Crash Risk Predictors in Older Drivers: A Cross-Sectional Study Based on a Driving Simulator and Machine Learning Algorithms

dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorSILVA, V. C.
dc.contributor.authorDIAS, A. S.
dc.contributor.authorGREVE, J. M. D.
dc.contributor.authorDAVIS, C. L.
dc.contributor.authorSOARES, A. L. D. S.
dc.contributor.authorBRECH, G. C.
dc.contributor.authorAYAMA, S.
dc.contributor.authorJACOB-FILHO, W.
dc.contributor.authorBUSSE, A. L.
dc.contributor.authorBIASE, M. E. M. de
dc.contributor.authorCANONICA, A. C.
dc.contributor.authorALONSO, A. C.
dc.date.accessioned2024-03-13T19:56:45Z
dc.date.available2024-03-13T19:56:45Z
dc.date.issued2023
dc.description.abstractThe ability to drive depends on the motor, visual, and cognitive functions, which are necessary to integrate information and respond appropriately to different situations that occur in traffic. The study aimed to evaluate older drivers in a driving simulator and identify motor, cognitive and visual variables that interfere with safe driving through a cluster analysis, and identify the main predictors of traffic crashes. We analyzed the data of older drivers (n = 100, mean age of 72.5 ± 5.7 years) recruited in a hospital in São Paulo, Brazil. The assessments were divided into three domains: motor, visual, and cognitive. The K-Means algorithm was used to identify clusters of individuals with similar characteristics that may be associated with the risk of a traffic crash. The Random Forest algorithm was used to predict road crash in older drivers and identify the predictors (main risk factors) related to the outcome (number of crashes). The analysis identified two clusters, one with 59 participants and another with 41 drivers. There were no differences in the mean of crashes (1.7 vs. 1.8) and infractions (2.6 vs. 2.0) by cluster. However, the drivers allocated in Cluster 1, when compared to Cluster 2, had higher age, driving time, and braking time (p < 0.05). The random forest performed well (r = 0.98, R2 = 0.81) in predicting road crash. Advanced age and the functional reach test were the factors representing the highest risk of road crash. There were no differences in the number of crashes and infractions per cluster. However, the Random Forest model performed well in predicting the number of crashes.eng
dc.description.indexMEDLINE
dc.description.indexPubMed
dc.description.indexScopus
dc.description.indexDimensions
dc.description.sponsorshipFundação de Amparo à Pesquisa do Estado de São Paulo, FAPESP, (2011/50354-8)
dc.description.sponsorshipFundação Carlos Chagas Filho de Amparo à Pesquisa do Estado do Rio de Janeiro, FAPERJ, (2012/20627-5)
dc.identifier.citationINTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, v.20, n.5, article ID 4212, p, 2023
dc.identifier.doi10.3390/ijerph20054212
dc.identifier.issn1661-7827
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/58633
dc.language.isoeng
dc.publisherMDPIeng
dc.relation.ispartofInternational Journal of Environmental Research and Public Health
dc.rightsopenAccesseng
dc.rights.holderCopyright MDPIeng
dc.subjectclustering analysiseng
dc.subjectcrash riskeng
dc.subjectmachine learningeng
dc.subjectolder driverseng
dc.subjectsafe drivingeng
dc.subject.otherbrazileng
dc.subject.othersao paulo [brazil]eng
dc.subject.otheralgorithmeng
dc.subject.othercluster analysiseng
dc.subject.othermachine learningeng
dc.subject.otherrisk assessmenteng
dc.subject.otheraccidenteng
dc.subject.otherage distributioneng
dc.subject.otheragedeng
dc.subject.otherarticleeng
dc.subject.otherbrazileng
dc.subject.othercognition assessmenteng
dc.subject.otherconvenience sampleeng
dc.subject.othercross-sectional studyeng
dc.subject.otherdemographyeng
dc.subject.otherdescriptive researcheng
dc.subject.otherdrivereng
dc.subject.otherdriving abilityeng
dc.subject.othereducational statuseng
dc.subject.otherfemaleeng
dc.subject.othergrip strengtheng
dc.subject.otherhumaneng
dc.subject.otherk means clusteringeng
dc.subject.othermachine learningeng
dc.subject.othermaleeng
dc.subject.othermontreal cognitive assessmenteng
dc.subject.othermotor performanceeng
dc.subject.othermuscle strengtheng
dc.subject.otherpredictioneng
dc.subject.otherrandom foresteng
dc.subject.otherrisk assessmenteng
dc.subject.otherrisk factoreng
dc.subject.othersocial statuseng
dc.subject.othertimed up and go testeng
dc.subject.othertrail making testeng
dc.subject.othervisioneng
dc.subject.othervisual system functioneng
dc.titleCrash Risk Predictors in Older Drivers: A Cross-Sectional Study Based on a Driving Simulator and Machine Learning Algorithmseng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.affiliation.countryEstados Unidos
hcfmusp.affiliation.countryisous
hcfmusp.author.externalDIAS, A. S.:Graduate Program in Aging Science, São Judas Tadeu University (USJT), São Paulo, 03166-000, Brazil
hcfmusp.author.externalDAVIS, C. L.:Georgia Prevention Institute, Medical College of Georgia, Augusta University, Augusta, 30901, GA, United States
hcfmusp.author.externalSOARES, A. L. D. S.:Graduate Program in Aging Science, São Judas Tadeu University (USJT), São Paulo, 03166-000, Brazil, Georgia Prevention Institute, Medical College of Georgia, Augusta University, Augusta, 30901, GA, United States
hcfmusp.author.externalBIASE, M. E. M. de:Laboratory for the Study of Movement, Department of Orthopedics and Traumatology, School of Medicine, University of São Paulo, São Paulo, 05403-010, Brazil
hcfmusp.citation.scopus1
hcfmusp.contributor.author-fmusphcVANDERLEI CARNEIRO DA SILVA
hcfmusp.contributor.author-fmusphcJULIA MARIA D ANDREA GREVE
hcfmusp.contributor.author-fmusphcGUILHERME CARLOS BRECH
hcfmusp.contributor.author-fmusphcSERGIO AYAMA
hcfmusp.contributor.author-fmusphcWILSON JACOB FILHO
hcfmusp.contributor.author-fmusphcALEXANDRE LEOPOLD BUSSE
hcfmusp.contributor.author-fmusphcALEXANDRA CAROLINA CANONICA
hcfmusp.contributor.author-fmusphcANGELICA CASTILHO ALONSO
hcfmusp.description.articlenumber4212
hcfmusp.description.issue5
hcfmusp.description.volume20
hcfmusp.origemSCOPUS
hcfmusp.origem.dimensionspub.1155799345
hcfmusp.origem.scopus2-s2.0-85149875358
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