Disobedience and driving in patients with epilepsy in Greece |
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| Affiliation: | 1. Department of Neurology, Evangelismos Hospital, Athens, Greece;2. 1st Department of Neurosurgery, Epilepsy Surgery Unit, University of Athens, Evangelismos Hospital, Athens, Greece;3. Laboratory of Clinical Neurophysiology, AHEPA Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece;4. 1st Department of Neurology, University of Athens, Eginition Hospital, Athens, Greece;1. Department of Neurology, Christchurch Hospital, Christchurch 8011, New Zealand;2. NHS Lothian, Department of Clinical Neuropsychology, Astley Ainslie Hospital, Edinburgh EH9 2HL, Scotland, UK;3. Scottish Epilepsy Centre, Glasgow G51 4QD, Scotland, UK;1. Epilepsy Center, Department of Neurology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China;2. Epilepsy Center, Cleveland Clinic Foundation, Cleveland, OH, USA;3. Department of Pharmacology, Key Laboratory of Medical Neurobiology of the Ministry of Health of China, Zhejiang Province Key Laboratory of Neurobiology, College of Pharmaceutical Sciences, Zhejiang University, Hangzhou, China |
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| Abstract: | ObjectiveRegulations and guidelines regarding driving privileges of patients with epilepsy vary greatly worldwide. The aim of our study was twofold: firstly, to evaluate disobedient drivers in Greece and to elucidate their awareness of the law, emotional responses, and seizure profile and, secondly, to identify determinants of disobedience regarding driving among patients with epilepsy.MethodsAll consecutive patients with epilepsy who visited the epilepsy outpatient clinic of two tertiary epilepsy centers were invited to participate in the study. One hundred ninety patients met our inclusion criteria.ResultsFifty-two percent of our study population was aware of the driving restrictions. More than one out of three patients were disobedient (35.8%). Being a male was associated with a 6.07-fold increase in the odds of being disobedient (95% CI: 2.73–13.47, p < 0.001); being employed was associated with a 4.62-fold increase in the odds of being disobedient (95% CI: 2.20–9.68, p < 0.001); and each extra antiepileptic drug (AED) was associated with a decrease in the odds of disobedience by a factor of 0.41 (95% CI: 0.26–0.63, p < 0.001).ConclusionMale gender, employment, and number of AEDs are important determinants of disobedience regarding driving among patients with epilepsy. |
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