Murphy Debra A, Shetty Vivek, Resell Judith, Zigler Cory, Yamashita Dennis Duke
Health Risk Reduction Projects, Integrated Substance Abuse Programs, Department of Psychiatry, University of California at Los Angeles, Los Angeles, California 90025-7539, USA.
J Trauma. 2009 Feb;66(2):477-84. doi: 10.1097/TA.0b013e318164773a.
A large portion of the injuries treated at urban trauma centers are preventable with alcohol and substance use presenting as common antecedent risk factors.
Alcohol and drug use characteristics of vulnerable adults treated for intentional orofacial injury at a regional trauma center were investigated. Patients (N = 154) presenting with intentional facial injury were recruited. Patients were considered eligible for recruitment if they were adults, recently used alcohol or drugs, and had a fracture within the 30 days preceding recruitment that involved the jaw, orbit, nose, or cheekbone as determined by clinical history, examination, and radiographic findings and that injury was due to interpersonal violence.
This patient cohort evidenced significant levels of alcohol use, with 58% of our patient cohort meeting the criteria for problem drinking. Although lower than alcohol use rates, the reported use of illicit drugs was substantial. Almost half of the sample reported other substance use in the previous month, with 24% meeting the criteria for problem drug use.
Despite the very high percentage of individuals needing alcohol or drug treatment, only a small proportion of the patient sample reported having seen a professional for alcohol or drug treatment. Integrating substance use services into trauma care is discussed.
城市创伤中心治疗的很大一部分损伤是可以预防的，酒精和药物使用是常见的前置风险因素。
对在一家区域创伤中心接受治疗的因故意造成的口腔面部损伤的弱势成年人的酒精和药物使用特征进行了调查。招募了因故意面部损伤就诊的患者（N = 154）。如果患者为成年人、近期使用过酒精或药物，且根据临床病史、检查和影像学检查结果，在招募前30天内有涉及颌骨、眼眶、鼻子或颧骨的骨折，且该损伤是由人际暴力所致，则被认为符合招募条件。
该患者队列显示出大量饮酒情况，58%的患者符合问题饮酒标准。虽然非法药物使用率低于酒精使用率，但报告的非法药物使用情况也相当可观。近一半的样本报告在前一个月使用过其他物质，24%符合问题药物使用标准。
尽管需要酒精或药物治疗的个体比例非常高，但只有一小部分患者样本报告曾寻求专业的酒精或药物治疗。文中讨论了将物质使用服务纳入创伤护理的问题。
