Kentucky Injury Prevention and Research Center, University of Kentucky College of Public Health, Lexington, Kentucky 40504, USA.
Traffic Inj Prev. 2013;14(7):680-9. doi: 10.1080/15389588.2012.757310.
Prescription drug overdoses, abuse, and sales have increased dramatically in the United States in the last decade. The purpose of the present study was to link crash data with emergency department (ED) and inpatient hospitalization data to assess the concordance between the data sets in the identification of the presence of drugs among injured motor vehicle drivers (passenger cars, passenger trucks, light trucks, and semi-trucks) in Kentucky.
Kentucky CRASH data were probabilistically linked to ED data sets for years 2008-2010 and to inpatient hospitalization data sets for years 2000-2010. Statistical analyses were performed.
Of the 72,529 linked crash/ED visits, there were 473 drivers with an associated nondependent abuse of drugs diagnosis in the ED, and 930 drivers had drug involvement recorded in the CRASH data (only 163 cases overlapped with drug involvement both recorded in CRASH data and coded as nondependent abuse of drugs in the ED); 64 drivers had multiple drug types present in their system. Of the 20,860 total linked crash/inpatient hospitalization cases, there were 973 drivers diagnosed with nondependent abuse of drugs in the inpatient hospitalization record and 499 drivers had drug involvement recorded in the CRASH data (only 207 overlapped); 250 drivers were diagnosed with multiple drugs in their system.
Surveillance data from multiple public health data sets is necessary to identify the presence of drugs in injured drivers involved in motor vehicle crashes. The use of a single surveillance data set alone may significantly underreport the number of drugged drivers who were injured in a motor vehicle collision.
在美国，过去十年中，处方药物滥用和销售急剧增加。本研究的目的是将碰撞数据与急诊部（ED）和住院患者数据相关联，以评估肯塔基州受伤机动车驾驶员（乘用车、客车、轻型卡车和半挂车）中药物存在的数据集之间的一致性。
肯塔基州 CRASH 数据与 2008-2010 年的 ED 数据集和 2000-2010 年的住院患者数据集进行了概率性关联。进行了统计分析。
在 72529 个关联的碰撞/ED 就诊中，ED 中有 473 名司机有与非依赖性药物滥用相关的诊断，CRASH 数据中有 930 名司机有药物涉及记录（仅 163 例同时记录在 CRASH 数据和 ED 编码为非依赖性药物滥用的药物涉及）；64 名司机的系统中存在多种药物类型。在 20860 个总关联的碰撞/住院患者病例中，有 973 名司机在住院患者记录中被诊断为非依赖性药物滥用，CRASH 数据中有 499 名司机有药物涉及记录（仅 207 例重叠）；250 名司机被诊断为系统中存在多种药物。
需要从多个公共卫生数据集收集监测数据，以确定参与机动车碰撞事故的受伤司机中药物的存在。仅使用单个监测数据集可能会大大低估在机动车碰撞中受伤的吸毒司机的数量。
