支持在儿科创伤中进行血液酒精筛查。

Support for blood alcohol screening in pediatric trauma.

机构信息

Department of Surgery, Division of Trauma and Critical Care, Cedars-Sinai Medical Center, Los Angeles, CA, USA.

出版信息

Am J Surg. 2012 Dec;204(6):939-43; discussion 943. doi: 10.1016/j.amjsurg.2012.05.018. Epub 2012 Sep 29.

DOI:10.1016/j.amjsurg.2012.05.018

PMID:23026384

Abstract

BACKGROUND

Alcohol intoxication in pediatric trauma is underappreciated. The aim of this study was to characterize alcohol screening rates in pediatric trauma.

METHODS

The Los Angeles County Trauma System Database was queried for all patients aged ≤ 18 years who required admission between 2003 and 2008. Patients were compared by age and gender.

RESULTS

A total of 18,598 patients met the inclusion criteria; 4,899 (26.3%) underwent blood alcohol screening, and 2,797 (57.1%) of those screened positive. Screening increased with age (3.3% for 0-9 years, 15.1% for 10-14 years, and 45.4% for 15-18 years; P < .01), as did alcohol intoxication (1.9% for 0-9 years, 5.8% 10-14 years, and 27.3% for 15-18 years; P < .01). Male gender predicted higher mortality in those aged 15 to 18 years (adjusted odds ratio, 1.7; P < .01), while alcohol intoxication did not (adjusted odds ratio, .97; P = .84).

CONCLUSIONS

Alcohol intoxication is common in adolescent trauma patients. Screening is encouraged for pediatric trauma patients aged ≥10 years who require admission.

摘要

背景

儿童创伤患者的酒精中毒未得到充分重视。本研究旨在描述儿童创伤患者的酒精筛查率。

方法

检索 2003 年至 2008 年间洛杉矶县创伤系统数据库中所有需要入院治疗的年龄≤18 岁的患者。根据年龄和性别对患者进行比较。

结果

共纳入 18598 例患者；其中 4899 例（26.3%）进行了血液酒精筛查，2797 例（57.1%）筛查结果阳性。筛查率随年龄增加而升高（0-9 岁组为 3.3%，10-14 岁组为 15.1%，15-18 岁组为 45.4%；P<.01），酒精中毒发生率也随之升高（0-9 岁组为 1.9%，10-14 岁组为 5.8%，15-18 岁组为 27.3%；P<.01）。15-18 岁组中，男性患者的死亡率高于女性（校正优势比，1.7；P<.01），而酒精中毒患者则不然（校正优势比，0.97；P=0.84）。