2025 Volume 47 Issue 5 Pages 301-308
Background and Purpose: It is often challenging to determine whether to resume driving after an acute stroke. Many studies have reported predicting whether someone can resume driving based on neuropsychological tests; however, no studies have examined the presence or absence of frailty before its onset. In this study, we analyzed factors related to whether patients who received support to resume driving after an acute stroke were able to do so. Methods: The participants were 68 patients with acute stroke. Binary logistic regression analysis was used to analyze factors associated with clinical assessment and neuropsychological test results, with covariates and cut-off values calculated. Additionally, the sensitivity and specificity of resuming driving were calculated based on related factors. Results: Factors associated with the ability to resume driving included attentional disorder, frontal lobe dysfunction, visuospatial cognitive disorder, and frailty prior to onset. Additionally, when predicting whether driving could resume by considering frailty before onset, the sensitivity was 100%, and the specificity was 88%. Conclusion: In addition to neuropsychological tests, it is important to assess frailty before the onset of acute stroke to support the return to driving.
