Predictors of a Successful Driver Evaluation in Stroke Patients After Discharge Based on an Acute Rehabilitation Hospital Evaluation

Among the most common concerns of a stroke patient is the ability to drive. In this paper, the authors aimed to determine which neurologic impairments on an acute rehabilitation admission evaluation predict the likelihood of a successful driver evaluation after discharge. A total of 45 stroke patients participated in a driver evaluation. The mean age +/- standard deviation was 71.0 +/- 9.8 yrs, Mini-Mental State Examination (MMSE) score was 22.7 +/- 8.1, upper limb and lower limb Motricity Index scores were 63.7 +/- 34.8 and 71.8 +/- 24.3, Limb Placement Task was 4.6 +/- 3.6 inches, and admission total FIM(TM) score was 68.5 +/- 18. Admission variables differed between those who failed (n = 10) vs. those who passed the in-clinic driver evaluation (n = 29, 75%): MMSE (17.5 +/- 9.7 vs. 24.6 +/- 6.7, P = 0.004), and upper limb (82 +/- 23.7 vs. 57.4 +/- 36.1, P = 0.05) and lower limb (87.6 +/- 11.8 vs. 66.4 +/- 25.2, P = 0.01) Motricity Index scores. Patients who took and passed the in-clinic driver evaluation had, at admission, higher MMSE and Motricity Index scores with normal visual field defects.

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  • Authors:
    • Smith-Arena, Laureen
    • Edelstein, Lisa
    • Rabadi, Merheroz
  • Publication Date: 2006-1

Language

  • English

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Filing Info

  • Accession Number: 01076368
  • Record Type: Publication
  • Files: TRIS
  • Created Date: Sep 5 2007 3:19PM