Evaluation of fitness to drive with cognitive failure

Abstract: Background: Having a driving license can make a significant difference in the quality of life for an individual, as it enables freedom and possibilities. However, not everyone is fit to drive as it requires many functions that need to work simultaneously to maintain safety while driving. It is predicted that we will see an increased number of individuals with cognitive impairment in the future, a condition that might influence the driving capacity. Aim: The aim is to gain a better understanding on how the process of evaluating fitness to drive is conducted in patients with cognitive difficulties. Methods: This is a descriptive study based on a review and analysis of medical records from the Geriatric department at Örebro University Hospital. Results: Out of 81 patients who were assessed for memory problems and who concurrently had a driving license, over one third had already ceased driving before the investigation. A total of 20 patients had to cease driving and the STA received 2 reports. Patients with MCI in combination with AD had a higher rate of cessation than the other groups. Conclusions: There are many factors pertinent in the evaluation of a patient’s fitness to drive, such as decision making, memory function, and motor activity. As this study illustrates, patients with cognitive failure based on Alzheimer’s disease should be evaluated with particular care regarding capability to drive. More robust systems of evaluation are needed if we are to meet the needs of the present and coming population of elderly drivers