Arrhythmias & electrophysiology

Driving restrictions following defibrillator implantation: a nationwide register-linked survey study on the impact on employment, daily living, and driving behaviour

Eur Heart J Qual Care Clin OutcomesPublished Cross-sectional study

Authors' conclusion

Both professional and private driving restrictions affect the ability to maintain employment and have a negative impact on ICD recipients' daily living activities.

Study context

Population
Danish adults (≥18 years) with a first-time implantable cardioverter defibrillator (ICD) implanted 2013–20162,741 analysable
Participants
3,913 adults
Outcome
Impact of driving restrictions after ICD implantation and ICD shock on employment, daily living, driving concerns and driving behaviour
Methodological detailsnationwide, register-linked survey
  • Nationwide
  • Register-linked survey

Main finding

As reported in the abstract

Active professional drivers (n = 175) who lost their job as a direct consequence of driving restrictions
33%
Working before ICD implantation (n = 465) reporting limitation in maintaining employment due to private driving restrictions
47%
Restricted from driving ≥1 month reporting substantial impediment of daily living
26%
Factor for substantial impediment: age <65 years
OR 1.84 (95% CI 1.35-2.52)
Factor for substantial impediment: higher income
OR 1.47 (95% CI 1.05-2.05)
Factor for substantial impediment: driving ≥7 h/week pre-implantation
OR 1.66 (95% CI 1.23-2.24)
Nervous about driving or altering driving habits
3-7%

Observational data: associations, not effects.

Original publication

Driving restrictions following defibrillator implantation: a nationwide register-linked survey study on the impact on employment, daily living, and driving behaviour. Eur Heart J Qual Care Clin Outcomes. Published 9 August 2024. doi:10.1093/ehjqcco/qcae071

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