ICU sedation, delirium & recovery
Comprehensive Driving Assessment to Enable Driving Resumption in Adults Recovering From Critical Illness: A Prospective Cohort Study
Authors' conclusion
Using a comprehensive driving assessment 3 months following hospital discharge, approximately three quarters of this cohort were deemed able to drive a standard vehicle, yet less than half had resumed driving. Of those with a driving-related impairment, most could resume driving following intervention.
Study context
- Population
- Adult ICU survivors who received mechanical ventilation (minimum 72 hr) and/or ECMO, assessed at a certified driving assessment centre in the UK33 completed assessment
- Participants
- 40 survivors
- Outcome
- Driving ability (comprehensive DVLA-approved driving assessment)
- Follow-up
- 2 months after hospital discharge
Methodological detailsobservational, Six hospitals; median age 53 yr (IQR 46-64), 13 (32%) female
- Observational
- Six hospitals; median age 53 yr (IQR 46-64), 13 (32%) female
Main finding
As reported in the abstract
- Assessed as capable of driving a standard vehicle
- 26 (79%)
- Had resumed driving at assessment
- 15 (45%)
- Unable to drive a standard vehicle
- 7/33, 21%
- Unable to drive: physical impairment
- 4/7, 57%
- Unable to drive: psychological impairment
- 2/7, 29%
- Unable to drive: cognitive impairment
- 1/7, 14%
Observational data: associations, not effects.
Secondary outcomes
Driving resumption after adaptations, retraining or refresher lessons (among those unable to drive) · 12-month study period
- Resumed driving
- 4/7, 57%
Self-reported driving resumption · 3, 6 and 12 months
- 3 months
- 21 (62%)
- 6 months
- 28 (82%)
- 12 months
- 30 (91%)
- Time to driving resumption (days after discharge), range
- 7 to 274
Driving confidence (10-point Likert scale)
- Median (IQR) pre-assessment
- 7 (5-8)
- Median (IQR) post assessment
- 9 (7-10)
- Increase pre to post assessment
- P < 0.05
Driving assessment acceptability (rated very good or excellent)
- Rated very good or excellent
- 32 (97%)
Original publication
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