Seizure-related motor vehicle crashes in Arizona before and after reducing the driving restriction from 12 to 3 months

Joseph F. Drazkowski, Robert S. Fisher, Joseph I. Sirven, Bart M. Demaerschalk, Lori Uber-Zak, Joseph G. Hentz, David M Labiner

Research output: Contribution to journalArticle

74 Citations (Scopus)

Abstract

Objective: To evaluate whether changing the seizurefree interval in Arizona from 12 months to 3 months affected the number of seizure-related motor vehicle crashes. Methods: We performed a time trend study with analysis of motor vehicle crash reports in the state of Arizona 3 years before (1991-1993) and 3 years after (1994-1996) the seizure-free interval was decreased from 12 to 3 months. The number of motor vehicle crashes related to seizures, other medical conditions, and other nonmedical crashes was compared before and after the law changed. Other population trends, including population growth, registered vehicles, and registered drivers, are also reported. Results: Seizure-related crashes increased from 125 to 136 for the 3 years before and 3 years after the law changed, respectively. The total rate of seizure-related crashes did not increase on the basis of an incidence rate difference of -0.03/109 miles (95% confidence interval [CI], -0.30 to 0.24) and a relative risk of 0.98 (95% CI, 0.77 to 1.24). Over the same time interval, crashes related to other medical conditions increased from 288 to 310, respectively, for an incidence rate difference of -0.09/109 miles (95% CI, -0.51 to 0.33) and a relative risk of 0.97 (95% CI, 0.82 to 1.13). Fatalities due to seizure-related crashes decreased during the same period, whereas the number of multiple vehicle crashes increased. Conclusion: The rate of seizure-related crashes did not significantly increase in the state of Arizona after the seizure-free interval was reduced from 12 to 3 months.

Original languageEnglish (US)
Pages (from-to)819-825
Number of pages7
JournalMayo Clinic Proceedings
Volume78
Issue number7
StatePublished - Jul 1 2003

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Motor Vehicles
Seizures
Confidence Intervals
Population Growth
Incidence
Population

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Drazkowski, J. F., Fisher, R. S., Sirven, J. I., Demaerschalk, B. M., Uber-Zak, L., Hentz, J. G., & Labiner, D. M. (2003). Seizure-related motor vehicle crashes in Arizona before and after reducing the driving restriction from 12 to 3 months. Mayo Clinic Proceedings, 78(7), 819-825.

Seizure-related motor vehicle crashes in Arizona before and after reducing the driving restriction from 12 to 3 months. / Drazkowski, Joseph F.; Fisher, Robert S.; Sirven, Joseph I.; Demaerschalk, Bart M.; Uber-Zak, Lori; Hentz, Joseph G.; Labiner, David M.

In: Mayo Clinic Proceedings, Vol. 78, No. 7, 01.07.2003, p. 819-825.

Research output: Contribution to journalArticle

Drazkowski, JF, Fisher, RS, Sirven, JI, Demaerschalk, BM, Uber-Zak, L, Hentz, JG & Labiner, DM 2003, 'Seizure-related motor vehicle crashes in Arizona before and after reducing the driving restriction from 12 to 3 months', Mayo Clinic Proceedings, vol. 78, no. 7, pp. 819-825.
Drazkowski JF, Fisher RS, Sirven JI, Demaerschalk BM, Uber-Zak L, Hentz JG et al. Seizure-related motor vehicle crashes in Arizona before and after reducing the driving restriction from 12 to 3 months. Mayo Clinic Proceedings. 2003 Jul 1;78(7):819-825.
Drazkowski, Joseph F. ; Fisher, Robert S. ; Sirven, Joseph I. ; Demaerschalk, Bart M. ; Uber-Zak, Lori ; Hentz, Joseph G. ; Labiner, David M. / Seizure-related motor vehicle crashes in Arizona before and after reducing the driving restriction from 12 to 3 months. In: Mayo Clinic Proceedings. 2003 ; Vol. 78, No. 7. pp. 819-825.
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abstract = "Objective: To evaluate whether changing the seizurefree interval in Arizona from 12 months to 3 months affected the number of seizure-related motor vehicle crashes. Methods: We performed a time trend study with analysis of motor vehicle crash reports in the state of Arizona 3 years before (1991-1993) and 3 years after (1994-1996) the seizure-free interval was decreased from 12 to 3 months. The number of motor vehicle crashes related to seizures, other medical conditions, and other nonmedical crashes was compared before and after the law changed. Other population trends, including population growth, registered vehicles, and registered drivers, are also reported. Results: Seizure-related crashes increased from 125 to 136 for the 3 years before and 3 years after the law changed, respectively. The total rate of seizure-related crashes did not increase on the basis of an incidence rate difference of -0.03/109 miles (95{\%} confidence interval [CI], -0.30 to 0.24) and a relative risk of 0.98 (95{\%} CI, 0.77 to 1.24). Over the same time interval, crashes related to other medical conditions increased from 288 to 310, respectively, for an incidence rate difference of -0.09/109 miles (95{\%} CI, -0.51 to 0.33) and a relative risk of 0.97 (95{\%} CI, 0.82 to 1.13). Fatalities due to seizure-related crashes decreased during the same period, whereas the number of multiple vehicle crashes increased. Conclusion: The rate of seizure-related crashes did not significantly increase in the state of Arizona after the seizure-free interval was reduced from 12 to 3 months.",
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N2 - Objective: To evaluate whether changing the seizurefree interval in Arizona from 12 months to 3 months affected the number of seizure-related motor vehicle crashes. Methods: We performed a time trend study with analysis of motor vehicle crash reports in the state of Arizona 3 years before (1991-1993) and 3 years after (1994-1996) the seizure-free interval was decreased from 12 to 3 months. The number of motor vehicle crashes related to seizures, other medical conditions, and other nonmedical crashes was compared before and after the law changed. Other population trends, including population growth, registered vehicles, and registered drivers, are also reported. Results: Seizure-related crashes increased from 125 to 136 for the 3 years before and 3 years after the law changed, respectively. The total rate of seizure-related crashes did not increase on the basis of an incidence rate difference of -0.03/109 miles (95% confidence interval [CI], -0.30 to 0.24) and a relative risk of 0.98 (95% CI, 0.77 to 1.24). Over the same time interval, crashes related to other medical conditions increased from 288 to 310, respectively, for an incidence rate difference of -0.09/109 miles (95% CI, -0.51 to 0.33) and a relative risk of 0.97 (95% CI, 0.82 to 1.13). Fatalities due to seizure-related crashes decreased during the same period, whereas the number of multiple vehicle crashes increased. Conclusion: The rate of seizure-related crashes did not significantly increase in the state of Arizona after the seizure-free interval was reduced from 12 to 3 months.

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