Alcohol intake and the pattern of trauma in young adults and working aged people admitted after trauma
Alcohol intake and the pattern of trauma in young adults and working aged people admitted after trauma
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DOI：
10.1093/alcalc/agh159
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发表时间：
2005-07-01
影响因子：
2.8
通讯作者：
Hillbom, M
中科院分区：
文献类型：
--
作者：
Savola, O;Niemelä, O;Hillbom, M
目的：探讨不同饮酒方式与不同类型创伤的关系。方法：我们研究了385例连续入院的创伤患者(男性278例，女性107例，年龄16-49岁)与饮酒的关系。患者接受临床检查，就酒精摄入量和模式进行结构化访谈，并测量血液酒精浓度(BAC)。结果：入院时，51%的患者血液中含有酒精。酗酒是主要的饮酒方式(78%)。袭击、摔倒和骑自行车事故是最常见的创伤原因。头部创伤患者酗酒和酗酒的发生率明显高于其他类型创伤患者(77%比59%，OR=2.38；95%CI为1.50~3.77)。颅脑损伤的OR值随着BAC的增加而显著增加：1~99 mg/dl(1.24；95%CI 0.55~2.01)、100~149 mg/dl(1.64；95%CI 0.71~3.77)、150~199 mg/dl(3.20；95%CI 1.57~6.53)和>；199 mg/dl(9.23；95%CI 4.79~17.79)。结论：酗酒是创伤患者头部创伤的主要危险因素。袭击、摔倒和骑自行车事故是造成此类伤害的最常见原因。头部损伤的相对风险随着血液酒精水平的增加而显著增加。酒精控制措施应在旨在预防创伤相关发病率和死亡率的政策中占有重要地位。
Aims: To investigate the relationship of different patterns of alcohol intake to various types of trauma. Methods: We examined the associations of alcohol consumption in a series of 385 consecutive trauma admissions (278 men, 107 women, age range 16-49 years). Patients underwent clinical examinations, structured interviews on the amount and pattern of alcohol intake, and measurements of blood alcohol concentration (BAC). Results: On admission, 51% of the patients had alcohol in their blood. Binge drinking was the predominant (78%) drinking pattern of alcohol intake. Assaults, falls and biking accidents were the most frequent causes of trauma. Dependent alcohol drinking and binge drinking were found to be significantly more common among patients with head trauma than in those with other types of trauma (77% vs 59%, OR = 2.38; 95% CI 1.50 to 3.77). The OR for sustaining head injury increased sharply with increasing BAC: 1-99 mg/dl (1.24; 95% CI 0.55-2.01), 100-149 mg/dl 1.64; 95% CI 0.71-3.77), 150-199 mg/dl (3.20; 95% CI 1.57-6.53) and > 199 mg/dl (9.23; 95% CI 4.79-17.79). Conclusions: Binge drinking is a major risk factor for head trauma among trauma patients. Assaults, falls and biking accidents are the commonest causes for such injuries. The relative risk for head injury markedly increases with increasing blood alcohol levels. Alcohol control measures should feature in policies aiming at the prevention of trauma-related morbidity and mortality.