Hides Leanne, Limbong Jesani, Vallmuur Kirsten, Barker Ruth, Daglish Mark, Young Ross McD
Centre for Youth Substance Abuse Research, Institute of Health and Biomedical Innovation, School of Psychology and Counselling, Queensland University of Technology, Brisbane, Australia.
Drug Alcohol Rev. 2015 Mar;34(2):177-84. doi: 10.1111/dar.12218. Epub 2014 Oct 10.
The rate of alcohol-related emergency department (ED) presentations in young people has increased dramatically in recent decades. Injuries are the most common type of youth alcohol-related ED presentation, yet little is known about these injuries in young people. This paper describes the characteristics of alcohol-related ED injury presentations in young people over a 13-year period and determines if they differ by gender and/or age group (adolescents: 12-17 years; young adults: 18-24 years).
The Queensland Injury Surveillance Unit (QISU) database collects injury surveillance data at triage in participating EDs throughout Queensland, Australia. A total of 4667 cases of alcohol-related injuries in young people (aged 12-24 years) were identified in the QISU database between January 1999 and December 2011, using an injury surveillance code and nursing triage text-based search strategy.
Overall, young people accounted for 38% of all QISU alcohol-related ED injury presentations in patients aged 12 years or over. The majority of young adults presented with injuries due to violence and falls, whereas adolescents presented due to self-harm or intoxication without other injury. Males presented with injuries due to violence, whereas females presented with alcohol-related self-harm and intoxication.
There is a need for more effective ways of identifying the degree of alcohol involvement in injuries among young people presenting to EDs.
近几十年来，年轻人因酒精相关问题前往急诊科（ED）就诊的比例急剧上升。受伤是年轻人酒精相关急诊科就诊最常见的类型，但对于这些年轻人的受伤情况却知之甚少。本文描述了13年间年轻人酒精相关急诊科受伤就诊的特征，并确定其是否因性别和/或年龄组（青少年：12 - 17岁；青年：18 - 24岁）而有所不同。
昆士兰伤害监测单位（QISU）数据库收集澳大利亚昆士兰州各参与急诊科分诊时的伤害监测数据。在1999年1月至2011年12月期间，使用伤害监测代码和基于护理分诊文本的搜索策略，在QISU数据库中识别出4667例12 - 24岁年轻人的酒精相关伤害病例。
总体而言，12岁及以上患者中，年轻人占QISU所有酒精相关急诊科受伤就诊病例的38%。大多数青年因暴力和跌倒受伤就诊，而青少年因自残或单纯中毒（无其他受伤情况）就诊。男性因暴力受伤就诊，而女性因酒精相关自残和中毒就诊。
需要有更有效的方法来确定前往急诊科就诊的年轻人受伤情况中酒精的参与程度。
