View Item 

Show simple item record

Alcohol Abuse/Dependence in Motor Vehicle Crash Victims Presenting to the Emergency Department
dc.contributor.authorMaio, Ronald F.en_US
dc.contributor.authorWaller, Patricia F.en_US
dc.contributor.authorBlow, Frederic C.en_US
dc.contributor.authorHill, Elizabeth M.en_US
dc.contributor.authorSinger, Kathleen M.en_US
dc.date.accessioned2010-06-01T20:17:22Z
dc.date.available2010-06-01T20:17:22Z
dc.date.issued1997-04en_US
dc.identifier.citationMaio, Ronald F.; Waller, Patricia F.; Blow, Frederic C.; Hill, Elizabeth M.; Singer, Kathleen M. (1997). "Alcohol Abuse/Dependence in Motor Vehicle Crash Victims Presenting to the Emergency Department." Academic Emergency Medicine 4(4): 256-262. <http://hdl.handle.net/2027.42/73408>en_US
dc.identifier.issn1069-6563en_US
dc.identifier.issn1553-2712en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/73408
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=9107322&dopt=citationen_US
dc.description.abstractObjective: 1) To determine the prevalence of current alcohol abuse/alcohol dependence (AA/AD) among the full injury range of ED motor vehicle crash (MVC) patients; and 2) compare AA/AD and non-AA/AD patient characteristics. Methods: This was a prospective cohort study using a stratified random sample of MVC patients aged ≥18 years presenting to a university hospital and university-affiliated community hospital ED from May 1, 1992, to August 30, 1994. A diagnosis of current AA/AD was based on the alcohol section of the Diagnostic Interview Survey (DIS). Other measurements included the presence of blood alcohol (BAC +), Injury Severity Score (ISS-85), occupant status (driver/passenger), age, gender, seat belt use, culpability for crash, and ED disposition (admitted vs released). A weighted prevalence was determined; subgroups were compared using t-tests, Χ 2 . 2-factor analysis, and logistic regression modeling; Α = 0.05. Results: 1,161 patients were studied. The weighted prevalence of current AA/AD was 22.5%; 53% of these patients were released from the ED. Almost 45% of the patients with current AA/AD were BAC —. When controlling for BAC and AA/AD, greater injury severity and culpability were associated with a BAC +, but not with current AA/AD. Conclusion: Almost 23% of ED MVC patients have current AA/AD; BAC testing does not accurately identify these patients. Intervention strategies must be directed to both admitted and released patients.en_US
dc.format.extent723447 bytes
dc.format.extent3109 bytes
dc.format.mimetypeapplication/pdf
dc.format.mimetypetext/plain
dc.publisherBlackwell Publishing Ltden_US
dc.rights1997 Society for Academic Emergency Medicineen_US
dc.subject.otherAlcoholen_US
dc.subject.otherEthanolen_US
dc.subject.otherSubstance Abuseen_US
dc.subject.otherAlcohol Abuseen_US
dc.subject.otherMotor Vehicleen_US
dc.subject.otherInjuryen_US
dc.subject.otherMotor Vehicle Collisionen_US
dc.subject.otherInjury Preventionen_US
dc.titleAlcohol Abuse/Dependence in Motor Vehicle Crash Victims Presenting to the Emergency Departmenten_US
dc.typeArticleen_US
dc.subject.hlbsecondlevelMedicine (General)en_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.contributor.affiliationumUniversity of Michigan, Ann Arbor, MI, Department of Surgery, Section of Emergency Medicine (RFM)en_US
dc.contributor.affiliationotherTransportation Research Instituteen_US
dc.contributor.affiliationotherDepartment of Psychiatry, Alcohol Research Centeren_US
