CROSS NATIONAL ER ANALYSIS OF ALCOHOL AND CASUALTY

描述：该项目将汇编、合并和分析有关酒精和 来自30个急诊室(ER)的伤害，代表了6个急诊室的15项急诊室研究 包括美国、墨西哥、加拿大、澳大利亚、意大利和西班牙在内的国家。 这些研究使用了类似的方法，具有统一的科学严谨性， 总共包括超过21,000名患者。拟议的分析将超越 对个人和事件级别变量的检查，以包括社会和 与急救服务有关的文化因素和组织指标。 具体目标包括：1)检查异同 关于以下方面的所有急诊室研究：a)伤害风险的总体测量； B)关于个人风险因素对一般伤害的影响的调查结果 按类型划分；c)在活动中饮酒的影响；d)随意归因 饮酒致伤；e)与酒精有关的伤害的流行病学概况； 制定和规范文化产业经营措施， 影响分配的组织和行政因素 酒精相关伤害及其危险因素与伤害率的关系 在ER研究中；以及，3)开发和测试：a)风险的比较模型 伤害因素；b)饮酒对各类伤害风险的严重影响；c) 饮酒致伤的因果关系；d) 与酒精相关的伤害与个人， 组织和文化特点。分析技术将包括 Meta分析(目标1)和合并回归、因果模型和多水平 建模(目标3)。该项目将在以下方面提供第一批可用数据 各种类型伤害的特定性别伤害风险，有助于 关于推荐的“安全”饮酒水平的发展中的知识体系。 该项目还将告知当前估计的可归因性风险 酒精与损伤交叉损伤类型，对建立预防措施很重要 优先事项，并将提供与酒精有关的伤害的概况， 将作为开发持续监测系统的基础，以告知 预防和政策制定。该项目还将提供有关 影响酒精和伤害因果归因的情境因素 (对制定有效的干预战略很重要)，并将提供 关于社会文化差异相互作用的第一个比较数据 饮酒和医疗保健，以及组织和管理方面的差异 各国的急救服务提供系统，包括伤害、人口和 影响急诊室就诊的个体饮酒特征 急诊室病例中的酒精负担，以及酒精与损伤之间的关系 在ER研究中。

DESCRIPTION: This project will compile, merge and analyze data on alcohol and injury from 30 emergency rooms (ERs), representing 15 ER studies across six countries, including the U.S., Mexico, Canada, Australia, Italy and Spain. These studies used similar methodologies with uniform scientific rigor, and together include over 21,000 patients. The proposed analysis will go beyond the examination of individual and event-level variables, to include social and cultural factors and organizational indicators pertaining to ER services. Specific aims include: 1) an examination of the similarities and differences across ER studies with respect to: a) aggregate measures of risk of injury; b) findings on the impact of individual risk factors for injury in general and by type; c) the impact of drinking-in-the-event; d) casual attribution of drinking to injury; e) epidemiologic profiles of alcohol-related injury; development and standardization of operational measures of cultural, organizational and administrative factors which affect the distribution of alcohol-related injuries and the association of risk factors and injury rates in ER studies; and, 3) development and testing comparative models of: a) risk factors for injury; b) acute impact of drinking on injury risk by type; c) causal attribution of drinking to injury; d) epidemiologic profiles of alcohol-related injury in relation to a combination of individual, organizational and cultural characteristics. Analytic techniques will include meta-analysis (Aim 1) and merged regressions, causal modeling and multilevel modeling (Aim 3). The project will provide the first available data on gender-specific risk of injury for various types of injury, contributing to the developing body of knowledge on recommended "safe" levels of drinking. The project will also inform current estimates of the attributable risk of alcohol and injury cross injury type, important for establishing prevention priorities, and will provide a profile for alcohol-involved injuries, which will serve as a basis for developing an on-going monitoring system to inform prevention and policy development. The project will also provide new data on contextual factors affecting causal attribution of alcohol and injury (important for tailoring effective intervention strategies), and will provide the first comparative data on the interaction of socio-cultural differences in drinking and medical care, and organization and administrative differences in ER services delivery systems across countries, with injury, demographic and individual drinking characteristics which affect ER treatment seeking, the alcohol burden in ER caseloads, and associations of alcohol and injury based in ER studies.