title: Motor vehicle crashes and violations among drivers with multiple sclerosis.
abstract: OBJECTIVE
  To investigate differences in the incidence of motor vehicle crashes (MVCs) and violations among drivers with multiple sclerosis (MS) when cognitive impairment is present.
  
  
  METHODS
  Archival evaluation of Department of Motor Vehicles (DMV) records.
  
  
  METHODS
  Medical rehabilitation research organization.
  
  
  METHODS
  Community-dwelling drivers, 27 subjects with documented MS (14 MS without cognitive impairment [MS-], 13 MS with cognitive impairment [MS+]) and 17 healthy control subjects, matched on age, sex, and driving experience.
  
  
  METHODS
  Not applicable.
  
  
  METHODS
  Incidence of MVCs and motor vehicle violations as documented by DMV reports for the past 5 years.
  
  
  RESULTS
  MS+ subjects showed a higher incidence of MVCs when compared with control and MS- subjects. No significant difference in the incidence of motor vehicle violations was observed between groups.
  
  
  CONCLUSIONS
  The presence of cognitive impairment in drivers with MS can result in an increased risk of MVC involvement.
authors.affiliation: Neuropsychology and Neuroscience Laboratory, Kessler Medical Rehabilitation Research and Education Corp, West Orange, NJ 07052, USA. mschultheis@kmrrec.org
authors.forename: Maria T
authors.initials: MT
authors.lastname: Schultheis
authors.forename: Edward
authors.initials: E
authors.lastname: Garay
authors.forename: Scott R
authors.initials: SR
authors.lastname: Millis
authors.forename: John
authors.initials: J
authors.lastname: Deluca
mesh_terms: D000063:Accidents, Traffic / Q000706:statistics & numerical data*; D000328:Adult; D001334:Automobile Driving; D003072:Cognition Disorders / Q000150:complications; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009103:Multiple Sclerosis / Q000150:complications