滥用酒精对创伤再入院的影响
F P Rivara1, T D Koepsell, G J Jurkovich
1Harborview Injury Prevention and Research Center, Seattle, WA 98104-2499.
JAMA
|October 27, 1993
概括
创伤患者中毒或滥用酒精更有可能经历重复伤害. 对创伤幸存者的酒精问题进行查和干预可能会降低随后的创伤风险.
科学领域:
- 创伤学 创伤学 创伤学
- 成 药物 药物 药物 药物
- 公共卫生 公共卫生
背景情况:
- 滥用酒精是严重的公共卫生问题.
- 创伤患者经常出现酒精中毒或有滥用酒精的病史.
- 了解酒精使用和创伤复发之间的联系对于预防至关重要.
研究的目的:
- 调查最初创伤入院时的酒精中毒或滥用与随后创伤复发风险之间的联系.
- 量化酒精问题指标的患者中新创伤再入院的风险.
主要方法:
- 在一级区域创伤中心进行的前性队列研究.
- 包括2578名成年创伤患者,测试了血液中酒精度 (BAC),马-谷氨基转移酶 (GGT),并使用短密歇根酒精查测试 (SMAST) 进行查.
- 随访时间平均为28个月,以评估重新入院的新创伤.
主要成果:
- 新创伤的再入院率为每1000个患者月1.3%.
- 入院时中毒的患者 (BAC > 100 mg/dL) 的再入院风险增加了2.5倍.
- 积极的SMAST分数和异常的GGT水平与风险增加分别增加了2.2倍和3.5倍,即使在调整后.
结论:
- 滥用酒精明显与因随后的创伤而重新入院的风险增加有关.
- 建议在创伤患者中进行酒精问题的常规查.
- 对问题饮酒者进行干预可能会减轻重复创伤的风险.
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