Presser M, Nwabuo A, Soltani S, et al. - Researchers aimed at determining personal, environmental, and roadway characteristics linked with raised crashes involving elderly drivers. It is hypothesized that elderly drivers are more frequently involved in motor vehicle crashes (MVCs) at intersections with more complex signage and traffic flow. In this retrospective observational study, police traffic crash reports and a Department of Public Health database of built-environment variables were used from a single urban center. They identified the involvement of 2,575 (7.1%) elderly drivers in MVCs during the study period. Findings suggest that a reduction in injury and death from MVCs involving elderly adults may be achieved by updates to roadway features. Road crashes involving older adults may be reduced by left turn restrictions or other innovative safety treatments at all-way stops or where left turns are permitted. Education may improve cognizance regarding higher-risk driving tasks such as turning left, and driving alternatives including public transportation/paratransit may provide alternate means to maintain activities of daily living.