Kool Bridget, Buller Sarah, Kuriyan Ron, Jones-Todd Charlotte M, Newcombe David, Jones Peter
Section of Epidemiology and Biostatistics, School of Population Health, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand; Centre for Addiction Research, University of Auckland, Auckland, New Zealand.
Auckland City Hospital Emergency Department, Auckland, New Zealand.
Injury. 2018 Apr;49(4):798-805. doi: 10.1016/j.injury.2018.02.028. Epub 2018 Feb 27.
We present a study that provides a contemporary view of alcohol-related injury prevalence amongst patients presenting to a New Zealand (NZ) emergency department (ED).
Adult injury patients presenting to Auckland City Hospital ED within 6 h of injury were invited to participate during three recruitment periods (2015-2016). An interviewer-administered questionnaire obtained information on demographic, injury, general health, and lifestyle factors. Breath alcohol samples were obtained. Descriptive and logistic regression analyses were conducted.
501 patients participated (71% response rate), 21% had consumed alcohol within 6 h of their injury. The majority were male, and overall falls were the most common mechanism of injury among all patients. Alcohol-related injuries most commonly occurred at home, and were significantly more likely to occur during the weekend (Friday-Sunday) and night hours (23:00-06:59). After controlling for the effects of confounding; 'poor' general health, engaging in leisure activities at the time of injury, and injuries resulting from assaults were associated with increasing the odds of alcohol-related injury.
Acute alcohol use continues to play a considerable role in ED injury presentations in NZ. Continued policy, health promotion, and injury prevention efforts are required to reduce the harms associated with alcohol use.
我们开展了一项研究，该研究提供了对前往新西兰急诊科就诊患者中与酒精相关损伤患病率的当代观点。
在三个招募期（2015 - 2016年）内，邀请在受伤后6小时内前往奥克兰市医院急诊科的成年受伤患者参与研究。通过访谈者实施的问卷获取有关人口统计学、损伤、一般健康状况和生活方式因素的信息。采集呼气酒精样本。进行描述性和逻辑回归分析。
501名患者参与研究（应答率为71%），21%的患者在受伤后6小时内饮酒。大多数为男性，总体而言，跌倒在所有患者中是最常见的损伤机制。与酒精相关的损伤最常发生在家中，并且在周末（周五至周日）和夜间（23:00 - 06:59）更有可能发生。在控制混杂因素的影响后；“较差”的一般健康状况、受伤时参与休闲活动以及因袭击导致的损伤与酒精相关损伤几率增加有关。
急性酒精使用在新西兰急诊科的损伤就诊中继续发挥着相当大的作用。需要持续的政策、健康促进和损伤预防努力来减少与酒精使用相关的危害。