dc.contributor.affiliationotherDepartment of Veterans Affairs Medical Center, Ann Arbor, MIen_US
dc.identifier.pmid9107322en_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/73408/1/j.1553-2712.1997.tb03545.x.pdf
dc.identifier.doi10.1111/j.1553-2712.1997.tb03545.xen_US
dc.identifier.sourceAcademic Emergency Medicineen_US
dc.identifier.citedreference1. Healthy People 2000: National Health Promotion and Disease Prevention Objectives. Washington, DC: US Department of Health and Human Services, 1991; pp 64 – 183; DHHS Publication PHS 91–50212.en_US
dc.identifier.citedreferenceHarwood HJ, Kristiansen P., Rachal JV. Social and economic costs of alcohol abuse and alcoholism. Issue Report No. 2. Research Triangle Park, NC: Research Triangle Institute, 1985.en_US
dc.identifier.citedreference3. Traffic Safety Facts: Alcohol. Washington, DC: US Department of Transportation, National Highway Traffic Safety Administration, 1994.en_US
dc.identifier.citedreferenceCherpitel CJ. Alcohol consumption and casualties: a comparison of two emergency room populations. Br J Addiction. 1988; 83: 1299 – 307.en_US
dc.identifier.citedreferenceCherpitel CJ. Alcohol, injury, and risk-taking behavior: data from a national sample. Alcohol Clin Exp Res. 1993; 17: 762 – 6.en_US
dc.identifier.citedreferenceCherpitel CJ. Alcohol and violence related injuries: an emergency room study. Addiction. 1993; 88: 79 – 88.en_US
dc.identifier.citedreferenceKerr MH, Campbell FC, Rutherford WH. Unemployment, alcohol and injury in West Belfast. Injury. 1987; 18: 313 – 4.en_US
dc.identifier.citedreferenceBurger MC, Lichtenstein MJ, Hays JT, Decker MD. Association of self-reported injury and alcohol consumption in medical outpatients. J Gen Intern Med. 1990; 5: 486 – 9.en_US
dc.identifier.citedreferenceHingson RW, Lederman RI, Walsh DC. Employee drinking patterns and accidental injury: a study of four New England states. J Stud Alcohol. 1985; 46: 298 – 303.en_US
dc.identifier.citedreferenceHingson R., Howland J. Alcohol as a risk factor for injury or death resulting from accidental falls: a review of the literature. J Stud Alcohol. 1987; 48: 212 – 9.en_US
dc.identifier.citedreferenceYates D., Hadfield J., Peters K. The detection of problem drinkers in the accident and emergency departments. Br J Addiction. 1987; 82: 163 – 7.en_US
dc.identifier.citedreferenceCherpitel CJ. Drinking patterns and problems associated with injury status in emergency room admissions. Alcohol Clin Exp Res. 1988; 12: 105 – 10.en_US
dc.identifier.citedreferenceBlose JO, Holder HD. Injury-related medical care utilization in a problem drinking population. Am J Public Health. 1991; 81: 1571 – 5.en_US
dc.identifier.citedreferenceRivara FP, Koepsell TD, Jurkovich GJ, Gurney JG, Soderberg R. The effects of alcohol abuse on readmission for trauma. JAMA. 1993; 270: 1962 – 4.en_US
dc.identifier.citedreferenceJurkovich GJ, Rivara FP, Gurney JG, et al. The effect of acute alcohol intoxication and chronic alcohol abuse on outcome from trauma. JAMA. 1993; 270: 51 – 6.en_US
dc.identifier.citedreferenceRivara FP, Jurkovich GJ, Gurney JG, et al. The magnitude of acute and chronic alcohol abuse in trauma patients. Arch Surg. 1993; 128: 907 – 12.en_US
dc.identifier.citedreferenceSoderstrom CA, Dischinger PC, Smith GS, McDuff DR, Hebel JR, Gorelick DA. Psychoactive substance dependence among trauma center patients. JAMA. 1992; 267: 2756 – 9.en_US
dc.identifier.citedreferenceLowenfels AB. Alcohol and trauma. Ann Emerg Med. 1984; 13: 1056 – 60.en_US
