Publications by authors named "Lynn MacLeay"
Candrive-Development of a Risk Stratification Tool for Older Drivers.
J Gerontol A Biol Sci Med Sci
December 2023
Background: Assessing an older adult's fitness-to-drive is an important part of clinical decision making. However, most existing risk prediction tools only have a dichotomous design, which does not account for subtle differences in risk status for patients with complex medical conditions or changes over time. Our objective was to develop an older driver risk stratification tool (RST) to screen for medical fitness-to-drive in older adults.
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- The study focuses on the high prevalence of vertebral fractures (VF) in boys and young men with Duchenne muscular dystrophy (DMD) due to muscle weakness and osteoporosis caused by steroid treatment.
- Researchers analyzed clinical factors in 60 participants aged 4-25, finding that those with VF were generally shorter and had longer exposure to glucocorticoids, along with greater bone age delay and lower lumbar spine bone mineral density.
- Results showed that every 0.1 mg/kg/day increase in glucocorticoid dosage significantly raised the risk of spinal deformities, indicating a direct link between steroid treatment and bone fragility in DMD patients.
The current study aimed to: 1. to confirm the 21-item, three-factor Driver Behaviour Questionnaire (DBQ) structure suggested by Koppel et al. (2018) within an independent sample of Canadian older drivers; 2.
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