合并酒精问题住院的陆军士兵的损伤原因、类型及严重程度。
Causes, types and severity of injury among army soldiers hospitalized with alcohol comorbidity.
作者信息
Howland Jonathan, Bell Nicole S, Hollander Ilyssa E
机构信息
US Army Research Institute of Environmental Medicine, Natick, MA 01760-5007, USA.
出版信息
Addiction. 2007 Sep;102(9):1411-20. doi: 10.1111/j.1360-0443.2007.01908.x.
AIM
To examine the relationship between alcohol use and the cause, type and severity of hospitalized injuries.
DESIGN/SETTING: We used the Total Army Injury and Health Outcomes Database (TAIHOD) to conduct cross-sectional analyses of the association between alcohol comorbidity and the cause, type and severity of soldiers' non-combat injuries requiring hospitalization.
PARTICIPANTS
Subjects were active-duty US army soldiers (n = 211 790) hospitalized with a primary diagnosis of injury between 1980 and 2002.
FINDINGS
Alcohol comorbidity was positively associated with hospitalized injuries resulting from fights and falls and negatively associated with sports injuries; positively associated with hospitalized cases of head injury, open wounds and poisonings and negatively associated with musculoskeletal injury; and, overall, associated with shorter length of stay. Controlling for demographic factors did not moderate the association between alcohol and cause, type or severity of injury.
CONCLUSION
Alcohol comorbidity is specifically associated with injuries related to impairment and antisocial behavior.
目的
探讨饮酒与住院损伤的病因、类型及严重程度之间的关系。
设计/背景：我们使用陆军总体损伤与健康结果数据库（TAIHOD）对酒精合并症与需要住院治疗的士兵非战斗损伤的病因、类型及严重程度之间的关联进行横断面分析。
参与者
研究对象为1980年至2002年间因损伤为主诊断而住院的美国现役陆军士兵（n = 211790）。
研究结果
酒精合并症与因打架和跌倒导致的住院损伤呈正相关，与运动损伤呈负相关；与头部损伤、开放性伤口和中毒的住院病例呈正相关，与肌肉骨骼损伤呈负相关；总体而言，与住院时间较短相关。控制人口统计学因素并未缓和酒精与损伤的病因、类型或严重程度之间的关联。
结论
酒精合并症与与功能损害和反社会行为相关的损伤有特定关联。
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