Fullerton L, Olson L, Crandall C, Lee M J, Sklar D
Department of Emergency Medicine, University of New Mexico School of Medicine, Center for Injury Prevention Research and Education, Albuquerque 87131-5246, USA.
Acad Emerg Med. 1998 Apr;5(4):325-9. doi: 10.1111/j.1553-2712.1998.tb02713.x.
To evaluate the association between ambulance transports for assault and those for alcohol intoxication.
A retrospective analysis of emergency medical services (EMS) calls was performed. The authors used logistic regression models to compare patients transported for alcohol intoxication with a control group of patients transported for respiratory distress (asthma or shortness of breath) with respect to whether they had been transported on a separate occasion for a chief complaint of assault.
Patients transported for alcohol intoxication had 9 times the risk of transport for assault as compared with the control group (OR = 9.3; 95% CI = 6.4, 13.6). The odds of transport for assault among the alcohol patients increased 17.1% with each alcohol transport (OR = 1.17; 95% CI = 1.14, 1.20) but decreased for the control group (OR = 0.34; 95% CI = 0.26, 0.44). Repeat transports for assault were more common among the alcohol patients than among the control group (OR = 3.3; 95% CI = 1.1, 11.3). The mean number of assault transports was higher among the alcohol patients than among the patients never transported for alcohol intoxication (p < 0.0001).
Patients transported on multiple occasions for acute alcohol intoxication are at relatively high risk for assault. This risk group should be targeted for focused assault prevention interventions that include components designed to reduce incidents of repeat alcohol intoxication.
评估因 Assault（攻击行为，此处可理解为暴力伤害相关情况）而进行的救护车转运与因酒精中毒而进行的救护车转运之间的关联。
对紧急医疗服务（EMS）呼叫进行回顾性分析。作者使用逻辑回归模型，将因酒精中毒而被转运的患者与因呼吸窘迫（哮喘或呼吸急促）而被转运的对照组患者进行比较，比较内容为他们是否曾因 Assault（攻击行为）这一主要诉求在单独场合被转运。
与对照组相比，因酒精中毒而被转运的患者因 Assault（攻击行为）而被转运的风险高出9倍（比值比[OR]=9.3；95%置信区间[CI]=6.4, 13.6）。酒精中毒患者中因 Assault（攻击行为）而被转运的几率随着每次酒精中毒转运增加17.1%（OR = 1.17；95% CI = 1.14, 1.20），但对照组的几率则下降（OR = 0.34；95% CI = 0.26, 0.44）。酒精中毒患者中因 Assault（攻击行为）而进行的重复转运比对照组更常见（OR = 3.3；95% CI = 1.1, 11.3）。酒精中毒患者中 Assault（攻击行为）转运的平均次数高于从未因酒精中毒而被转运的患者（p < 0.0001）。
多次因急性酒精中毒而被转运的患者遭受 Assault（攻击行为）的风险相对较高。这个风险群体应成为针对性攻击预防干预措施的目标，这些干预措施应包括旨在减少重复酒精中毒事件的组成部分。
