Evidence map›Paper›PMID 35460342›Full record

ArticlePsychopharmacology2022

Use of psychotropic medication and risk of road traffic crashes: a registry-based case-control study in Denmark, 1996-2018.

Anne Vingaard Olesen, Tanja Kidholm Osmann Madsen, Harry Lahrmann, Jimmi Nielsen

Open access · hybridAbstract read
In one paragraph

Article in Psychopharmacology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
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  8. Drug Use and Road Traffic Injuries- Shots in the Dark.Indian journal of psychological medicine · 2024
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Anne Vingaard OlesenThe Traffic Research Group, Department of the Built Environment, Aalborg University, Thomas Manns Vej 23, Aalborg Ø, 9220, Denmark. avo@build.aau.dk.ORCID http://orcid.org/0000-0002-1503-8269
Tanja Kidholm Osmann MadsenThe Traffic Research Group, Department of the Built Environment, Aalborg University, Thomas Manns Vej 23, Aalborg Ø, 9220, Denmark.
Harry LahrmannThe Traffic Research Group, Department of the Built Environment, Aalborg University, Thomas Manns Vej 23, Aalborg Ø, 9220, Denmark.
Jimmi NielsenThe Mental Health Center Glostrup, Copenhagen University Hospital, Nordstjernevej 41, Glostrup, 2600, Denmark.
Aalborg University · DKGlostrup Hospital · DK

Funding

Helsefonden 19-B-0020
6 · The paper itself

Abstract

rationaleUse of psychotropics is relatively prevalent amongst motor vehicle drivers because mobility is also important for persons suffering from psychiatric illness. However, medication side effects may increase the likelihood of being involved in traffic crashes.

objectivesThis study aimed to assess the association between the use of four types of medication (antipsychotics, benzodiazepines and z-hypnotics, antidepressants and stimulants of ADHD treatment) and the risk of traffic crashes, in general, and single crashes subsequently.

methodWe conducted a case-control study of data from 130,000 drivers involved in traffic crashes with personal injury and prescription data from all of Denmark during the period 1996-2018.

resultsFor antipsychotics, we found odds ratios of 0.86 and 1.29 for traffic crashes and single crashes, respectively; for benzodiazepines and z-hypnotics, 1.29 and 2.49, respectively; for antidepressants, 1.30 and 2.25, respectively; and for stimulants of ADHD treatment, 1.62 and 1.95, respectively. All p values were below 0.001.

conclusionsBased on our results on twofold increased risks of single crashes and moderately increased risks in persons with ADHD, it might seem tempting to ban psychotropic medication in traffic. Conversely, we accept increased risks of traffic crashes in young drivers and in the physically disabled with special aids and, to some extent, with exposure to alcohol. In the end, it is the authorities who must review the evidence and decide whether to prohibit (some types of) psychotropic medication in traffic. Finally, underlying disease and not the drug may increase the risk of being involved in a traffic crash.

Indexed as

Accidents, TrafficAutomobile DrivingBenzodiazepinesCase-Control StudiesDenmarkHypnotics and SedativesPsychotropic DrugsRegistriesBenzodiazepinesHypnotics and SedativesPsychotropic DrugsCase–control studyPsychotropic medicationRoad traffic crash

Identifiers

PMID35460342
PMCPMC9293868
OpenAlexW4224324072

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.