dc.identifier.citedreference19. American College of Surgeons. Advanced trauma life support. Chicago, IL: American College of Surgeons, 1988, pp 113 – 25.en_US
dc.identifier.citedreferenceRoss S. The abdomen. In: Moore EA ( ed ). Early Care of the Injured Patient, 4th ed. Toronto, Philadelphia: B. C. Decker, 1990, pp 159 – 75.en_US
dc.identifier.citedreferenceDucker TB, Aryanpur J. Central nervous system. In: Moore EA ( ed ). Early Care of the Injured Patient, 4th ed. Toronto, Philadelphia: B. C. Decker, 1990, pp 107 – 25.en_US
dc.identifier.citedreferenceKrome RL. Emergency Medicine: Comprehensive Study Guide, 2nd ed. New York: McGraw-Hill, 1985, pp 825 – 30.en_US
dc.identifier.citedreferenceMarx JA. Abdominal trauma. In: Rosen P., Barkin RM, Braen R., et al. ( eds ). Emergency Medicine: Concepts and Clinical Practice ( 3rd Ed ). St. Louis, MO: C. V. Mosby, 1992, pp 471 – 97.en_US
dc.identifier.citedreference24. American College of Emergency Physicians. The emergency physician's role in behavioral emergencies. Ann Emerg Med. 1987; 972: 163 – 4.en_US
dc.identifier.citedreferenceZink BJ, Maio RF. Alcohol use and trauma. Acad Emerg Med. 1994; 1: 171 – 3.en_US
dc.identifier.citedreferenceLowenfels AB, Miller TT. Alcohol and trauma. Ann Emerg Med. 1984; 13: 1056 – 60.en_US
dc.identifier.citedreferenceLowenstein SR, Weissberg MP, Terry D. Alcohol intoxication, injuries, and dangerous behaviors—and the revolving emergency department door. J Trauma. 1990; 30: 1252 – 8.en_US
dc.identifier.citedreferenceFreedland ES, McMicken DB, D'Onoforio G. Alcohol and trauma. Med Clin North Am. 1993; 11: 225 – 39.en_US
dc.identifier.citedreferenceSims DW, Bivins BA, Obeid FN, Horst HM, Sorensen VJ, Fath JJ. Urban trauma: a chronic recurrent disease. J Trauma. 1989; 29: 940 – 7.en_US
dc.identifier.citedreferenceDewey KE. Alcohol-related attendance at the accident and emergency department. Ulster Med J. 1993; 62: 58 – 62.en_US
dc.identifier.citedreference31. Institute of Medicine Broadening the base of treatment for alcohol problems. Washington, DC: National Academy Press, 1990.en_US
dc.identifier.citedreferenceGentilello LM, Duggan P., Drummond D., et al. Major injury as a unique opportunity to initiate treatment in the alcoholic. Am J Surg. 1988; 156: 558 – 61.en_US
dc.identifier.citedreferenceMaio RF. Alcohol and injury in the emergency department: opportunities for intervention. Ann Emerg Med. 1995; 26: 221 – 3.en_US
dc.identifier.citedreferenceConigrave KM, Burns FH, Reznik RB, Saunders JB. Problem drinking in emergency department patients: the scope for early intervention. Med J Aust. 1991; 154: 801 – 5.en_US
dc.identifier.citedreferenceMadden C., Cole TB. Emergency intervention to break the cycle of drunken driving and recurrent injury. Ann Emerg Med. 1995; 26: 177 – 9.en_US
dc.identifier.citedreferenceRobins LN, Helzer JE, Croughan J., Ratcliff KS. NIMH Diagnostic Interview Schedule: Version III. Rockville, MD: National Institutes of Health, 1981.en_US
dc.identifier.citedreference37. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Third Ed, Revised. Washington, DC: APA, 1987.en_US
dc.identifier.citedreferenceBaker SP, O'Neill B. The Injury Severity Score: an update. J Trauma. 1976; 16. 882 – 5.en_US
dc.identifier.citedreferenceBaker SP, O'Neill B., Haddon W. Jr, Long WB. The Injury Severity Score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma. 1974; 14: 187 – 96.en_US
