The Magnitude of Acute and Chronic Alcohol Abuse in Trauma Patients

Rivara, Frederick P.; Jurkovich, Gregory J.; Gurney, James G.; Seguin, Debra; Fligner, Corinne L.; Ries, Richard; Raisys, Vidmantas A.; Copass, Michael K.

doi:10.1001/archsurg.1993.01420200081015

Cited by 286 publications

(172 citation statements)

References 24 publications

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“…54 Alcohol use is associated with traumatic injuries, and 13% of older adults seen in the ED for trauma have blood alcohol levels over 100 mg/ dL. 56 Studies of interventions to reduce hazardous alcohol use among older adults in the primary care setting and among younger patients in the ED have been effective. 21,57,58 The role of the ED as a site for screening and intervention, specifically in older adults, has not been studied but holds significant promise.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Nonmedical Problems Among Older Adults Presenting to the Emergency Department

Stevens

Richmond

Pereira

et al. 2014

Academic Emergency Medicine

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Objectives: Health outcomes among older emergency department (ED) patients may be influenced by physical, economic, and psychological problems not routinely identified during the ED visit. The objective of this study was to characterize such problems among older adults presenting to the ED.Methods: This was a prevalence study with enrollment during 4-hour periods randomly selected between 9 a.m. and 9 p.m. on random days of the week over a period of 8 weeks at an academic ED in the southeast United States. Participants were noninstitutionalized, cognitively intact adults aged 65 years or older without life-threatening illness or injury. Consenting patients were asked about the frequency of 10 prespecified problems during the past year.Results: Patients (N = 138) were non-Hispanic white (69%) and female (57%) and almost all had primary providers (95%) and health insurance (98%). Forty percent reported their overall health as fair (21%) or poor (19%). Hazardous drinking habits were reported by 10% of patients. The prevalence of problems occurring either "sometimes" or "often" in the past year were pain (60%), difficulty walking (47%), lack of money (32%), isolation and loneliness (14%), lack of transportation (12%), difficulty scheduling a doctor's appointment (4%), difficulty getting prescriptions filled (4%), and lack of dental care (6%). Nine patients (7%) reported experiencing physical or psychological abuse at some point in the past year. Females, minorities, and individuals living in urban areas reported higher rates of most problems.Conclusions: Nonmedical problems are common among cognitively intact, independent living, noncritically ill older patients presenting to an ED in the southeast United States.ACADEMIC EMERGENCY MEDICINE 2014;21:651-658

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Section: Discussionmentioning

confidence: 99%

Prevalence of Nonmedical Problems Among Older Adults Presenting to the Emergency Department

Stevens

Richmond

Pereira

et al. 2014

Academic Emergency Medicine

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“…Acute alcohol intoxication is a common presentation to emergency departments, and it is associated with traumatic injuries requiring longer hospital stays (1,22). Intoxication increases risks for both sustaining fracture injuries as well as adversely affecting the healing process.…”

Section: Discussionmentioning

confidence: 99%

“…Nearly half of patients with traumatic injuries who present to emergency departments test positive for blood alcohol content (1), and intoxication is associated with an increased risk of mortality among trauma patients (2). Among the numerous physiological effects of alcohol exposure, it has been widely shown that alcohol interferes with bone formation and fracture healing.…”

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confidence: 99%

Alcohol Inhibits Osteopontin-dependent Transforming Growth Factor-β1 Expression in Human Mesenchymal Stem Cells

Driver

Weber

Callaci

et al. 2015

Journal of Biological Chemistry

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Background: Alcohol (EtOH) exposure has detrimental effects on fracture healing. Results: EtOH inhibits TGF-␤1 protein expression via interference with the transcription factor myeloid zinc finger 1. Conclusion: EtOH-induced deficient fracture healing may be related to reduced TGF-␤1. Significance: Further understanding of the mechanisms responsible for the effects of EtOH are crucial for the development of interventions aimed at averting morbidities related to EtOH consumption.

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“…Alcohol is responsible for trauma deaths and nonfatal injuries. [2][3][4] Alcohol use and alcohol use disorders are associated with increased risks of mortality and morbidity from injury and violence and alcohol is a factor in the need for emergency care world wide. 5,6 Alcohol consumption plays a role in motor vehicle accidents and assaults and half of trauma patients are injured under the influence of alcohol.…”

Section: Introductionmentioning

confidence: 99%

Substance use and associated diseases among injured persons

et al. 2012

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Introduction: Alcohol use and alcohol use disorders are associated with increased risks of mortality and morbidity from injury and violence. Chronic health conditions are taken as risk factors for injury as well as the consequences of the injury. Very few studies have noted about diseases among injured person. Objectives: To find out the use of alcohol among injured persons and to explore the associated diseases among injured persons. Methods: In this study 10% of the households of Dharan i.e. 1398 household were selected as the sample size. A systematic random sampling was used to select the 10% household from each ward. A pre-tested questionnaire was used to collect demographic information and information related to injuries to the persons suffered from injuries, alcohol intake prior to injury and whether they suffered from any chronic diseases or not. Results: Among 299 injured persons, 20.4% of them used to take alcohol. It was noted that 5.4% consumed alcohol prior to the injury. About 8 % injured persons were hypertensive and 7.7% of them suffered from visual problem. About 10 % of the major injured persons were suffering from physical disability. Conclusion: Consumption of alcohol, chronic health problems like hypertension, visual impairment and physical disability are common among the injured persons.

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The Magnitude of Acute and Chronic Alcohol Abuse in Trauma Patients

Abstract: The high prevalence of both acute intoxication and chronic alcoholism in trauma patients indicates the need to diagnose and appropriately treat this pervasive problem in trauma victims.

Cited by 286 publications

References 24 publications

Prevalence of Nonmedical Problems Among Older Adults Presenting to the Emergency Department

Prevalence of Nonmedical Problems Among Older Adults Presenting to the Emergency Department

Alcohol Inhibits Osteopontin-dependent Transforming Growth Factor-β1 Expression in Human Mesenchymal Stem Cells

Substance use and associated diseases among injured persons

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