Tulloh B R, Collopy B T
St Vincent's Hospital, Fitzroy, Victoria, Australia.
Injury. 1994 Oct;25(8):539-43. doi: 10.1016/0020-1383(94)90097-3.
To assess the relationship between blood alcohol concentration (BAC) and injury severity in an unselected population of road accident victims, case notes of 820 consecutive road accident victims presenting to hospital in a 12 month period were reviewed retrospectively. Five hundred and thirty-five of these were eligible for BAC analysis and results, obtained from the Victoria Police and the Road Safety and Traffic Bureau were available in 429 cases. These were expressed as mg/100 ml (per cent). Injury severity was quantified using the Injury Severity Score (ISS). BAC was compared with injury severity in three ways. First, Spearman's correlation coefficient (rho) of 0.27 indicated a highly significant correlation (P < 0.01). Second, the median ISS for intoxicated patients (4) was significantly higher than that for sober patients (1) (P < 0.05). Third, when patients were grouped according to ISS, the prevalence of intoxication in each group rose with increasing injury severity (chi 2: P < 0.01). We conclude that there is a significant positive correlation between BAC and injury severity in road accident victims treated at a Melbourne hospital.
为评估在未经过挑选的交通事故受害者人群中血液酒精浓度（BAC）与损伤严重程度之间的关系，我们回顾性分析了在12个月期间连续入住医院的820例交通事故受害者的病历。其中535例符合BAC分析条件，429例获得了来自维多利亚警方以及道路安全与交通局的结果，结果以毫克/100毫升（百分比）表示。使用损伤严重度评分（ISS）对损伤严重程度进行量化。通过三种方式比较BAC与损伤严重程度。第一，斯皮尔曼相关系数（rho）为0.27，表明存在高度显著相关性（P < 0.01）。第二，醉酒患者的ISS中位数（4）显著高于清醒患者（1）（P < 0.05）。第三，当患者按照ISS分组时，每组中的醉酒患病率随损伤严重程度增加而上升（卡方检验：P < 0.01）。我们得出结论，在墨尔本一家医院接受治疗的交通事故受害者中，BAC与损伤严重程度之间存在显著正相关。
