{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T07:10:08Z","timestamp":1698736208600},"reference-count":27,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2012,7,20]],"date-time":"2012-07-20T00:00:00Z","timestamp":1342742400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Geriat Psychiatry"],"published-print":{"date-parts":[[2013,6]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine the usefulness of specific neurocognitive tests for predicting the crash involvement in ultra\u2010octogenarian population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 800 subjects (mean age 82.4\u2009+\u20093.1\u2009years) underwent a battery of neuropsychological tests. Global intellectual functioning was assessed using the Mini Mental State Examination, mental flexibility and information processing speed were assessed using the Trail Making Test parts A and B (TMT\u2010A and TMT\u2010B), long\u2010term memory was evaluated with the short story, and visuo\u2010spatial skills were tested with Clock Drawing Test. One year after this evaluation, 343 (43%) participants have been interviewed by a telephone call to know if they were currently driving and if they had a car crash during this period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Two hundred ninety\u2010seven subjects had their driving license renewed and completed the follow\u2010up 1\u2009year after. Data shows that less than 11% of this group had a car crash during the first year of observation (<jats:italic>Crash Involved<\/jats:italic>). Older subjects involved in a car crash showed significant worse performances on TMT\u2010B (TMT\u2010B pathological <jats:italic>Crash Involved<\/jats:italic> vs. <jats:italic>Noncrash Involved<\/jats:italic> 47% vs. 27%; <jats:italic>p<\/jats:italic>\u2009=\u20090.02) and on short story (short story pathological <jats:italic>Crash Involved<\/jats:italic> vs. <jats:italic>Noncrash Involved<\/jats:italic> 19% vs. 5%; <jats:italic>p<\/jats:italic>\u2009=\u20090.02).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Trail Making test B and short story have been demonstrated to provide a predictive value of driving performance of older people. Therefore, we suggest that a simple and standardized battery of neuropsychological tests, lasting about 30\u2009min and administered by an experienced staff, is a good diagnostic instrument for risk prevention of driving activity of older drivers. 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