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  1. Article: Autonomic Nervous System and Cognitive Impairment in Older Patients: Evidence From Long-Term Heart Rate Variability in Real-Life Setting.

    Dalise, Anna Maria / Prestano, Raffaele / Fasano, Renata / Gambardella, Antonio / Barbieri, Michelangela / Rizzo, Maria Rosaria

    Frontiers in aging neuroscience

    2020  Volume 12, Page(s) 40

    Abstract: ... ...

    Abstract Background
    Language English
    Publishing date 2020-03-11
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2558898-9
    ISSN 1663-4365
    ISSN 1663-4365
    DOI 10.3389/fnagi.2020.00040
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Comorbidities and crash involvement among younger and older drivers.

    Papa, Michela / Boccardi, Virginia / Prestano, Raffaele / Angellotti, Edith / Desiderio, Manuela / Marano, Luigi / Rizzo, Maria Rosaria / Paolisso, Giuseppe

    PloS one

    2014  Volume 9, Issue 4, Page(s) e94564

    Abstract: Previous studies identified comorbidities as predictors of older driver performance and driving pattern, while the direct impact of comorbidities on road crash risk in elderly drivers is still unknown. The present study is a cross-sectional aimed at ... ...

    Abstract Previous studies identified comorbidities as predictors of older driver performance and driving pattern, while the direct impact of comorbidities on road crash risk in elderly drivers is still unknown. The present study is a cross-sectional aimed at investigating the association between levels of comorbidity and crash involvement in adult and elderly drivers. 327 drivers were stratified according to age range in two groups: elderly drivers (age ≥70 years old, referred as older) and adult drivers (age <70 years old, referred as younger). Driving information was obtained through a driving questionnaire. Distance traveled was categorized into low, medium and high on the basis of kilometers driven in a year. CIRS-illness severity (IS) and CIRS-comorbidity indices (CI) in all populations were calculated. Older drivers had a significantly higher crash involvements rate (p = .045) compared with the younger group based on the number of licensed drivers. Dividing comorbidity indices into tertiles among all licensed subjects, the number of current drivers significantly decreased (p<.0001) with increasing level of comorbidity. The number of current drivers among older subjects significantly decreased with increasing comorbidity level (p = .026) while no difference among younger group was found (p = .462). Among younger drivers with increasing comorbidity level, the number of road accidents significantly increased (p = .048) and the logistic regression analysis showed that comorbidity level significantly associated with crash involvement independent of gender and driving exposure. Older subjects with high level of comorbidity are able to self-regulate driving while comorbidity burden represents a significant risk factor for crash involvements among younger drivers.
    MeSH term(s) Accidents, Traffic/statistics & numerical data ; Adult ; Age Factors ; Aged ; Aged, 80 and over ; Automobile Driving/statistics & numerical data ; Cardiovascular Diseases/epidemiology ; Comorbidity ; Cross-Sectional Studies ; Female ; Humans ; Italy/epidemiology ; Male ; Middle Aged ; Musculoskeletal Diseases/epidemiology ; Neurodegenerative Diseases/epidemiology ; Risk Factors ; Sensation Disorders/epidemiology
    Language English
    Publishing date 2014-04-10
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0094564
    Database MEDical Literature Analysis and Retrieval System OnLINE

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