Kolakowsky-Hayner S A, Gourley E V, Kreutzer J S, Marwitz J H, Cifu D X, Mckinley W O
Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Medical College of Virginia, Richmond 23298-0542, USA.
Brain Inj. 1999 Aug;13(8):571-81. doi: 10.1080/026990599121313.
Alcohol and drug use at the time of injury have been strongly implicated as causal factors of spinal cord injury (SCI) and traumatic brain injury (TBI). Researchers have only begun their efforts to investigate the pre-injury incidence of substance abuse in an effort to identify persons at risk for traumatic injury. No studies have compared brain and spinal cord injury populations. This investigation was based in an urban, level one trauma center federally designated as a model system of comprehensive rehabilitative services for persons with TBI and persons with SCI. Pre-injury patterns of alcohol and illicit drug use were compared among patients with SCI and patients with TBI, matched for age, gender, race, and mechanism of injury (n= 52). In accordance with previous research, participants were primarily young, unmarried, males with at least a high school education. Eighty-one percent of patients with TBI and 96% of patients with SCI reported pre-injury alcohol use. The rate of pre-injury heavy drinking for both groups was alarmingly high. Fifty-seven percent of persons with SCI and 42% of persons with TBI were heavy drinkers. Implications for risk identification, treatment, and future research are discussed.
受伤时饮酒和吸毒已被强烈认为是脊髓损伤（SCI）和创伤性脑损伤（TBI）的致病因素。研究人员才刚刚开始努力调查受伤前药物滥用的发生率，以确定有创伤性损伤风险的人群。尚无研究对脑损伤和脊髓损伤人群进行比较。本调查基于一家被联邦指定为TBI患者和SCI患者综合康复服务示范系统的一级城市创伤中心。对年龄、性别、种族和损伤机制相匹配的SCI患者和TBI患者（n = 52）的受伤前酒精和非法药物使用模式进行了比较。根据先前的研究，参与者主要是年轻、未婚、至少受过高中教育的男性。81%的TBI患者和96%的SCI患者报告受伤前饮酒。两组受伤前重度饮酒率高得惊人。57%的SCI患者和42%的TBI患者是重度饮酒者。文中讨论了风险识别、治疗及未来研究的意义。
