A cross-national meta-analysis of alcohol and injury: data from the Emergency Room Collaborative Alcohol Analysis Project (ERCAAP)
A cross-national meta-analysis of alcohol and injury: data from the Emergency Room Collaborative Alcohol Analysis Project (ERCAAP)
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DOI：
10.1046/j.1360-0443.2003.00459.x
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发表时间：
2003-09-01
期刊：
影响因子：
6
通讯作者：
Giesbrecht, N
中科院分区：
文献类型：
--
作者：
Cherpitel, CJ;Bond, J;Giesbrecht, N
目的 研究五个国家急诊室急诊室中急性饮酒与损伤和非损伤事件之间的关系。设计荟萃分析用于评估到达急诊室时的阳性血液酒精浓度 (BAC) 与受伤入急诊室的事件发生前 6 小时内自我报告的饮酒量与非损伤相比之间关联的一致性和程度，以及背景（社会文化和文化）影响的程度。研究结果显示，当控制年龄、性别和至少每月一次喝五杯或更多饮料时，合并效应大小显着，并且 BAC 和自我报告的消费量的大小相似，其中任何一项测量呈阳性的人因受伤再次入院急诊室的可能性比因健康问题而再次入院的可能性高一半以上。发现 BAC 的各 ER 的效应大小是同质的，但自我报告的效应大小却不同。创伤中心状态和法定中毒水平是自我报告的饮酒对伤害的影响大小的正向预测。结论这些数据表明，阳性 BAC 和自我报告与受伤进入急诊室之间存在中等但强有力的关联，并且背景变量似乎也在酒精伤害关系中发挥作用。
Aims To examine the relationship of acute alcohol consumption with an injury compared to a non-injury event in the emergency room across ERs in five countries.Design Meta-analysis was used to evaluate the consistency and magnitude of the association of a positive blood alcohol concentration (BAC) at the time of arrival in the ER and self-reported consumption within 6 hours prior to the event with admission to the ER for an injury compared to a non-injury, and the extent to which contextual (socio-cultural and organizational) variables explain effect sizes.Findings When controlling for age, gender and drinking five or more drinks on an occasion at least monthly, pooled effect size was significant and of a similar magnitude for both BAC and self-reported consumption, with those positive on either measure over half as likely again to be admitted to the ER with an injury compared to a medical problem. Effect sizes were found to be homogeneous across ERs for BAC, but not for self-report. Trauma center status and legal level of intoxication were positively predictive of self-reported consumption effect size on injury.Conclusions These data suggest a moderate, but robust association of a positive BAC and self-report with admission to the ER with an injury, and that contextual variables also appear to play a role in the alcohol-injury nexus.