PMID- 31903390
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220412
IS  - 2231-0770 (Print)
IS  - 2249-4464 (Electronic)
IS  - 2231-0770 (Linking)
VI  - 9
IP  - 4
DP  - 2019 Oct-Dec
TI  - Are cardiac patients in Saudi Arabia provided adequate instructions when they 
      should not drive?
PG  - 148-153
LID - 10.4103/ajm.AJM_69_19 [doi]
AB  - OBJECTIVE: Driving capability can be significantly affected by different heath 
      disorders; cardiovascular diseases (CVDs) should be considered when assessing 
      patients for medical fitness to drive (MFTD). The aim of this study was to 
      evaluate the awareness of Saudi patients about driving recommendations and to 
      assess the incidence of motor vehicle accidents (MVAs) among cardiac patients. 
      MATERIALS AND METHODS: We conducted a cross-sectional survey-based study. Male 
      patients diagnosed with CVDs and who were visiting outpatient departments were 
      invited to complete a questionnaire regarding their awareness of driving 
      recommendations. Patients' demographics, clinical diagnosis, echocardiography 
      parameters, and time-to-CVD diagnosis were all obtained from the patients' 
      medical records. Women were excluded because it was illegal for women to drive in 
      Saudi Arabia during the study period. RESULTS: In total, 800 men were included, 
      with a mean age of 54 +/- 12 years. Driving counseling had been provided to 241 
      participants (30%). Of these, 207 (25%) were advised not to drive for a period of 
      between one week and six months. Five percent of the patients had a history of 
      MVAs during the follow-up period of 6.2 +/- 4 years. We found that the presence of 
      a dyspnea >/=2, according to the New York Heart Association (NYHA), and a history 
      of loss of consciousness (syncope/pre-syncope) were significantly associated with 
      accidents (46% vs. 20%, P < 0.0001 and 41% vs. 10%, P < 0.0001, respectively). 
      CONCLUSION: Patient-physician discussion about MFTD was only performed with 30% 
      of the patients with CVDs in Saudi Arabia. Dyspnea NYHA class >/=2 or a prior 
      history of syncope were significantly associated with the incidence of MVAs.
CI  - Copyright: (c) 2019 Avicenna Journal of Medicine.
FAU - Abazid, Rami M
AU  - Abazid RM
AD  - Department of Nuclear Medicine, London Health Sciences Centre, London, Canada, 
      Department of Cardiac Imaging, Prince Sultan Cardiac Center Qassim PSCCQ, 
      Buraydah, El Qassim, Saudi Arabia.
FAU - Ewid, Mohammed
AU  - Ewid M
AD  - Faculty of Medicine, Suliman Al Rajhi Colleges, Buraydah, El Qassim, Saudi 
      Arabia, Internal Medicine Department, Faculty of Medicine, Cairo University, 
      Egypt.
FAU - Sherif, Hossam
AU  - Sherif H
AD  - Faculty of Medicine, Suliman Al Rajhi Colleges, Buraydah, El Qassim, Saudi 
      Arabia, Critical Care Medicine Department, Faculty of Medicine, Cairo University, 
      Egypt.
FAU - Smettei, Osama A
AU  - Smettei OA
AD  - Department of Cardiac Imaging, Prince Sultan Cardiac Center Qassim PSCCQ, 
      Buraydah, El Qassim, Saudi Arabia.
FAU - Salim Khan, Abdul
AU  - Salim Khan A
AD  - Department of Cardiology, Prince Mohammad Bin Abdulaziz Hospital, Riyadh, Saudi 
      Arabia.
FAU - Altorbag, Abdullah A
AU  - Altorbag AA
AD  - Department of medicine, College of Medicine, Qassim University, El Qassim, Saudi 
      Arabia.
FAU - Alharbi, Mohammad F
AU  - Alharbi MF
AD  - Department of medicine, College of Medicine, Qassim University, El Qassim, Saudi 
      Arabia.
FAU - Aljaber, Abdulrahman N
AU  - Aljaber AN
AD  - Department of medicine, College of Medicine, Qassim University, El Qassim, Saudi 
      Arabia.
FAU - Alharbi, Suliman M
AU  - Alharbi SM
AD  - Department of medicine, College of Medicine, Qassim University, El Qassim, Saudi 
      Arabia.
FAU - Altorbak, Nora A
AU  - Altorbak NA
AD  - Department of medicine, College of Medicine, Qassim University, El Qassim, Saudi 
      Arabia.
FAU - Altorbak, Sarah A
AU  - Altorbak SA
AD  - Department of medicine, College of Medicine, Qassim University, El Qassim, Saudi 
      Arabia.
FAU - Almeman, Ahmad
AU  - Almeman A
AD  - Department of Pharmacology, College of Medicine, Qassim University, El Qassim, 
      Saudi Arabia.
LA  - eng
PT  - Journal Article
DEP - 20191003
PL  - Germany
TA  - Avicenna J Med
JT  - Avicenna journal of medicine
JID - 101584155
PMC - PMC6796302
OTO - NOTNLM
OT  - Cardiovascular diseases
OT  - Saudi Arabia
OT  - medical fitness to drive
OT  - motor vehicle accidents
EDAT- 2020/01/07 06:00
MHDA- 2020/01/07 06:01
PMCR- 2019/10/03
CRDT- 2020/01/07 06:00
PHST- 2020/01/07 06:00 [entrez]
PHST- 2020/01/07 06:00 [pubmed]
PHST- 2020/01/07 06:01 [medline]
PHST- 2019/10/03 00:00 [pmc-release]
AID - AJM-9-148 [pii]
AID - 10.4103/ajm.AJM_69_19 [doi]
PST - epublish
SO  - Avicenna J Med. 2019 Oct 3;9(4):148-153. doi: 10.4103/ajm.AJM_69_19. eCollection 
      2019 Oct-Dec.