Impairments, diseases, age and their relative risks of accident involvement: results from meta-analysis

Deliverable R1.1 in EU-project IMMORTAL is a literature review of impairment and accident risk associated with ageing and disease. The deliverable gives an updated literature review and meta-analyses of health-related risk factors referring especially to the medical conditions addressed in Annex III of Council Directive on driving licences (CD 91/439/EEC). The deliverable also gives an overview of national practices regarding mandatory medical examination and self-report for drivers applying for a driver’s licence and licence renewals in the countries participating in the IMMORTAL project. These countries are: Austria, the Czech Republic, Denmark, the Netherlands, Norway, Spain, and the UK. 62 reports, mainly case-control studies, have been reviewed giving a total of 298 results that serve as basis for calculations of relative risks of being involved in road accidents. All main categories of impairment except renal disorders were associated with a statistical significant increase in the risk of being involved in a road accident. Estimates of relative risks of impairments according to the main categories described in Annex III, were as follows:

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