IMPACT OF ACUTE ALCOHOL-INTOXICATION ON THE SEVERITY OF INJURY - A CAUSE-SPECIFIC ANALYSIS OF NONFATAL TRAUMA

被引:34
作者
HONKANEN, R
SMITH, GS
机构
[1] Research Institute of Public Health, University of Kuopio
来源
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 1990年 / 21卷 / 06期
关键词
D O I
10.1016/0020-1383(90)90117-D
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
The impact of alcohol on the severity of injury was studied by using injured patients from an emergency room in Helsinki, Finland. Blood alcohol content was estimated either clinically or with a breath test and then was recorded using a three-grade intoxication code (Ethyl sign). The study population was comprised of 14 995 men aged 15-64 years. The Ethyl sign was positive in 19.7 per cent. Hospitalization was used as an indicator of the severity of injury. Hospitalization was almost as common among sober (9.3 per cent) as among intoxicated patients (9.6 per cent) and the odds of being hospitalized, if considered 1.0 among the sober, was 1.03 among the intoxicated. However, the severity of injury correlated positively with the alcohol intoxication in the injured car occupants with an odds ratio (OR) of 3.1 (95 per cent confidence interval (CI) 1.7-5.6) and in those injured in falls from stairs (OR = 2.6; 95 per cent CI 1.4-4.7), but negatively in those injured in unspecified falls on the same level (OR = 0.3; 95 per cent CI 0.2-0.6). The effect of alcohol on injury severity seems to vary with the cause of injury. © 1990.
引用
收藏
页码:353 / 357
页数:5
相关论文
共 26 条
[1]  
Antti-Poika, Karaharju, Heavy drinking and accidents — a prospective study among men of working age, Injury, 19, (1988)
[2]  
Borkenstein, Crowther, Shumate, Et al., The role of drinking driver in traffic accidents (The Grand Rapids study), Blutalkohol, 11, (1974)
[3]  
Brodner, Van Gilder, Collins, Experimental spinal cord trauma: Potentiation by alcohol, J. Trauma, 21, (1981)
[4]  
Cornfield, A statistical problem arising from retrospective studies, Proc 3. Berkeley Symposium, 4, (1956)
[5]  
Desiderio, The potentiation of the response to blunt cardiac trauma by ethanol on dogs, J. Trauma, 26, (1986)
[6]  
Edna, Alcohol influence and head injury, Acta Chir. Scand., 148, (1982)
[7]  
Garrison, Hansen, Cross, Et al., Effect of ethanol on lactic acidosis in experimental hemorrhagic shock, Ann. Emerg. Med., 13, (1984)
[8]  
Gettler, Allbritten, Effect of alcohol intoxication on the respiratory exchange and mortality rate associated with acute hemorrhage in anesthetized dogs, Ann. Surg., 158, (1963)
[9]  
Honkanen, Ertama, Kuosmanen, Et al., The role of alcohol in accidental falls, J. Stud Alcohol, 44, (1983)
[10]  
Honkanen, Michelsson, Construction of the computerized accident registration system in a casualty department, Scand J. Soc. Med., 8, (1980)