“Our study found the magnitude of ADHD is similar to the increased risk with epilepsy. The findings call attention to a widespread, preventable, and costly cause of death and disability. Perhaps ADHD should be considered in assessments of fitness to drive,” says principal investigator and ICES Senior Scientist Dr. Donald Redelmeier.
The study looked at 3,421 males between the ages of 16 and 19 who were involved in serious road trauma between April 1, 2002 and March 31, 2009.
The highlights include:
* Most crashes are caused by driver error and can be prevented.
* Distractions contribute to at least one-third of all serious road crashes.
* Many sources of distraction are recognized (e.g. mobile phones).
* ADHD is associated with about a 37 per cent relative increase in risk.
* The increased risk also extends to teenagers involved as pedestrians.
* The increased risk was evident years before the crash occurred.
“Many drivers overestimate their skills and underestimate their risks. These findings show that the increased risk might be mitigated with better awareness and treatment of ADHD. Recommendations include avoiding excess speed, restricting alcohol, and minimizing other distractions. Other good advice includes using seat belts, keeping distance from other vehicles and obeying medical advice,” says Dr. Redelmeier.
Author affiliations: ICES (D. A. Redelmeier, W. K. Chan, H. Lu); Dept. of Medicine, U of T (D. A. Redelmeier, W. K. Chan); Clinical Epidemiology Program, Sunnybrook Health Sciences Centre (D. A. Redelmeier); Patient Safety Service, Sunnybrook Research Institute (D. A. Redelmeier).
The study “Road Trauma in Teenage Male Youth with Childhood Disruptive Behavior Disorders: A Population Based Analysis” is in the November 16, 2010 issue of PLoS Medicine.
More detailed study findings on the ICES website: www.ices.on.ca
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