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Übersichtsarbeit

Patientenrelevanter Endpunkt Mobilität: Beurteilung der Fahreignung bei demenziellen Erkrankungen

Published Online:June 03, 2021https://doi.org/10.1024/1016-264X/a000324

Abstract

Zusammenfassung. Mobilität ist für Ältere von zentraler Bedeutung für die Alltagsfunktionalität, mit besonderen Herausforderungen an die Verkehrssicherheit insbesondere im Falle einer demenziellen Erkrankung. Ob Menschen mit Demenz im Einzelfall noch in der Lage sind, ein Kraftfahrzeug sicher zu führen, ist abhängig von der Art und Schwere des jeweiligen Demenzsyndroms. Einigkeit besteht darin, dass bei mittel- und schwergradig ausgeprägten Demenzen in der Regel keine Fahreignung mehr vorliegt. Allerdings unterscheiden sich die unterschiedlichen Demenzformen hinsichtlich der Ausprägung fahrrelevanter kognitiver und nichtkognitiver Symptome mit unterschiedlichen Auswirkungen auf die Fahrsicherheit. Insbesondere Erkrankte aus der Gruppe der Nicht-Alzheimer-Demenzen sollten aufgrund fahrrelevanter Beeinträchtigungen frühzeitig im Krankheitsverlauf einer engmaschigen Kontrolle und Mobilitätsberatung zugeführt werden.


Patient relevant endpoint mobility: Assessment of driving performance in dementia diseases

Abstract. Mobility is central to the everyday functionality of older people but poses particular challenges to road safety in the case of dementia. Whether a driver with dementia is still able to drive depends on the type and severity of the dementia syndrome in question. There is international consensus that in most cases drivers with moderate or severe dementia are no longer fit to drive. However, the various forms of dementia differ with regard to the expression of driving-relevant cognitive and noncognitive symptoms producing different effects on driving safety. In particular, the group of non-Alzheimer dementias is associated with driving-related impairments. Hence, particularly those drivers should be subjected to close monitoring and mobility counseling early on in the course of the disease.

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