Alcohol intoxication increases morbidity in drivers involved in motor vehicle accidents

Shih, Hsin-Chin; Hu, Sheng-Chuan; Yang, Chulho; Ko, Tun-Jen; Wu, Jer-Kan; Lee, Chen‐Hsen

doi:10.1053/ajem.2003.50025

Cited by 73 publications

(45 citation statements)

References 24 publications

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“…In a study in Taiwan, alcohol intoxication levels and the severity of lesions were not associated with ISS, but rather, with morbidity after injury. 19 In the present study, morbidity was not measured because the outcome was death, but the ISS did not vary significantly between alcohol levels, accident mechanism, vehicle occupant location, gender or age.…”

Section: Discussionmentioning

confidence: 77%

Traffic related deaths in Nuevo Leon, Mexico: causes and associated factors

Arreola-Rissa¹,

Santos-Guzmán²,

Esquivel-Guzmán³

et al. 2008

Salud pública Méx

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ResumenObjetivo. Durante seis meses de 2003 se estudió el efecto del alcohol en 243 víctimas fatales relacionadas con accidentes viales del estado de Nuevo León, México. Material y méto-dos. Se realizó autopsia en todos los casos y se determinó el nivel de alcohol en sangre. La tasa de mortalidad ajustada por edad para accidentes viales fue 8.9/100 000 hab. (13.2 para hombres y 3.21 para mujeres, por 100 000). Accidentes fatales fueron comunes en el Área Metropolitana. Resultados. Las fatalidades fueron cuatro veces mayores en hombres y la edad promedio fue de 34.7±18.2 años. Se detectaron niveles de alcohol en sangre en casi la mitad de los conductores que fueron víctimas; los otros casos de fatalidad fueron asociados con las condiciones del camino, el auto, factores meteorológi-cos, entre otros. Conclusiones. Los niveles de intoxicación alcohólica fueron básicamente con conductores masculinos, de 16-45 años (p=0.029), aumentando con la edad. Entre las mujeres, el alcohol jugó un papel menos preponderante, afectando mayormente las de 31-45 años (p=0.055).Palabras clave: consumo de bebidas alcohólicas; accidentes de tránsito; mortalidad; México AbstractObjective. The effects of alcohol on mortality due to motor vehicle accidents was studied. Material and Methods. During the first semester of 2003, a sample of 243 fatality victims of traffic-related accidents and their blood alcohol levels were analyzed in the state of Nuevo Leon, Mexico. The ageadjusted mortality rate for traffic accidents was 8.9/100 000 pop. (13.2 for males and 3.21 for females, per 100 000). Fatal accidents were more common in the Metropolitan Area (MA). Results. Fatalities were four times greater in males and the mean age was 34.7±18.2 years. Blood alcohol was detected in almost half of the victims who were drivers of the vehicles; the other cases of fatalities may be associated with road/car condition, weather and other factors. Conclusions. Alcohol intoxication levels were primarily associated with male drivers ages 16 to 45 (p=0.029); levels increased with age. In females, alcohol played a lesser role, affecting mostly ages 31 to 45 y (p=0.055).

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Section: Discussionmentioning

confidence: 77%

Traffic related deaths in Nuevo Leon, Mexico: causes and associated factors

Arreola-Rissa¹,

Santos-Guzmán²,

Esquivel-Guzmán³

et al. 2008

Salud pública Méx

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“…There is scant literature reporting specific complications in alcohol-intoxicated patients with isolated TBI. Some authors have reported increased incidence of pneumonia in head-injured patients with positive BAL, 23,44 whereas others have reported different or contrary findings. [45][46][47] In a large prospective cohort series of 2,559 patients with BAL and morbidity data, Jurkovich et al 46 observed that acute intoxication with alcohol was not associated with increased rates of complications during hospitalization nor was there a significant trend for more complications in higher BAL categories.…”

Section: Discussionmentioning

confidence: 97%

Isolated Severe Traumatic Brain Injuries: Association of Blood Alcohol Levels With the Severity of Injuries and Outcomes

Talving

Plurad

Barmparas

et al. 2010

Journal of Trauma: Injury, Infection &Amp; Critical Care

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Among patients with isolated sTBI, BAL do not seem to be associated with overall injury severity, head injury severity, or the occurrence of major morbidities. Similarly, hospital and intensive care unit lengths are not affected by high admission BAL level. The adjusted overall in-hospital mortality, however, is significantly lower in patients presenting with the high BAL (>or=0.08 g/dL) after isolated sTBI.

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“…Clinical studies have analyzed the association of acute intoxication and mortality, yielding conflicting results. Huth et al and Shih et al, in two separate studies of injured drivers, found no association between the presence of ETOH and mortality (8,16). Further, Jurkovich et al, in a study of 3564 blunt and penetrating trauma patients, found that acute alcohol intoxication increased neither the complication rate nor the risk of dying (17).…”

Section: Discussionmentioning

confidence: 97%