RT info:eu-repo/semantics/article T1 Older drivers, medical condition, medical impairment and crash risk A1 Álvarez González, Francisco Javier A1 Fierro Lorenzo, María Inmaculada K1 Personas de edad - Conducción - Riesgos AB New evidence has appeared to support the fact that the over-involvement of older drivers in traffic accidents disappears when the low mileagebias is taken into account. As a group, older drivers are as safe as or safer than other age groups, and only low mileage older drivers have a highcrash rate. Furthermore, the role of the medical condition of older drivers in traffic accidents, as well as the fitness to drive evaluation, are objects ofcontroversy.We examined all this with a cohort of 4316 drivers attending Medical Driving Test Centres for a mandatory fitness to drive evaluation.Our data shows that older drivers (≥75) have a lower crash rate. Medical conditions that impair fitness to drive, as a tendency, increased withadvanced age and with lower mileage group. The multivariate analysis of variance showed that there is an effect (p < 0.0001) of age-range andmileage on the annual crash rate per million kilometres driven, while a medical restriction (“fit to drive with restriction”) has no effect (p > 0.05).Our data suggests that health status is not associated with increased crash risk for the low mileage group, although further studies are needed. PB Elsevier SN 0001-4575 YR 2008 FD 2008 LK http://uvadoc.uva.es/handle/10324/15637 UL http://uvadoc.uva.es/handle/10324/15637 LA eng NO Accid. Anal. Prev. 2008; 40(1): 55-60 NO Producción Científica DS UVaDOC RD 20-abr-2024