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Original Article
Dementia and Neurocognitive Disorders 2014: 13: 4: 83-88

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치매환자들의 운전실태: 노인성치매임상연구센터 연구
최성혜*·이지욱*·김수정* 최준용*·권지원*·윤병남* 김종헌†·윤보라‡·양영순§ 김상윤||·정지향¶
인하대학교 의과대학 신경과*, 국민건강보험공단 일산병원 신경과†, 건양대학교 의과대학 신경과‡, 보훈공단 중앙보훈병원 신경과§, 서울대학교 의과대학 분당서울대학교병원 신경과||, 이화여자대학교 의과대학 목동병원 신경과¶
Driving in Patients with Dementia: A CREDOS (Clinical Research Center for Dementia of South Korea) Study
Seong Hye Choi, M.D.*, Jiwook Lee*, Soo Jeong Kim, M.D.*, Jun Yong Choi, M.D.*, Ji Won Kwon, M.D.*, Byung-Nam Yoon, M.D.*, Jong Hun Kim, M.D.†, Bora Yoon, M.D.‡, YoungSoon Yang, M.D.§, SangYun Kim, M.D.||, Jee Hyang Jeong, M.D.¶
Department of Neurology*, Inha University School of Medicine, Incheon; Department of Neurology†, National Health Insurance Corporation Ilsan Hospital, Goyang; Department of Neurology‡, Konyang University College of Medicine, Daejeon; Department of Neurology§, Seoul Veterans Hospital, Seoul; Department of Neurology||, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam; Department of Neurology¶, Ewha Womans University Mokdong Hospital, Ewha Womans University School of Medicine, Seoul, Korea
Background: There are few studies about driving and dementia in Korea. The purpose of this study is to investigate the real condition of automobile driving in patients with dementia and the characteristics of those who continue to drive after diagnosis of dementia. Methods: A total of 4,377 patients including 3,792 with Alzheimer’s disease and 585 with vascular dementia were recruited from multiple nationwide hospitals. Clinical evaluations and neuropsychological tests were done in them according to the protocol of the Clinical Research Center for Dementia of South Korea study. Caregivers replied which patients drove an automobile, gave up driving, or has never driven. The same evaluations of them were followed after one year. Results: There were 272 (6.2%) drivers, 321 (7.3%) ex-drivers, and 3,784 (86.5%) non-drivers with dementia. Drivers with dementia were younger and had higher Korean Mini-Mental State Examination (K-MMSE) (21.5±4.3 vs 19.8±5.1 vs 17.4±5.2, p<0.001) and lower Clinical Dementia Rating scale-Sum of Boxes (CDR-SB) scores (4.08±2.15 vs 5.80±3.41 vs 5.83±3.39, p<0.001) compared with ex-drivers and non-drivers with dementia. The drivers and ex-drivers with dementia had higher educational level and a higher proportion of male compared with non-drivers with dementia (77.6% vs 80.1% vs 23.3%, p<0.001). About 54.6% of the drivers with dementia continued to drive at one year after diagnosis of dementia. They had higher K-MMSE (23.2±3.6 vs 20.8±4.5, p=0.003) and lower CDR-SB scores (3.30±1.47 vs 4.40±1.85, p=0.001) at baseline compared with those who quitted driving after baseline. Conclusions: Male patients who were relatively young and had high educational level and mild dementia had a tendency to drive an automobile at that time of diagnosis of dementia. About half of them continued to drive after diagnosis of dementia.
Key Words: Driving, Dementia, Alzheimer disease, Vascular dementia
대한치매학회지 (Dementia and Neurocognitive Disorders)