title: The association between sudden illness and motor vehicle crash mortality and injury among older drivers in NSW, Australia.
abstract: This exploratory study aims to investigate the associations between sudden illness and the risk of motor vehicle crash-related mortalities and injuries among older drivers aged 60 or above. Information utilised in the study was obtained from police reports of all road traffic accidents that occurred on the roads between 1996 and 2000 in New South Wales, Australia. There were 409 older drivers involved in crashes after becoming ill suddenly. Among these the majority (62.1%) of crashes led to at least one occupant in the vehicle being killed or injured. There is a significant association between sudden illness and crash-related mortality and injury after adjusting for other risk factors. The risk of injury and death is increased by nearly six times (OR = 5.58, 95% CI = 4.54-6.85) for those who suffered a sudden illness while driving when compared to those non-sufferers. These results are discussed in the light of possible preventive strategies and the provision of risk assessment and safety counselling for older people.
authors.affiliation: Royal Alexandra Hospital for Children, Locked Bag 4001, Westmead, NSW 2145, Australia. lawrencl@chw.edu.au
authors.forename: Lawrence T
authors.initials: LT
authors.lastname: Lam
authors.forename: Mary K P
authors.initials: MK
authors.lastname: Lam
mesh_terms: D000063:Accidents, Traffic / Q000706:statistics & numerical data*; D017677:Age Distribution; D000367:Age Factors; D000368:Aged; D015984:Causality; D016638:Critical Illness / Q000453:epidemiology*; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009517:New South Wales / Q000453:epidemiology; D012307:Risk Factors; D017678:Sex Distribution; D016019:Survival Analysis; D014947:Wounds and Injuries / Q000453:epidemiology*