Maio R F, Portnoy J, Blow F C, Hill E M
Department of Surgery, University of Michigan, Ann Arbor.
Alcohol Clin Exp Res. 1994 Apr;18(2):261-4. doi: 10.1111/j.1530-0277.1994.tb00011.x.
Injury associated with alcohol use is a significant problem among adolescents; however, routine evaluation of alcohol use in this population is not conducted. The purpose of this study was to compare injured adolescents presenting to an emergency room with a positive serum alcohol concentration (SAC+) with those injured adolescents with a negative serum alcohol concentration (SAC-). Data were collected retrospectively on 176 injured patients, between the ages of 13 and 18, consecutively admitted to a university hospital from January 1, 1989-December 31, 1990. Information collected included mechanism and severity of injury, outcome, SAC, length of stay, psychiatric history, prior or subsequent admission for injury, and hospital charges. Of those tested with an SAC, more than one-third had a positive SAC. Patients with positive SACs had a greater probability of having a psychiatric history and more frequently had a prior or subsequent injury. Furthermore, only 34% of SAC+ patients were referred for counseling. The results indicate that a SAC should be obtained on all adolescents admitted for trauma, that adolescents presenting with injuries and a positive SAC should be referred for alcohol and psychiatric assessment, and that injured adolescents may be at increased risk for repeat injuries in the future.
与饮酒相关的伤害在青少年中是一个重大问题；然而，该人群中尚未对饮酒情况进行常规评估。本研究的目的是比较血清酒精浓度为阳性（SAC+）的急诊受伤青少年与血清酒精浓度为阴性（SAC-）的受伤青少年。对1989年1月1日至1990年12月31日期间连续入住大学医院的176名年龄在13至18岁之间的受伤患者进行了回顾性数据收集。收集的信息包括受伤机制和严重程度、结局、血清酒精浓度、住院时间、精神病史、既往或后续因伤入院情况以及住院费用。在接受血清酒精浓度检测的患者中，超过三分之一的患者血清酒精浓度为阳性。血清酒精浓度为阳性的患者有精神病史的可能性更大，且既往或后续受伤的情况更频繁。此外，只有34%的血清酒精浓度为阳性的患者被转介接受咨询。结果表明，应对所有因创伤入院的青少年进行血清酒精浓度检测，对受伤且血清酒精浓度为阳性的青少年应转介进行酒精和精神评估，并且受伤青少年未来再次受伤的风险可能会增加。
