トラウマによる再入院におけるアルコール乱用の影響
F P Rivara1, T D Koepsell, G J Jurkovich
1Harborview Injury Prevention and Research Center, Seattle, WA 98104-2499.
JAMA
|October 27, 1993
まとめ
アルコール中毒または乱用のトラウマ患者は,再発的な怪我を経験する可能性が高い. トラウマを生き延びた人のアルコール問題に対するスクリーニングと介入は,その後のトラウマのリスクを軽減することができます.
科学分野:
- トラウマトロジーはトラウマトロジーの治療法です.
- 依存症医学 薬物中毒医学
- 公衆衛生は公衆衛生である.
背景:
- アルコール乱用は,公衆衛生上の重大な問題である.
- トラウマ患者はしばしばアルコール中毒を呈する,またはアルコール乱用歴がある.
- アルコール使用とトラウマ再発の関連性を理解することは,予防に不可欠です.
研究 の 目的:
- 最初のトラウマ入院時のアルコール中毒またはアルコール乱用と,その後のトラウマ再発のリスクとの関連性を調査する.
- アルコール問題の指標を持つ患者の間で新たなトラウマのために再入院するリスクを定量化するために.
主な方法:
- レベルI地域トラウマセンターで行われた前向きなコホート研究.
- 2578人の成人トラウマ患者の血液中アルコール濃度 (BAC),ガンマグルタミルトランスフェラーゼ (GGT) を検査し,ショートミシガンアルコールスクリーニングテスト (SMAST) を用いてスクリーニングを行った.
- 新しいトラウマの再入院を評価するために,フォローアップは平均28ヶ月でした.
主要な成果:
- 新しいトラウマによる再入院率は1000患者月あたり1.3であった.
- 入院時に中毒状態の患者 (BAC > 100 mg/dL) は,再入院のリスクが2.5倍増加しました.
- 陽性なSMASTスコアと異常なGGTレベルは,調整後でも,それぞれ2.2倍と3.5倍のリスク増加と関連していました.
結論:
- アルコール乱用は,その後のトラウマのために再入院のリスクが高いと有意に関連しています.
- トラウマ患者のアルコール問題に対する定期的なスクリーニングが推奨されます.
- 問題のある飲酒者への介入は,再発性トラウマのリスクを軽減することができます.
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