Concussion and Driving Skills in the Young Driver

年轻驾驶员的脑震荡和驾驶技巧

• 批准号: 9817218
• 负责人: FREDERICK P. RIVARA
• 金额: $ 53.09万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-07-15 至 2023-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9817218
• 关键词: Acceleration; Age; Age-Years; Alcohols; Attention Concentration; Automobile Driving; Brain Concussion; Caring; Clinical; Cognitive; Cohort Studies; Communication; Development; Drug usage; Enrollment; Environment; Face; Gender; Goals; Guidelines; Impaired cognition; Impairment; Individual; Injury; Learning; Measures; Medical; Methods; Monitor; Neurocognitive; Neuropsychological Tests; Neuropsychology; Outcome Measure; Participant; Patients; Pattern; Performance; Plant Roots; Play; Police; Prospective Studies; Prospective cohort study; Protocols documentation; Reaction Time; Recording of previous events; Recovery; Recreation; Reporting; Research; Research Design; Risk; Risk Behaviors; Risk Factors; Schools; Sensitivity and Specificity; Signs and Symptoms; Speed; Surveys; Symptoms; Task Performances; Technology; Voice; Work; Young driver; aged; base; case control; classification trees; cognitive task; cohort; concussive symptom; distracted driving; driving safety; driving skills; evidence base; experience; fitness; functional improvement; impaired driving performance; improved; information processing; innovation; mortality risk; new technology; population health; processing speed; prospective; random forest; recruit; skills; tool

PROJECT SUMMARY/ABSTRACT Research Objectives. This prospective cohort study rigorously examines the neurocognitive impact of concussion on simulated and real-world driving performance among young drivers aged 16-24 years. Importance. Concussion impairs cognitive processing speed, attention, concentration and integration – skills which are also important for safe driving. Unlike new “Return to Learn” guidelines, there are no evidence-based “Return to Drive” guidelines for when individuals with concussion may be safe to return to driving. Objectives. Conduct a prospective matched cohort study to explore the risk of concussion in simulated and real-world driving conditions. We propose three specific aims and a fourth exploratory aim: (i) Examine whether concussion negatively impacts simulated driving performance among young drivers, relative to a cohort of young drivers without concussion. (ii) Determine whether simulated driving task performance correlates with recovery from concussion symptoms and signs in the month following concussion, relative to young drivers without recent concussion. (iii) Measure the impact of concussion and recovery on real-world driving exposure and performance. (iv) [Exploratory] Examine whether concussion symptoms and neuropsychometric impairment are associated with higher rates of driving citations or reported crashes. Study design. Prospective controlled matched cohort study. Setting/participants. 50 drivers with recent concussion; 50 age/gender matched controls aged 16-25 years. Study protocol. Concussion participants will be recruited within two weeks of concussion. Case and control participants will complete 1) driving risk survey; 2) neuropsychological testing an 3) simulated driving tasks at baseline and 1 month. Commercially available monitoring technology will record risky driving for 3 months Outcome measures. (i) simulated driving risk scores; (ii) real world driving risk scores (rapid braking, rapid acceleration, speeding); (iii) reported citations and crash rates. Impact. This study will have a significant population health impact in elucidating the neurocognitive sequelae of recent concussion on driving. Results will inform return to safe driving among young drivers with concussion.

项目摘要/摘要 研究目标。这项前瞻性队列研究严格研究了 对16-24岁的年轻驾驶员的模拟和现实驾驶表现的脑震荡。 重要性。脑震荡会损害认知处理速度，注意力，集中和整合 - 技能 这对于安全驾驶也很重要。与新的“回到学习”指南不同，没有证据基于证据 “返回驾驶”指南，何时有咨询的人可以安全返回驾驶。 目标。进行一项前瞻性匹配的队列研究，以探讨模拟和 现实世界的驾驶条件。我们提出了三个具体目标和第四个探索目标： （i）检查咨询是否会对年轻人的模拟驾驶性能产生负面影响 司机，相对于一批未经咨询的年轻驾驶员队列。 （ii）确定模拟驾驶任务性能是否与从 相对于年轻驾驶员，咨询后一个月的脑震荡符号和标志 没有最近的咨询。 （iii）衡量咨询和恢复对现实世界的影响的影响 表现。 （iv）[探索性]检查咨询符号和神经心理测量障碍是否是 与更高的驾驶引用率或报告的崩溃相关。 研究设计。前瞻性受控匹配的队列研究。 设置/参与者。 50个司机在最近的咨询中； 50岁/性别匹配的对照年龄为16-25岁。 研究方案。脑震荡参与者将在咨询的两周内招募。案例和控制 参与者将完成1）驾驶风险调查； 2）神经心理学测试A 3）模拟驾驶任务 基线和1个月。市售监控技术将记录3个月的风险驾驶 结果措施。 （i）模拟驾驶风险得分； （ii）现实世界驾驶风险得分（快速制动，快速制动 加速，超速）； （iii）报道了引用和崩溃率。 影响。这项研究将对阐明神经认知后遗症产生重大的人口健康影响 关于驾驶的最新咨询。结果将为年轻驾驶员的安全驾驶提供咨询。