Plüddemann Andreas, Parry Charles, Donson Hilton, Sukhai Anesh
Alcohol and Drug Abuse Research Group, Medical Research Council, Tygerberg, South Africa.
Inj Control Saf Promot. 2004 Dec;11(4):265-7. doi: 10.1080/156609704/233/289599.
To assess acute alcohol intoxication among patients presenting with recent injuries at trauma units in Cape Town, Port Elizabeth and Durban from 1999 to 2001.
Cross-sectional surveys were conducted during a four-week period in each of the above sites in 1999, 2000 and 2001. The concept of an 'idealised week' was used to render representative samples. Breath-alcohol concentrations were assessed in a total of 1900 patients using a Lion SD2 alcolmeter.
Over half of all the patients experienced violent injuries. Across sites and for each respective year of the survey, between 35.8% and 78.9% of patients tested positive for alcohol. Between 16.5% and 67.0% had a breath-alcohol concentration greater than or equal to 0.05g/100ml. Port Elizabeth consistently had the highest proportion of patients testing positive for alcohol. Patients injured as a result of violence were more likely to test positive for alcohol than patient who sustained road traffic or other unintentional injuries.
Alcohol involvement among trauma patients remained consistently high for each of the three study periods. Efforts to combat the abuse of alcohol would appear to paramount in reducing the burden of injuries on health care services.
评估1999年至2001年在开普敦、伊丽莎白港和德班的创伤科因近期受伤前来就诊的患者中的急性酒精中毒情况。
1999年、2000年和2001年在上述每个地点进行了为期四周的横断面调查。采用“理想化周”的概念来获取具有代表性的样本。使用Lion SD2酒精测量仪对总共1900名患者进行了呼气酒精浓度评估。
超过半数的患者遭受暴力伤害。在各个地点以及调查的每一年，35.8%至78.9%的患者酒精检测呈阳性。16.5%至67.0%的患者呼气酒精浓度大于或等于0.05g/100ml。伊丽莎白港酒精检测呈阳性的患者比例始终最高。因暴力受伤的患者比因道路交通或其他意外伤害的患者更有可能酒精检测呈阳性。
在三个研究期间，创伤患者中酒精相关情况一直居高不下。在减轻医疗服务机构的受伤负担方面，打击酒精滥用的努力似乎至关重要。
