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Uwents MH, Jorissen C, Van Ombergen A, Dobbels B, van de Berg R, Janssens de Varebeke S, Lammers M, Ross V, Vanderveken O, Brijs T, Van Rompaey V. Driving ability in patients with dizziness: a systematic review. Eur Arch Otorhinolaryngol 2021; 279:1813-1829. [PMID: 34057598 DOI: 10.1007/s00405-021-06881-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2021] [Accepted: 05/11/2021] [Indexed: 01/05/2023]
Abstract
PURPOSE The aim of this systematic review was to identify and evaluate studies dealing with driving performance of dizzy patients or patients with a vestibular disorder. METHODS A systematic review was performed according to the preferred reporting items for systematic reviews and meta-analysis guidelines. (1) PubMed, Embase, and Cochrane library. (2) Study selection: articles about driving ability and reported driving difficulties in patients with dizziness, or a diagnosed vestibular disorder, were included. (3) Data extraction was performed by two independent authors using predefined data fields: patient's characteristics, diagnostic criteria, sample size, and type of evaluation of driving ability and outcome of the study. RESULTS Eight out of 705 articles matched the inclusion criteria but varied widely regarding the study population, study design, and outcome measures. The majority of studies reported a negative impact of dizziness and/or vestibular disorders on self-reported driving ability and car accidents. Yet several studies could not identify any impairment of driving ability. CONCLUSIONS Driving ability was negatively affected by dizziness or a vestibular disorder in the majority of included studies with low risk of bias. This systematic review revealed a significant heterogeneity in studies reporting driving performance and contradictory results. We were, therefore, unable to identify a causal relationship between dizziness and driving ability. There is a need for prospective studies in populations with different vestibular disorders using subjective and objective outcome measures that have been validated to evaluate driving performance.
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Affiliation(s)
- Marie-Hélène Uwents
- Departments of Otorhinolaryngology and Head and Neck Surgery, Antwerp University Hospital, Wilrijkstraat 10, 2650, Edegem, Belgium
- Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - Cathérine Jorissen
- Departments of Otorhinolaryngology and Head and Neck Surgery, Antwerp University Hospital, Wilrijkstraat 10, 2650, Edegem, Belgium
- Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - Angelique Van Ombergen
- Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
- European Space Agency, Noordwijk, The Netherlands
| | - Bieke Dobbels
- Departments of Otorhinolaryngology and Head and Neck Surgery, Antwerp University Hospital, Wilrijkstraat 10, 2650, Edegem, Belgium
- Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - Raymond van de Berg
- Department of Otorhinolaryngology and Head and Neck Surgery, Division of Balance Disorders, School for Mental Health and Neuroscience, Maastricht University Medical Center, Maastricht, The Netherlands
- Faculty of Physics, Tomsk State Research University, Tomsk, Russian Federation
| | - Sebastien Janssens de Varebeke
- Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
- Departments of Otorhinolaryngology and Head and Neck Surgery, Jessa Hospital, Hasselt, Belgium
| | - Marc Lammers
- Departments of Otorhinolaryngology and Head and Neck Surgery, Antwerp University Hospital, Wilrijkstraat 10, 2650, Edegem, Belgium
| | - Veerle Ross
- School of Transportation Sciences, UHasselt, Transportation Research Institute (IMOB), Agoralaan, Diepenbeek, Belgium
| | - Olivier Vanderveken
- Departments of Otorhinolaryngology and Head and Neck Surgery, Antwerp University Hospital, Wilrijkstraat 10, 2650, Edegem, Belgium
- Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - Tom Brijs
- School of Transportation Sciences, UHasselt, Transportation Research Institute (IMOB), Agoralaan, Diepenbeek, Belgium
| | - Vincent Van Rompaey
- Departments of Otorhinolaryngology and Head and Neck Surgery, Antwerp University Hospital, Wilrijkstraat 10, 2650, Edegem, Belgium.
- Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.
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