Sherafat Arya, Sangalang Brian, Punjabi Nihal, Waldrop Ian, Dubina Emily, Inman Jared C, Sheets Nicholas W
University of California, Riverside School of Medicine, Riverside, CA, USA.
Department of Otolaryngology - Head and Neck Surgery, Loma Linda Medical Center, Loma Linda, CA, USA.
Oral Maxillofac Surg. 2025 Jan 28;29(1):47. doi: 10.1007/s10006-025-01343-5.
Alcohol use has been shown to affect injury patterns and risk of trauma. This study aims to characterize the epidemiologic characteristics of alcohol involved facial injuries presenting to US emergency departments.
This study reports a cross-sectional analysis of patients with facial injuries within the National Electronic Injury Surveillance System (NEISS). Demographics, disposition, and mechanism of injury were compared between facial injury patients with reported/suspected alcohol consumption prior to or during the time of injury (AIFI+) and facial injury patients with no alcohol consumption (AIFI-).
A total of 37,777 facial injuries were reported within the NEISS. Out if these, 3,336 patients experienced an alcohol involved facial injury (AIFI+). AIFI + patients were younger than AIFI- patients (47 vs. 57, p < 0.001), more likely to be male (68.5% vs. 31.5%, p < 0.001), and more likely to be White (51.6% vs. 53.6%, p = 0.03). Patients with AIFI were less likely to be injured at home (41.5% vs. 45.5%, p < 0.001) and more likely to be injured in the street (8.5% vs. 4.5%, p < 0.001). Disposition differed with AIFI + patients less likely to be treated and released (78.8% vs. 83.3%, p < 0.001) and more likely to leave without being seen (3.8% vs. 1.8%, p < 0.001).
Our study reports that AIFI + patients are younger, more likely to be injured on the street, and more likely to be injured by stairs than AIFI- patients. Additionally, patients with an AIFI + are more likely to leave the hospital without being seen.
饮酒已被证明会影响损伤模式和创伤风险。本研究旨在描述美国急诊科中涉及酒精的面部损伤的流行病学特征。
本研究报告了国家电子损伤监测系统（NEISS）中面部损伤患者的横断面分析。比较了在受伤前或受伤时报告/怀疑饮酒的面部损伤患者（AIFI+）和未饮酒的面部损伤患者（AIFI-）的人口统计学特征、处置情况和损伤机制。
NEISS共报告了37777例面部损伤。其中，3336例患者经历了涉及酒精的面部损伤（AIFI+）。AIFI+患者比AIFI-患者年轻（47岁对57岁，p<0.001），男性比例更高（68.5%对31.5%，p<0.001），白人比例更高（51.6%对53.6%，p=0.03）。AIFI患者在家中受伤的可能性较小（41.5%对45.5%，p<0.001），在街上受伤的可能性较大（8.5%对4.5%，p<0.001）。处置情况有所不同，AIFI+患者接受治疗并出院的可能性较小（78.8%对83.3%，p<0.001），未就诊就离开的可能性较大（3.8%对1.8%，p<0.001）。
我们的研究报告称，与AIFI-患者相比，AIFI+患者更年轻，在街上受伤的可能性更大，被楼梯绊倒受伤的可能性也更大。此外，AIFI+患者更有可能未就诊就离开医院。
