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Record W1569727317 · doi:10.1097/phm.0b013e3181aa001e

Differences Between Poststroke Drivers and Nondrivers

2009· article· en· W1569727317 on OpenAlexaffabout
Hillel M. Finestone, Shawn Marshall, Dmitry Rozenberg, Raffy C. Moussa, Lynn Hunt, Linda S. Greene-Finestone

Bibliographic record

VenueAmerican Journal of Physical Medicine & Rehabilitation · 2009
Typearticle
Languageen
FieldHealth Professions
TopicOlder Adults Driving Studies
Canadian institutionsÉlisabeth Bruyère Hospital
Fundersnot available
KeywordsMedicineStroke (engine)TaxisRehabilitationInjury preventionTelephone interviewPoison controlHuman factors and ergonomicsSuicide preventionOccupational safety and healthComorbidityPhysical therapyMedical emergencyTransport engineeringPsychiatryEngineering

Abstract

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Finestone HM, Marshall SC, Rozenberg D, Moussa RC, Hunt L, Greene-Finestone LS: Differences between poststroke drivers and nondrivers: Demographic characteristics, medical status, and transportation use. Objective: To determine the demographic, medical, and transportation use characteristics of stroke survivors wanting to drive who resumed or did not resume driving and compare the driving habits of those who drove with those of a nonstroke control group. Design: One hundred and six stroke survivors who underwent a driving evaluation at a rehabilitation center in Ottawa, Canada, between 1995 and 2003, participated in a structured telephone interview 4–5 yrs after the evaluation. Information on driving history and transportation use before the driving assessment was obtained from the driving assessment client database. The nonstroke control group was derived from the literature. Results: After stroke, 66% of subjects had resumed driving. Prestroke driving history was similar for drivers and nondrivers. Drivers were younger than nondrivers (mean age ± SD, 62.7 ± 12.7 yrs vs. 69.2 ± 13.4 yrs; P = 0.02), had less medical comorbidity (mean modified Cumulative Illness Rating Scale score, 3.7 ± 1.97 vs. 5.0 ± 2.89; P = 0.01), and were less likely to rely on a walker (1.4% vs. 19.4%, P < 0.001). Self-imposed restrictions were reported by 35.7% of drivers. More nondrivers than drivers relied on family/friends (94.4% vs. 41.4%), public transportation (60.7% vs. 35.3%), or taxis (27.8% vs. 2.9%) (all P < 0.05). Drivers reported fewer driving difficulties (e.g., skill, weather, or traffic related; ≤20% for each) than the nonstroke group. Five of 12 licensed patients with stroke who drove to their first assessment failed it. Conclusions: In a sample of stroke survivors who had similar driving histories before their stroke and who were deemed to have the potential to drive, those who resumed driving after their stroke were younger, had fewer medical problems, and were less disabled than those who did not return to driving. Self-imposed driving restrictions were common. Compared with drivers, nondrivers relied more on friends, family, public transportation, and taxis.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.001
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.015
Threshold uncertainty score0.030

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0000.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0020.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.017
GPT teacher head0.383
Teacher spread0.366 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations2
Published2009
Admission routes2
Has abstractyes

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