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不同类型、原因及情境损伤中酒精损害的差异:来自16个国家的急诊室研究结果

Variations of alcohol impairment in different types, causes and contexts of injuries: results of emergency room studies from 16 countries.

作者信息

Macdonald Scott, Cherpitel Cheryl J, DeSouza Amanda, Stockwell Tim, Borges Guilherme, Giesbrecht Norman

机构信息

Centre for Addictions Research of BC and School of Health Information Science, University of Victoria, BC STN CSC, Vic. BC, Canada, V8W 2Y2.

出版信息

Accid Anal Prev. 2006 Nov;38(6):1107-12. doi: 10.1016/j.aap.2006.04.019. Epub 2006 Jul 7.

DOI:10.1016/j.aap.2006.04.019
PMID:16828047
Abstract

OBJECTIVE

The purpose of this paper is to document alcohol impairment (based on a blood alcohol content (BAC) of at least 80 mg%) for different types, causes and location contexts of injuries.

DESIGN AND SETTING

Data from 45 studies with 11,536 injury patients were merged to determine variations in the percent of alcohol impairment among injury patients. In each study, emergency room (ER) injury patients were given a short interview on the circumstances of their injury and BAC was measured.

RESULTS

Injury severity, measured by number of body regions injured was significantly associated with BACs over 80 mg%. The highest percentage of injury type to involve alcohol was head injury/concussion. In terms of causes of injuries, patients with alcohol impairment were significantly more likely to be involved in violence than any other cause (i.e., vehicle, falling, poisoning or burns). Finally, injuries occurring at a bar or restaurant were significantly more likely to involve alcohol impairment than any other setting.

CONCLUSIONS

The results demonstrate considerable variation in the circumstances where alcohol is involved in injuries. These results may be useful for the development of prevention initiatives.

摘要

目的

本文旨在记录不同类型、原因及地点背景下损伤患者的酒精影响情况(基于血液酒精含量(BAC)至少为80毫克%)。

设计与背景

合并了来自45项研究的11536名损伤患者的数据,以确定损伤患者中酒精影响百分比的差异。在每项研究中,急诊室(ER)的损伤患者就其受伤情况接受了简短访谈,并测量了BAC。

结果

按受伤身体部位数量衡量的损伤严重程度与超过80毫克%的BAC显著相关。涉及酒精的损伤类型中比例最高的是头部损伤/脑震荡。就受伤原因而言,酒精影响的患者卷入暴力的可能性显著高于任何其他原因(即车辆、跌倒、中毒或烧伤)。最后,在酒吧或餐馆发生的损伤比任何其他场所更有可能涉及酒精影响。

结论

结果表明,酒精与损伤相关的情况存在相当大的差异。这些结果可能有助于制定预防措施。

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