{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T22:26:38Z","timestamp":1775514398765,"version":"3.50.1"},"reference-count":32,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T00:00:00Z","timestamp":1698710400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R01AG065722"],"award-info":[{"award-number":["R01AG065722"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R21AG061632"],"award-info":[{"award-number":["R21AG061632"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R01AG077620"],"award-info":[{"award-number":["R01AG077620"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R01AG079295"],"award-info":[{"award-number":["R01AG079295"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Medications are one of the most easily modifiable risk factors for motor vehicle crashes (MVCs) among older adults, yet limited information exists on how the use of potentially driver\u2010impairing (PDI) medications changes following an MVC. Therefore, we examined the number and types of PDI medication classes dispensed before and after an MVC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This observational study included Medicare fee\u2010for\u2010service beneficiaries aged \u226567\u2009years who were involved in a police\u2010reported MVC in New Jersey as a driver between 2008 and 2017. Analyses were conducted at the \u201cperson\u2010crash\u201d level because participants could be involved in more than one MVC. We examined the use of 36 PDI medication classes in the 120\u2009days before and 120\u2009days after MVC. We described the number and prevalence of PDI medication classes in the pre\u2010MVC and post\u2010MVC periods as well as the most common PDI medication classes started and stopped following the MVC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 124,954 person\u2010crashes, the mean (SD) age was 76.0 (6.5) years, 51.3% were female, and 83.9% were non\u2010Hispanic White. The median (Q\n                      <jats:sub>1<\/jats:sub>\n                      , Q\n                      <jats:sub>3<\/jats:sub>\n                      ) number of PDI medication classes was 2 (1, 4) in both the pre\u2010MVC and post\u2010MVC periods. Overall, 20.3% had a net increase, 15.9% had a net decrease, and 63.8% had no net change in the number of PDI medication classes after MVC. Opioids, antihistamines, and thiazide diuretics were the top PDI medication classes stopped following MVC, at incidences of 6.2%, 2.1%, and 1.7%, respectively. The top medication classes started were opioids (8.3%), skeletal muscle relaxants (2.2%), and benzodiazepines (2.1%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A majority of crash\u2010involved older adults were exposed to multiple PDI medications before and after MVC. A greater proportion of person\u2010crashes were associated with an increased rather than decreased number of PDI medications. The reasons why clinicians refrain from stopping PDI medications following an MVC remain to be elucidated.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.18643","type":"journal-article","created":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T07:53:42Z","timestamp":1698738822000},"page":"444-455","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Changes in the burden of medications that may impair driving among older adults before and after a motor vehicle crash"],"prefix":"10.1111","volume":"72","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2196-0134","authenticated-orcid":false,"given":"Melissa R.","family":"Riester","sequence":"first","affiliation":[{"name":"Department of Epidemiology Brown University School of Public Health  Providence Rhode Island USA"},{"name":"Center for Gerontology and Health Care Research, Department of Health Services, Policy, and Practice Brown University School of Public Health  Providence Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam M.","family":"D'Amico","sequence":"additional","affiliation":[{"name":"Center for Gerontology and Health Care Research, Department of Health Services, Policy, and Practice Brown University School of Public Health  Providence Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marzan A.","family":"Khan","sequence":"additional","affiliation":[{"name":"Center for Gerontology and Health Care Research, Department of Health Services, Policy, and Practice Brown University School of Public Health  Providence Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7611-5494","authenticated-orcid":false,"given":"Nina R.","family":"Joyce","sequence":"additional","affiliation":[{"name":"Department of Epidemiology Brown University School of Public Health  Providence Rhode Island USA"},{"name":"Center for Gerontology and Health Care Research, Department of Health Services, Policy, and Practice Brown University School of Public Health  Providence Rhode Island USA"},{"name":"Center for Injury Research and Prevention Children's Hospital of Philadelphia  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa R.","family":"Pfeiffer","sequence":"additional","affiliation":[{"name":"Center for Injury Research and Prevention Children's Hospital of Philadelphia  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seth A.","family":"Margolis","sequence":"additional","affiliation":[{"name":"Department of Neuropsychology Rhode Island Hospital  Providence Rhode Island USA"},{"name":"Department of Psychiatry &amp; Human Behavior Brown University  Providence Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4899-7116","authenticated-orcid":false,"given":"Brian R.","family":"Ott","sequence":"additional","affiliation":[{"name":"Department of Neurology Brown University  Providence Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allison E.","family":"Curry","sequence":"additional","affiliation":[{"name":"Center for Injury Research and Prevention Children's Hospital of Philadelphia  Philadelphia Pennsylvania USA"},{"name":"Division of Emergency Medicine, Perelman School of Medicine University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1616-0714","authenticated-orcid":false,"given":"Thomas A.","family":"Bayer","sequence":"additional","affiliation":[{"name":"Division of Geriatrics and Palliative Medicine, Warren Alpert Medical School Brown University  Providence Rhode Island USA"},{"name":"Center of Innovation in Long\u2010Term Services and Supports Providence Veterans Affairs Medical Center  Providence Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1673-4570","authenticated-orcid":false,"given":"Andrew R.","family":"Zullo","sequence":"additional","affiliation":[{"name":"Department of Epidemiology Brown University School of Public Health  Providence Rhode Island USA"},{"name":"Center for Gerontology and Health Care Research, Department of Health Services, Policy, and Practice Brown University School of Public Health  Providence Rhode Island USA"},{"name":"Center of Innovation in Long\u2010Term Services and Supports Providence Veterans Affairs Medical Center  Providence Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,10,31]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"Rates of Motor Vehicle Crashes, Injuries and Deaths in Relation to Driver Age, United States, 2014\u20132015 (Research Brief)","author":"Tefft BC","year":"2017"},{"key":"e_1_2_12_3_1","unstructured":"Insurance Institute for Highway Safety Highway Loss Data Institute.Older Drivers.2023. 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