Sommers M S, Dyehouse J M, Howe S R, Lemmink J, Davis K, McCarthy M, Russell A C
College of Nursing, University of Cincinnati, Ohio, USA.
Am J Crit Care. 2000 Jan;9(1):28-35.
Approximately 40% of all traffic fatalities are associated with the use of alcohol. Hospitalization for serious injury after a motor vehicle crash related to use of alcohol may be an opportunity to change drinking behaviors in non-alcohol-dependent drinkers, thereby reducing the risk for future disability and death.
To determine the degree to which non-alcohol-dependent adults aged 18 to 45 years with alcohol-related vehicular trauma attributed their injury to use of alcohol.
During hospitalization, 132 subjects involved in alcohol-related motor vehicle crashes were interviewed. The interviews included the question, "To what extent do you believe your alcohol consumption was responsible for this injury?" Responses were measured on a 7-point scale ranging from 1 (not at all) to 7 (totally).
In response to the question about attribution of injury to alcohol, 37.8% of subjects responded "not at all," 24.3 responded "somewhat," and 37.9% responded "mostly" or "totally." Spearman rank correlation between attribution of injury to alcohol involvement and blood alcohol content at admission was r = 0.440 (P < .001).
More than 60% of patients injured in alcohol-related motor vehicle crashes attributed their injury partly or totally to use of alcohol. When alcohol-free, hospitalized patients with higher blood levels of alcohol on admission were more likely than those with lower levels to attribute their injury to alcohol. Hospitalization for a motor vehicle crash related to use of alcohol provides an opportunity for interventions to decrease drinking.
所有交通死亡事故中约40%与饮酒有关。因饮酒导致机动车碰撞后受重伤住院，可能是改变非酒精依赖饮酒者饮酒行为的契机，从而降低未来残疾和死亡风险。
确定18至45岁因酒精相关车辆创伤住院的非酒精依赖成年人将其受伤归因于饮酒的程度。
在住院期间，对132名涉及酒精相关机动车碰撞事故的受试者进行了访谈。访谈包括这样一个问题：“你认为你的饮酒在多大程度上导致了这次受伤？”回答采用从1（完全不是）到7（完全是）的7分制进行衡量。
对于关于受伤归因于酒精的问题，37.8%的受试者回答“完全不是”，24.3%回答“有点”，37.9%回答“大部分”或“完全”。受伤归因于酒精摄入与入院时血液酒精含量之间的斯皮尔曼等级相关性为r = 0.440（P <.001）。
在酒精相关机动车碰撞事故中受伤的患者中，超过60%将其受伤部分或全部归因于饮酒。在入院时血液酒精水平较高的无酒精住院患者比血液酒精水平较低的患者更有可能将其受伤归因于酒精。因饮酒导致机动车碰撞事故住院为减少饮酒的干预措施提供了机会。
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