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Assisting the older driver - SWOV

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Table of contents<br />

General introduction 11<br />

1. Current state of <strong>the</strong> art: crashes and injuries 15<br />

1.1. Introduction 15<br />

1.2. Injury rate: crash involvement and physical vulnerability 16<br />

1.2.1. Crash involvement 18<br />

1.2.2. Physical vulnerability 19<br />

1.2.3. Crash responsibility 21<br />

1.2.4. Role of annual mileage 23<br />

1.3. Crash types of <strong>older</strong> <strong>driver</strong>s 24<br />

1.4. Threat to o<strong>the</strong>r road users or not 26<br />

1.5. Differences between men and women 27<br />

1.6. Comparison with o<strong>the</strong>r modes of transport 31<br />

1.7. Conclusions regarding current crash and injury rates 32<br />

2. Physical and mental characteristics of <strong>the</strong> <strong>older</strong> <strong>driver</strong> 34<br />

2.1. Introduction 34<br />

2.2. Age‐related functional limitations 35<br />

2.2.1. Vision 35<br />

2.2.2. Cognitive functions 36<br />

2.2.3. Motor functions 37<br />

2.3. Age‐related disorders 38<br />

2.3.1. Eye disorders 38<br />

2.3.2. Dementia 38<br />

2.3.3. Parkinson’s disease 39<br />

2.3.4. Stroke 40<br />

2.3.5. Cardiovascular diseases 41<br />

2.3.6. Diabetes Mellitus 41<br />

2.3.7. Comorbidity 42<br />

2.4. Medication 42<br />

2.5. Compensatory behaviour 43<br />

3. Strategies to improve <strong>the</strong> <strong>older</strong> <strong>driver</strong>’s safe mobility 45<br />

3.1. Introduction 45<br />

3.2. Factors which may influence future risks 45<br />

3.2.1. Past developments 46<br />

3.2.2. Expectations about future crash and injury rates 48

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