创伤中心针对酒精紊乱的简短干预措施可减少后续因酒驾被捕的情况。

Trauma center brief interventions for alcohol disorders decrease subsequent driving under the influence arrests.

作者信息

Schermer Carol R, Moyers Theresa B, Miller William R, Bloomfield Lori A

机构信息

Department of Surgery, University of North Carolina, Chapel Hill, NC 27599, USA.

出版信息

J Trauma. 2006 Jan;60(1):29-34. doi: 10.1097/01.ta.0000199420.12322.5d.

DOI:10.1097/01.ta.0000199420.12322.5d

PMID:16456433

Abstract

BACKGROUND

A substantial number of trauma center admissions are related to driving under the influence (DUI); however, there has been no prior report of brief intervention (BI) after injury reducing subsequent DUI arrests. The hypothesis of this study was that injured patients receiving BI would have a lower risk of DUI arrest within 3 years of discharge than those receiving standard care (SC).

METHODS

This prospective, randomized clinical trial randomly allocated patients involved in motor vehicle collisions to receive SC or a BI regarding alcohol use. The primary outcome measure was DUI arrest within 3 years of hospital discharge. DUI arrests were documented by matching demographic information to state traffic safety data.

RESULTS

After randomization (N = 126), BI and SC groups were similar in age, prior DUI arrests, and alcohol screening score. BI sessions lasted an average of 30 minutes and were performed by either a social worker or a trauma surgeon. Approximately one in six participants (n = 21, 16.7%) had a DUI arrest within 3 years of hospital discharge. Within 3 years of hospital discharge, 14 of 64 patients (21.9%) in the SC group had an arrest for DUI compared with only 7 of 62 patients (11.3%) who received the BI. Multivariate analysis demonstrated that BI was the strongest protective factor against DUI arrest (odds ratio [OR], 0.32; 95% confidence interval < or =CI], 0.11-0.96). Prior number of DUIs (OR, 1.43; 95% CI, 1.03-2.01) and age (OR, 0.94; 95% CI, 0.88-0.99) were also associated with DUI arrest post-hospitalization, but alcohol screening score (OR, 1.06; 95% CI, 0.99-1.13) was not. The absolute risk reduction implies that only nine patients would need to receive a BI to prevent one DUI arrest.

CONCLUSION

Patients who receive BI during a trauma center admission are less likely to be arrested for DUI within 3 years of discharge. BI represents a viable intervention to reduce DUI after trauma center admission.

摘要

背景

大量创伤中心收治的患者与酒后驾车（DUI）有关；然而，此前尚无关于受伤后进行简短干预（BI）可减少后续DUI被捕的报告。本研究的假设是，与接受标准护理（SC）的患者相比，接受BI的受伤患者出院后3年内DUI被捕的风险更低。

方法

这项前瞻性随机临床试验将机动车碰撞事故患者随机分配接受SC或关于饮酒的BI。主要结局指标是出院后3年内DUI被捕情况。通过将人口统计学信息与州交通安全数据匹配来记录DUI被捕情况。

结果

随机分组后（N = 126），BI组和SC组在年龄、既往DUI被捕情况和酒精筛查评分方面相似。BI疗程平均持续30分钟，由社会工作者或创伤外科医生进行。约六分之一的参与者（n = 21，16.7%）在出院后3年内有DUI被捕记录。出院后3年内，SC组64例患者中有14例（21.9%）因DUI被捕，而接受BI的62例患者中只有7例（11.3%）。多变量分析表明，BI是预防DUI被捕的最强保护因素（优势比[OR]，0.32；95%置信区间[CI]，0.11 - 0.96）。既往DUI次数（OR，1.43；95% CI，1.03 - 2.01）和年龄（OR，0.94；95% CI，0.88 - 0.99）也与出院后DUI被捕有关，但酒精筛查评分（OR，1.06；95% CI，0.99 - 1.13）无关。绝对风险降低意味着仅需9例患者接受BI即可预防1例DUI被捕。