Alzheimer’s disease: driving and safety issues

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Alzheimer’s disease: driving and safety issues. Poor performance on the Clinical Dementia Rating (CDR) scale. Fully referenced neurology checklist.

Red flags for increased driving risk

  • Poor performance on the Clinical Dementia Rating (CDR) scale
  • Mini mental state examination (MMSE) score ≤ 24
  • Caregivers concerns
  • Road accident in the previous 5 years
  • Traffic offences in the previous 3 years
  • Reduced driving due to self or external restriction
  • Reduced driving especially at night or in the rain
  • Aggressive/impulsive personality

Driving management

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Safety issues in dementia

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References

  1. Iverson DJ, Groseth GS, Reger MA, Classen S, Dubinsky RM, Rizzo M. Practice parameter update: evaluation and management of driving risk in dementia. Report of the quality standards subcommittee of the American Academy of Neurology. Neurology 2010; 74:1316-1324.
  2. Dubinsky RM, Stein AC, Lyons K. Practice parameter: risk of driving and Alzheimer's disease (an evidence based review). Neurology 2000; 54:2205-2211.
  3. Hogan DB, Bailey P, Black S, et al. Diagnosis and treatment of dementia: 4. Approach to management of mild to moderate dementia. CMAJ 2008; 179:787-793.

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