Pedestrian injuries: The association of alcohol consumption with the type and severity of injuries and outcomes
Pedestrian injuries: The association of alcohol consumption with the type and severity of injuries and outcomes
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DOI：
10.1016/j.jamcollsurg.2006.02.024
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发表时间：
2006-06-01
影响因子：
5.2
通讯作者：
Cryer, HG
中科院分区：
文献类型：
--
作者：
Plurad, D;Demetriades, D;Cryer, HG
背景：关于酒精摄入对创伤患者短期预后影响的文献显示了相互矛盾的结果。我们进行了这项研究，以调查积极的酒精筛查的流行率和酒精水平对受伤模式，受伤严重程度，以及行人和骑自行车的人与汽车碰撞的结果的影响。研究设计：研究人群包括所有10岁以上的行人和骑自行车的人，在2003日历年期间在洛杉矶县紧急服务系统的13个创伤中心中的任何一个接受治疗，他们与一辆汽车相撞，并测量了血液中的酒精含量。酒精阴性组定义为血液酒精水平分别为0.05 g/dL至< 0.08 g/dL和>= 0.08 g/dL的患者。我们比较了三个研究组的人口统计学、损伤模式、损伤严重程度、并发症和结局。Logistic回归分析用于确定酒精是否与任何结局独立相关。结果：有1,042例患者符合研究标准。总体而言，606名患者（58%）酒精筛查阴性，84名（8%）酒精水平较低，352名（34%）酒精水平较高。酒精水平与损伤的严重程度、入院低血压、ICU住院时间、主要并发症和损伤模式（头部、胸部、腹部或四肢区域损伤评分）无显著相关性。死亡率是相似的三个酒精水平组，但总体并发症发生率和住院时间显着较高的高酒精水平组比他们在负酒精水平group.CONCLUSIONS：在行人和骑自行车的人参与碰撞与汽车，高酒精水平是不相关的身体面积受伤的严重程度，整体受伤的严重程度，和住院死亡率。但高酒精水平与更高的总体并发症发生率和更长的住院时间显著相关。
BACKGROUND: Literature on the effect of alcohol ingestion on short-term outcomes for trauma patients shows conflicting results. We performed this study to investigate the prevalence of positive alcohol screens and the effect of alcohol level on injury patterns, injury severity, and outcomes in pedestrians and bicyclists involved in a collision with an automobile.STUDY DESIGN: The study population included all pedestrians and bicyclists older than 10 years, treated in any of the 13 trauma centers in the Los Angeles County Emergency Services System during the calendar year 2003, who were involved in a collision with an automobile and had a blood alcohol level measured. The alcohol negative group was defined as those patients with a blood alcohol level 0.05 g/dL to < 0.08 g/dL and >= 0.08 g/dL, respectively. We compared the three study groups with respect to demographics, injury patterns, injury severity, complications, and outcomes. Logistic regression was used to determine if alcohol had an independent association with any outcomes.RESULTS: There were 1,042 patients who met study criteria. Overall, 606 patients (58%) had a negative alcohol screen, 84 (8%) had low alcohol levels, and 352 (34%) had high alcohol levels. Alcohol level was not notably associated with severity of injury, admission hypotension, ICU length of stay, major complications, and injury pattern (head, chest, abdomen, or extremity Area Injury Score). Mortality was similar in the three alcohol level groups, but the overall complication rate and hospital length of stay were markedly higher in the high alcohol level group than they were in the negative alcohol level group.CONCLUSIONS: In pedestrians and bicyclists involved in a collision with an automobile, a high alcohol level is not associated with body area severity of injury, overall severity of injury, and hospital mortality. But high alcohol level is notably associated with higher overall complication rate and longer hospital length of stay.