涉及机动车碰撞事故的药物影响下的未成年青年的急诊科就诊情况与死亡情况对比

Emergency department visits vs. fatalities among substance-impaired underage youths involved in motor vehicle crashes.

作者信息

Mattson Margaret E, Cai Rong, Woodward Albert

机构信息

Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Administration Services Administration, 1 Choke Cherry Road, Rockville, MD 20857 (overnight mail use 20850), USA.

出版信息

J Safety Res. 2015 Jun;53:45-51. doi: 10.1016/j.jsr.2015.03.007. Epub 2015 Mar 27.

DOI:10.1016/j.jsr.2015.03.007

PMID:25933997

Abstract

INTRODUCTION

Emergency department (ED) visits resulting from motor vehicle crashes (MVCs) among individuals younger than 21 impaired by alcohol and/or drugs have been less studied than MVC fatalities.

METHOD

Using data from 2004 to 2011, we compare the magnitude and pattern of national ED visit and mortality data for alcohol- and drug-impaired youths involved in MVCs.

RESULTS

Temporal patterns of ED visits are similar to those of fatalities, but the two differ in magnitude. The ratio of ED visits to fatalities is 3.5:1; alcohol related events involvement dominates other drugs in both categories.

DISCUSSION

The volume of injuries serious enough to warrant ED visits imposes significant health, social, and financial burdens. In ED visits, alcohol is the prime source of MVC morbidity burden; other drugs consistently contribute less.

PRACTICAL APPLICATIONS

These incidents are persistent and require interventions aimed at multiple levels of prevention, including stricter corrective steps earlier in the impaired driving career to reduce subsequent incidents. ED visits for MVC injuries can be important "teachable moments." Limitations of the study indicate the need for improved surveillance of underage substance-involved crashes.

摘要