Driving requires the ability to receive information, process it and make the right and timely judgment and appropriate response. Various difficulties (motor, visual, cognitive or perceptual etc.) can affect the driving performance. These difficulties arise due to advanced age and can lead to a significant deterioration in driving ability and an increased risk of road crash. While today, over 20% of road crash fatalities involve drivers of more than 60 years of age in Europe, it is expected that by 2050 the rate of elderly road crash fatalities will increase to 43%. The goal of this study is to examine and present the most critical parameters that can assess and predict the driving performance of older drivers. For that purpose, an extended literature review was extracted in order to investigate the most crucial indicators which are examined in the scientific field. Methods of assessing driving, including on-road trials, driving simulator experiments, driving behavior questionnaires, neurological and neuropsychological tests or a combination of them and related results of the literature are provided. Several studies examining driving parameters that could predict and assess the driving behavior of older drivers were reviewed based on specific selection criteria. In this framework, the respective driving performance measures were recorded with the aim to investigate which ones are the most promising and in which way they are analyzed. The literature review highlights the need for further research for diagnostic tools assessing driving behavior and safety in order to support decision makers to assess fitness (or not) – to – drive for the elderly
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