35% ceased driving. Outcomes for the remaining 14% are unknown as we were unable to determine whether the practical assessment (11%) or lessons (3%) were completed. Conclusions: Driving outcomes for people with MCI with questionable driving capabilities are variable, with both cognitive and non-cognitive factors important in guiding medical fitness to drive recommendations. There is a need for more driving clinics to provide in-depth assessment for people with MCI who demonstrate uncertain driving capabilities and improved support for decision-making in other non-driving specialist settings.

Original languageEnglish
Pages (from-to)282-292
Number of pages11
JournalAustralasian Journal on Ageing
Volume41
Issue number2
Early online date23 Dec 2021
DOIs
Publication statusPublished - Jun 2022

Bibliographical note

Publisher Copyright:
© 2021 AJA Inc.

Keywords

  • ageing
  • automobile driving
  • clinical decision-making
  • cognitive dysfunction
  • dementia

Fingerprint

Dive into the research topics of 'Mild cognitive impairment and fitness to drive: An audit of practice in a driving specialist clinic in Australia'. Together they form a unique fingerprint.

Cite this