Seizure-related motor vehicle crashes in Arizona before and after reducing the driving restriction from 12 to 3 months.
OBJECTIVE
To evaluate whether changing the seizure-free interval in Arizona from 12 months to 3 months affected the number of seizure-related motor vehicle crashes.


METHODS
We performed a time trend study with analysis of motor vehicle crash reports in the state of Arizona 3 years before (1991-1993) and 3 years after (1994-1996) the seizure-free interval was decreased from 12 to 3 months. The number of motor vehicle crashes related to seizures, other medical conditions, and other nonmedical crashes was compared before and after the law changed. Other population trends, including population growth, registered vehicles, and registered drivers, are also reported.


RESULTS
Seizure-related crashes increased from 125 to 136 for the 3 years before and 3 years after the law changed, respectively. The total rate of seizure-related crashes did not increase on the basis of an incidence rate difference of -0.03/10(9) miles (95% confidence interval [CI], -0.30 to 0.24) and a relative risk of 0.98 (95% CI, 0.77 to 1.24). Over the same time interval, crashes related to other medical conditions increased from 288 to 310, respectively, for an incidence rate difference of -0.09/10(9) miles (95% CI, -0.51 to 033) and a relative risk of 0.97 (95% CI, 0.82 to 1.13). Fatalities due to seizure-related crashes decreased during the same period, whereas the number of multiple vehicle crashes increased.


CONCLUSIONS
The rate of seizure-related crashes did not significantly increase in the state of Arizona after the seizure-free interval was reduced from 12 to 3 months.
Drazkowski
Joseph F
JF
Department of Neurology , Mayo Clinic, Scottsdale, Ariz 85259, USA. drazkowski.joseph@mayo.edu
Fisher
Robert S
RS
Sirven
Joseph I
JI
Demaerschalk
Bart M
BM
Uber-Zak
Lori
L
Hentz
Joseph G
JG
Labiner
David
D
D000063:Accidents, Traffic / Q000706:statistics & numerical data* / Q000639:trends; D000328:Adult; D000368:Aged; D001130:Arizona / Q000453:epidemiology; D001334:Automobile Driving / Q000331:legislation & jurisprudence*; D016001:Confidence Intervals; D004827:Epilepsy / Q000150:complications*; D006304:Health Status; D006801:Humans; D015994:Incidence; D008875:Middle Aged