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酒精相关疾病和伤害与中西部大学城的救护车呼叫:一项四年回顾性分析。

Alcohol-associated illness and injury and ambulance calls in a midwestern college town: a four-year retrospective analysis.

机构信息

Kirkwood Community College, Health Occupations, 6301 Kirkwood Boulevard SW, Cedar Rapids, IA 52404, USA.

出版信息

Prehosp Emerg Care. 2010 Oct-Dec;14(4):485-90. doi: 10.3109/10903127.2010.497897.

DOI:10.3109/10903127.2010.497897
PMID:20690830
Abstract

BACKGROUND

Alcohol is often a factor in illness and injury among college-aged individuals. Ambulance services responding to 9-1-1 calls in college towns regularly encounter patients who have consumed alcohol to the point of intoxication and subsequently suffered an injury or experienced an illness necessitating prehospital emergency care.

OBJECTIVES

The first objective was to review ambulance calls in a Midwestern college town in order to identify patterns or trends related to alcohol consumption. Another objective was to determine to what extent, if any, underage drinking was a factor in these calls. A final objective was to determine whether there were types of illness or injuries related to 9-1-1 calls that were involved with alcohol consumption among college-aged students.

METHODS

This was a retrospective study using secondary data of four years of ambulance calls that occurred in a specific geographic region of a college town. All patient care reports (PCRs) included alcohol consumption as a pertinent factor in the call. Data were de-identified and in some cases aggregated to ensure confidentiality. Descriptive statistics were used to identify prevalence and incidence of injury and illness and patient demographics.

RESULTS

Of the ambulance calls for service in the geographic area, 44.4% to 45.8% identified as "downtown" had alcohol consumption as a reported factor in the PCR. The number of calls for service that involved patients below the legal drinking age (21 years) was small but increased between 2004 and 2007. Calls involving male patients made up the majority of calls with alcohol as a factor. The majority of alcohol-related calls for service were for traumatic injuries, sexual assaults and rapes, poisonings or drug ingestions, and altered levels of consciousness.

CONCLUSION

Alcohol consumption was a comorbid factor in illness and injury that necessitated prehospital emergency medical care in one Midwestern college town. Further research is needed to determine whether these results can be generalized beyond this one geographic location or if causality can be determined between alcohol consumption and injuries or illnesses that lead to emergency medical services calls.

摘要

背景

酒精是导致大学生患病和受伤的一个常见因素。在大学城,急救服务中心经常接到因饮酒过量而导致受伤或患病,需要院前急救的患者的电话。

目的

本研究旨在回顾美国中西部大学城的急救电话,以确定与酒精消费相关的模式或趋势。另一个目的是确定在多大程度上,如有的话,未成年饮酒是否是这些电话的一个因素。最后一个目的是确定是否存在与大学生饮酒相关的与疾病或伤害有关的特定类型的 9-1-1 电话。

方法

这是一项使用特定大学城特定地理区域四年急救电话的回顾性研究。所有患者护理报告(PCR)均将酒精消费作为电话中的相关因素。数据经过去识别处理,在某些情况下进行了汇总,以确保机密性。使用描述性统计数据来确定伤害和疾病的患病率和发病率以及患者人口统计学特征。

结果

在该地理区域的急救电话中,44.4%至 45.8%被标记为“市中心”,PCR 报告中存在酒精消费因素。涉及法定饮酒年龄(21 岁)以下患者的服务电话数量虽小,但在 2004 年至 2007 年间有所增加。涉及男性患者的电话构成了大部分涉及酒精的电话,这些电话主要涉及创伤性损伤、性侵犯和强奸、中毒或药物摄入以及意识水平改变。

结论

在中西部大学城,酒精消费是疾病和伤害的合并因素,需要院前紧急医疗护理。需要进一步研究以确定这些结果是否可以推广到该地理位置以外,或者是否可以确定酒精消费与导致紧急医疗服务电话的伤害或疾病之间的因果关系。

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