Marie-Hélène Uwents1,2, Cathérine Jorissen1,2, Angelique Van Ombergen2,3, Bieke Dobbels1,2, Raymond van de Berg4,5, Sebastien Janssens de Varebeke2,6, Marc Lammers1, Veerle Ross7, Olivier Vanderveken1,2, Tom Brijs7, Vincent Van Rompaey8,9. 1. Departments of Otorhinolaryngology and Head and Neck Surgery, Antwerp University Hospital, Wilrijkstraat 10, 2650, Edegem, Belgium. 2. Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium. 3. European Space Agency, Noordwijk, The Netherlands. 4. 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. 5. Faculty of Physics, Tomsk State Research University, Tomsk, Russian Federation. 6. Departments of Otorhinolaryngology and Head and Neck Surgery, Jessa Hospital, Hasselt, Belgium. 7. School of Transportation Sciences, UHasselt, Transportation Research Institute (IMOB), Agoralaan, Diepenbeek, Belgium. 8. Departments of Otorhinolaryngology and Head and Neck Surgery, Antwerp University Hospital, Wilrijkstraat 10, 2650, Edegem, Belgium. vincent.van.rompaey@uza.be. 9. Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium. vincent.van.rompaey@uza.be.
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.
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.
Authors: Maya Danneels; Ruth Van Hecke; Hannah Keppler; Sofie Degeest; Dirk Cambier; Raymond van de Berg; Vincent Van Rompaey; Leen Maes Journal: Ear Hear Date: 2020 Jan/Feb Impact factor: 3.570
Authors: Bieke Dobbels; Florence Lucieer; Griet Mertens; Annick Gilles; Julie Moyaert; Paul van de Heyning; Nils Guinand; Angelica Pérez Fornos; Nolan Herssens; Ann Hallemans; Luc Vereeck; Olivier Vanderveken; Vincent Van Rompaey; Raymond van de Berg Journal: PLoS One Date: 2020-03-09 Impact factor: 3.240
Authors: D Starkov; M Snelders; F Lucieer; A M L Janssen; M Pleshkov; H Kingma; V van Rompaey; N Herssens; A Hallemans; L Vereeck; C McCrum; K Meijer; N Guinand; A Perez-Fornos; R van de Berg Journal: J Neurol Date: 2020-10-28 Impact factor: 4.849
Authors: Lisa van Stiphout; Israt Hossein; Merel Kimman; Susan L Whitney; Andrianna Ayiotis; Michael Strupp; Nils Guinand; Angélica Pérez Fornos; Josine Widdershoven; Ángel Ramos-Macías; Vincent Van Rompaey; Raymond van de Berg Journal: Front Neurol Date: 2022-03-17 Impact factor: 4.003