Sullivan J B, Hauptman M, Bronstein A C
Section of Emergency Medicine, University of Arizona Health Sciences Center, Tucson.
J Forensic Sci. 1987 Nov;32(6):1660-5.
Judging the degree of human alcohol intoxication is an important clinical, social, and medicolegal matter. Assessing the degree of intoxication is not always easy by direct patient observation. Observational instruments have been used in forensic science, medical, and social situations in an endeavor to measure alcohol intoxication. The validity of these observational instruments must be questioned. In this study, twenty-one patients with alcohol related complaints presenting to major city emergency departments were studied using one such observational instrument, the Alcohol Symptom Checklist (ASC). Three independent emergency medicine physicians applied the criteria of ASC to the twenty-one patients and obtained a plasma alcohol concentration (PAC) for correlation purposes. Individual correlation coefficients (r = 0.182, r = 0.202, r = 0.200) and a composite correlation coefficient (r = 0.235) demonstrated lack of correlation between PAC and ASC. This lack of correlation is supported by clinical observations of experienced emergency department personnel.
判断人体酒精中毒程度是一个重要的临床、社会和法医学问题。通过直接观察患者来评估中毒程度并非总是易事。观察工具已在法医学、医学和社会情境中用于测量酒精中毒程度。这些观察工具的有效性值得质疑。在本研究中，使用一种这样的观察工具——酒精症状清单（ASC），对前往大城市急诊科就诊的21名有酒精相关主诉的患者进行了研究。三名独立的急诊医学医生将ASC标准应用于这21名患者，并为了进行相关性分析获取了血浆酒精浓度（PAC）。个体相关系数（r = 0.182，r = 0.202，r = 0.200）和综合相关系数（r = 0.235）表明PAC与ASC之间缺乏相关性。经验丰富的急诊科人员的临床观察也支持了这种缺乏相关性的情况。
