Alcohol and risk of admission to hospital for unintentional cutting or piercing injuries at home: a population-based case-crossover study.
Alcohol and risk of admission to hospital for unintentional cutting or piercing injuries at home: a population-based case-crossover study.
复制标题
酒精和在家中无意间切割或刺穿伤害医院的风险：一项基于人群的病例分解研究。
DOI：
10.1186/1471-2458-11-852
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发表时间：
2011-11-09
影响因子：
4.5
通讯作者：
Ameratunga S
中科院分区：
文献类型：
--
作者：
Thornley S;Kool B;Robinson E;Marshall R;Smith GS;Ameratunga S
在发达国家，切割和刺伤是意外伤害发病率的主要原因之一。在新西兰，在20岁至的人群中，割伤和刺伤是仅次于跌倒的最常见的意外伤害原因，导致入院治疗。众所周知，酒精摄入与许多其他类型的伤害有关。我们使用病例交叉研究来调查急性饮酒(即在过去6小时内饮酒)在家庭意外割伤或刺伤中的作用。进行了以人群为基础的病例交叉研究。我们确定了所有年龄在20岁至之间的人，居住在该国三个地区(大奥克兰、怀卡托和奥塔戈)之一，于2008年8月至2009年12月期间在家中(他们或他人)遭受非故意非职业性切割或刺伤后48小时内入院。主要的兴趣暴露是在伤害发生前的6小时内以及伤害前24小时和前1周的相应时间间隔内饮酒。收集了有关已知和潜在混杂因素的其他信息。信息是在与病例面对面访谈期间获得的，并通过审查他们的病历获得。在356名参与者中，71%是男性，三分之一的人因接触玻璃而受伤。在调整了其他配对接触后，在受伤前6小时内(与前一天相比)喝了1到3杯标准酒精饮料后，与没有饮酒相比，受伤的优势比为1.77(95%可信区间为0.84至3.74)，四种或更多饮酒的优势比为8.68(95%可信区间为3.11至24.3)。吸烟者比不吸烟者有更高的酒精相关风险。饮酒会增加在家里发生意外割伤或刺伤的几率，而且这种风险随着饮酒量的增加而增加。
Cutting and piercing injuries are among the leading causes of unintentional injury morbidity in developed countries. In New Zealand, cutting and piercing are second only to falls as the most frequent cause of unintentional home injuries resulting in admissions to hospital among people aged 20 to 64 years. Alcohol intake is known to be associated with many other types of injury. We used a case-crossover study to investigate the role of acute alcohol use (i.e., drinking during the previous 6 h) in unintentional cutting or piercing injuries at home. A population-based case-crossover study was conducted. We identified all people aged 20 to 64 years, resident in one of three regions of the country (Greater Auckland, Waikato and Otago), who were admitted to public hospital within 48 h of an unintentional non-occupational cutting or piercing injury sustained at home (theirs or another's) from August 2008 to December 2009. The main exposure of interest was use of alcohol in the 6-hour period before the injury occurred and the corresponding time intervals 24 h before, and 1 week before, the injury. Other information was collected on known and potential confounders. Information was obtained during face-to-face interviews with cases, and through review of their medical charts. Of the 356 participants, 71% were male, and a third sustained injuries from contact with glass. After adjustment for other paired exposures, the odds ratio for injury after consuming 1 to 3 standard drinks of alcohol during the 6-hour period before the injury (compared to the day before), compared to none, was 1.77 (95% confidence interval 0.84 to 3.74), and for four or more drinks was 8.68 (95% confidence interval 3.11 to 24.3). Smokers had higher alcohol-related risks than non-smokers. Alcohol consumption increases the odds of unintentional cutting or piercing injury occurring at home and this risk increases with higher levels of drinking.