Rivara F P, Gurney J G, Ries R K, Seguin D A, Copass M K, Jurkovich G J
Harborview Injury Prevention and Research Center, Seattle, WA 98104.
J Adolesc Health. 1992 Dec;13(8):663-7. doi: 10.1016/1054-139x(92)90060-o.
Young adults, 18-20 years of age, admitted to a trauma center via the emergency department, were studied to determine if they had been drinking prior to their injury event. The prevalence of self-reported chronic alcohol problems was examined using the short Michigan Alcohol Screening Test (SMAST). Of the 319 subjects, 131 (41%) tested positive for alcohol, including about one-half of those with intentional injuries and 38% with unintentional injuries. Approximately 22% had blood alcohol concentrations of 100 mg/dL or more, indicating they were legally intoxicated at the time of their injury. Of study subjects who completed the SMAST, 49% attained scores suggesting potential or probable alcoholism, and 20% had already sought some type of treatment, despite their young age. Health-care practices and policies related to these findings include routine screening of trauma patients for alcohol abuse and integration of chemical dependency intervention services with trauma care.
对通过急诊科收治到创伤中心的18至20岁的年轻人进行了研究，以确定他们在受伤事件发生前是否饮酒。使用简短密歇根酒精筛查测试（SMAST）检查自我报告的慢性酒精问题的患病率。在319名受试者中，131名（41%）酒精检测呈阳性，其中约一半是故意伤害者，38%是非故意伤害者。约22%的人血液酒精浓度达到或超过100mg/dL，表明他们在受伤时处于法律规定的醉酒状态。在完成SMAST的研究对象中，49%的得分表明可能或很可能患有酒精中毒，20%的人尽管年龄尚小，但已经寻求过某种类型的治疗。与这些发现相关的医疗保健实践和政策包括对创伤患者进行酒精滥用的常规筛查，以及将化学依赖干预服务与创伤护理相结合。