dc.identifier.citedreference40. American Association for Automotive Medicine (now the Association for the Advancement of Automotive Medicine). The Abbreviated Injury Scale (AIS), 1985 Revision. Des Plaines, IL: AAAM, 1985.en_US
dc.identifier.citedreferenceStibler H. Carbohydrate-deficient transferrin in serum: a new marker of potentially harmful alcohol consumption reviewed. Clin Chem. 1991; 37: 2029 – 37.en_US
dc.identifier.citedreferenceSpies CD, Emadi A., Neumann T., et al. Relevance of carbohydrate-deficient transferrin as a predictor of alcoholism in intensive care patients following trauma. J Trauma. 1995; 39: 742 – 8.en_US
dc.identifier.citedreferenceBemadt MW, Mumford J., Taylor C., Smith B., Murray RM. Comparison of questionnaire and laboratory tests in the detection of excessive drinking and alcoholism. Lancet. 1982; 1: 325 – 8.en_US
dc.identifier.citedreferenceEckardt MJ, Ryback RS, Rawlings RR, Graubard BI. Biochemical diagnosis of alcoholism. JAMA. 1981; 246: 2707 – 10.en_US
dc.identifier.citedreferenceFreeland KE, Frankel MT, Evenson RC. Biochemical diagnosis of alcoholism in men psychiatric patients. J Stud Alcohol. 1985; 46: 103 – 6.en_US
dc.identifier.citedreference46. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 4th Ed ( DSM-IV ). Washington, DC: APA, 1994, p 202.en_US
dc.identifier.citedreferenceBeresford TP, Blow FC, Hill E., Singer K., Lucey MR. Comparison of CAGE questionnaire and computer-assisted laboratory profiles in screening of covert alcoholism. Lancet. 1990; 336: 482 – 5.en_US
dc.identifier.citedreferenceKessler RC, McGonagle KA, Zhao S. et al. Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Arch Gen Psychiatry. 1994; 51: 8 – 19.en_US
dc.identifier.citedreferenceCherpitel CJ. Screening for alcohol problems in the emergency department. Ann Emerg Med. 1995; 26: 158 – 66.en_US
dc.identifier.citedreferenceBernstein E., Roth PB, Yeh C., Lefkowits DJ. The emergency physician's role in injury prevention. Pediatr Emerg Care. 1988; 4: 207 – 11.en_US
dc.identifier.citedreferenceMarx JA. Alcohol and trauma. Emerg Med Clin North Am. 1990; 8: 929 – 38.en_US
dc.identifier.citedreferenceCherpitel CJ. Alcohol, injury, and risk-taking behavior: data from a national sample. Alcohol Clin Exp Res. 1993; 17: 762 – 6.en_US
dc.identifier.citedreferenceBernstein E., Woodhall WG. Changing perceptions of riskiness in drinking, drugs, and driving: an emergency department-based alcohol and substance abuse prevention program. Ann Emerg Med. 1987; 16: 1350 – 4.en_US
dc.identifier.citedreference54. Institute of Medicine The community role: identification, brief intervention, and referral. In: Broadening the Base of Treatment for Alcohol Problems. Washington, DC: National Academy Press, 1990, pp 211 – 41.en_US
dc.owningcollnameInterdisciplinary and Peer-Reviewed


Files in this item

Name:
j.1553-2712.1997.tb03545.x.pdf
Size:
706.4KB
Format:
PDF
View/Open

Show simple item record

Remediation of Harmful Language

The University of Michigan Library aims to describe library materials in a way that respects the people and communities who create, use, and are represented in our collections. Report harmful or offensive language in catalog records, finding aids, or elsewhere in our collections anonymously through our metadata feedback form. More information at Remediation of Harmful Language.

Accessibility

If you are unable to use this file in its current format, please select the Contact Us link and we can modify it to make it more accessible to you.