Alcohol and Drug Abuse: Causes of Sudden Death
Alcohol and Drug Abuse: Causes of Sudden Death
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酒精和药物滥用：猝死的原因
DOI：
10.1097/00007611-197408000-00019
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发表时间：
1974
影响因子：
1.1
通讯作者：
M. Keeler
中科院分区：
文献类型：
--
作者：
K. Keeley;P. Kahn;M. Keeler
对1970年至1971年期间在一个225，000人的大都市地区的急诊室（ER）发生的875例到达时死亡和猝死的回顾表明，药物滥用，特别是酗酒，涉及一半以上的死亡，其中精神疾病导致死亡。研究还发现，近四分之三的猝死和有药物滥用史的DOA患者在死亡前六个月内至少去过一次急诊室。超过50%的有其他精神症状的患者在猝死前至少来过一次急诊室。相比之下，严格意义上的医疗死亡率为三分之一，事故和袭击受害者以及3岁或3岁以下儿童的死亡率甚至更低。研究结果表明，医疗和精神病专业人员需要提高对与药物滥用，特别是与酗酒有关的死亡率的认识。
A review of 875 dead-on-arrivals and sudden deaths occurring in an emergency room (ER) in a metropolitan area of 225,000 during 1970 and 1971 has shown that substance abuse, and especially alcoholism, is involved in more than half of the deaths where a psychiatric condition contributed to mortality. It was also discovered that nearly three fourths of sudden death and DOA patients with substance abuse histories had visited the ER at least once within the six months preceding death. Over 50% of patients with other psychiatric symptoms had also come to the ER at least once before sudden death. This compares to rates of one out of three for persons who died of strictly medical causes and the even lower rates for accident and assault victims and for children age 3 or under. The findings support a need for increased appreciation by the medical and psychiatric professions of the mortality associated with substance abuse, and with alcoholism in particular.