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. 1990 Aug;153(2):149–153.

Alcohol and trauma. An endemic syndrome.

H B Meyers 1, S G Zepeda 1, M A Murdock 1
PMCID: PMC1002500  PMID: 2219871

Abstract

Injuries are a pervasive and costly problem, and alcohol use appears to be an important risk factor for injury. We examined the blood alcohol levels and selected demographic and epidemiologic variables recorded on trauma patients by 1 trauma center for a 28-month period. A total of 2,262 trauma patients were admitted to the trauma center during this period, of whom 75% were male and 72% were injured in vehicle-related incidents. Blood alcohol levels of 2,095 patients (93%) were measured, and alcohol was present in the blood of 855 (41%). Of those patients with a blood alcohol level done, 32% had a level higher than 100 mg per dl. We conclude that the level of alcohol involvement in trauma is high and that this involvement must be addressed by the medical community and the health care system.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Colquitt M., Fielding L. P., Cronan J. F. Drunk drivers and medical and social injury. N Engl J Med. 1987 Nov 12;317(20):1262–1266. doi: 10.1056/NEJM198711123172005. [DOI] [PubMed] [Google Scholar]
  2. Holt S., Stewart I. C., Dixon J. M., Elton R. A., Taylor T. V., Little K. Alcohol and the emergency service patient. Br Med J. 1980 Sep 6;281(6241):638–640. doi: 10.1136/bmj.281.6241.638. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Honkanen R., Ertama L., Kuosmanen P., Linnoila M., Alha A., Visuri T. The role of alcohol in accidental falls. J Stud Alcohol. 1983 Mar;44(2):231–245. doi: 10.15288/jsa.1983.44.231. [DOI] [PubMed] [Google Scholar]
  4. Reyna T. M., Hollis H. W., Jr, Hulsebus R. C. Alcohol-related trauma. The surgeon's responsibility. Ann Surg. 1985 Feb;201(2):194–197. doi: 10.1097/00000658-198502000-00010. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Rutherford W. H. Diagnosis of alcohol ingestion in mild head injuries. Lancet. 1977 May 14;1(8020):1021–1023. doi: 10.1016/s0140-6736(77)91256-9. [DOI] [PubMed] [Google Scholar]
  6. Skinner H. A., Holt S., Schuller R., Roy J., Israel Y. Identification of alcohol abuse using laboratory tests and a history of trauma. Ann Intern Med. 1984 Dec;101(6):847–851. doi: 10.7326/0003-4819-101-6-847. [DOI] [PubMed] [Google Scholar]
  7. Soderstrom C. A., Cowley R. A. A national alcohol and trauma center survey. Missed opportunities, failures of responsibility. Arch Surg. 1987 Sep;122(9):1067–1071. doi: 10.1001/archsurg.1987.01400210105016. [DOI] [PubMed] [Google Scholar]
  8. Thal E. R., Bost R. O., Anderson R. J. Effects of alcohol and other drugs on traumatized patients. Arch Surg. 1985 Jun;120(6):708–712. doi: 10.1001/archsurg.1985.01390300058010. [DOI] [PubMed] [Google Scholar]
  9. Waller P. F., Stewart J. R., Hansen A. R., Stutts J. C., Popkin C. L., Rodgman E. A. The potentiating effects of alcohol on driver injury. JAMA. 1986 Sep 19;256(11):1461–1466. [PubMed] [Google Scholar]

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