Borges G, Garcia G, Gil A, Vandale S
Epidemiologic and Social Research Division, Mexican Institute of Psychiatry, D.F. México.
Drug Alcohol Depend. 1994 Aug;36(1):1-7. doi: 10.1016/0376-8716(94)90002-7.
This article reports the results of an emergency room study carried out in 1987 in three hospitals in Acapulco, Mexico. All patients were interviewed and breath tested for alcohol consumption. The data were analyzed using the case-control methodology. Cases were falls, motor vehicle accidents, fights and assaults, and home accidents. The control group included patients for whom accidents are less frequently reported as alcohol related, i.e., those reporting work place accidents, animal bites and recreational accidents. For positive breathalyzer readings (> or = 10 mg/100 ml of blood alcohol), the odds ration and 95% confidence intervals were statistically significant for falls, 3.45 (1.23-9.66); motor vehicle accidents, 3.85 (1.21-12.01); and fights and assaults, 5.23 (2.36-12.95). The association was non-significant for home accidents, 0.78 (0.20-2.98). Possible biases of this approach are discussed and recommendations are made for selecting better controls for future emergency room studies.
本文报告了1987年在墨西哥阿卡普尔科的三家医院进行的一项急诊室研究的结果。所有患者都接受了访谈，并进行了酒精摄入呼气测试。数据采用病例对照法进行分析。病例包括跌倒、机动车事故、斗殴和袭击以及家庭事故。对照组包括那些事故较少被报告与酒精有关的患者，即那些报告工作场所事故、动物咬伤和娱乐事故的患者。对于呼气酒精含量测定呈阳性（血液酒精含量≥10mg/100ml）的情况，跌倒的优势比和95%置信区间具有统计学意义，为3.45（1.23 - 9.66）；机动车事故为3.85（1.21 - 12.01）；斗殴和袭击为5.23（2.36 - 12.95）。家庭事故的关联不显著，为0.78（0.20 - 2.98）。讨论了这种方法可能存在的偏差，并为未来的急诊室研究选择更好的对照组提出了建议。
