Lasebikan V O, Adebayo S
Department of Psychiatry, College of Medicine, University of Ibadan, Ibadan, Nigeria.
East Afr Med J. 2013 May;90(5):164-70.
To examine the prevalence of alcohol and drug use and abuse, to identify socio-demographic characteristics that correlated with injury and to identify risk factors for injury in a Nigerian Trauma unit.
Descriptive cross sectional study.
The study was carried out a general hospital trauma unit in Nigeria.
One thousand one hundred and twenty one trauma patients and 303 controls.
Of all injuries, 50.1% were road accidents, mean injury severity score was 41.3 SD (11.2), prevalence of alcohol abuse was 27.9%, cannabis abuse 14.0% and pretrauma alcohol use 41.2%, pre-trauma cannabis use was 6.9%. Multivariate analysis shows that age < 31 years 95% CI (0.26-0.89), alcohol abuse 95% CI (1.84-4.64), binge drinking in the previous 30 days 95% CI (1.76-6.46), cannabis abuse 95% CI (1.45-2.88) and pretrauma combined alcohol and cannabis use 95% CI (3.34-11.78) were risk factors for severe injury.
Use and abuse of alcohol and drugs is highly prevalent among trauma patients seeking emergency care. Therefore trauma patients require routine toxicological screening to provide basis for preventive programmes or referrals for them.
调查酒精和药物使用及滥用的流行情况，确定与损伤相关的社会人口学特征，并识别尼日利亚一家创伤科的损伤危险因素。
描述性横断面研究。
研究在尼日利亚一家综合医院的创伤科进行。
1121名创伤患者和303名对照者。
在所有损伤中，50.1%为道路交通事故，平均损伤严重程度评分为41.3标准差（11.2），酒精滥用患病率为27.9%，大麻滥用为14.0%，创伤前饮酒率为41.2%，创伤前大麻使用率为6.9%。多变量分析显示，年龄<31岁95%置信区间（0.26 - 0.89）、酒精滥用95%置信区间（1.84 - 4.64）、过去30天内暴饮95%置信区间（1.76 - 6.46）、大麻滥用95%置信区间（1.45 - 2.88）以及创伤前酒精和大麻联合使用95%置信区间（3.34 - 11.78）是严重损伤的危险因素。
在寻求急诊治疗的创伤患者中，酒精和药物的使用及滥用非常普遍。因此，创伤患者需要进行常规毒理学筛查，以便为预防计划或转诊提供依据。
