Alcohol and Drug Use in Injured Drivers – An Emergency Room Study in a Regional Tertiary Care Centre of North West India

Kumar, Surendra; Bansal, Yogender Singh; Singh, Dalbir; Medhi, Bikash

doi:10.7860/jcdr/2015/14840.6239

Cited by 9 publications

(9 citation statements)

References 13 publications

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“…8,9 Studies have shown that 10%-40% of those injured in traffic accidents were under the influence of alcohol. [10][11][12] In the United States, around 300,000 violent assaults per year take place when the perpetrator is under alcohol intoxication. 13 Studies from Australia and New Zealand have shown that around half of the offenders are intoxicated at the time of committing the crime.…”

Section: Original Articlementioning

confidence: 99%

Legal, Social, and Occupational Problems in Persons with Alcohol Use Disorder: An Exploratory Study

Malathesh

Kumar

Kandasamy

et al. 2020

Indian Journal of Psychological Medicine

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Background: Very few studies have examined the extent and nature of legal, social, and occupational problems among persons who have SUDs. This study was aimed at studying the prevalence and patterns of the aforementioned problems among individuals with alcohol use disorders (AUDs) and their relationship with the quantity of alcohol consumed and other variables. Methods: We conducted a cross-sectional study of adult patients with a diagnosis of AUDs admitted to the deaddiction unit of a tertiary care facility in India, using a semistructured questionnaire prepared for this study. Results: The mean age (SD) of the 91 subjects (95.6% males) was 40.3 years (8.5). Majority of them (92.3%) had started alcohol consumption before the age of 25 years. Common problems reported were work absenteeism (83.5%), a major altercation with spouse (69.3%), assaulting someone while intoxicated (53.8%), and driving under the influence of alcohol (59.3%). Significant association was found between being unemployed and having a police complaint lodged against them (chi-square = 5.7, P = 0.01). Quantity of alcohol consumed per day was significantly more among those who had a history of work absenteeism ( Z = 2.27, P = 0.01), major altercation with spouse ( Z = 2.25, P = 0.02) and assaulted someone under intoxication ( Z = 2.33, P = 0.02). Conclusion: The quantity of alcohol consumed is significantly more in those who had several legal, social, and occupational problems when compared to those who did not have, highlighting the need for routine assessment of the aforementioned problems among patients of AUDs. Treatment of AUDs should be multidisciplinary, with targeted interventions tailored to the aforementioned problems. Doing so will go a long way in reducing the harm to patients and the community at large.

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Section: Original Articlementioning

confidence: 99%

Legal, Social, and Occupational Problems in Persons with Alcohol Use Disorder: An Exploratory Study

Malathesh

Kumar

Kandasamy

et al. 2020

Indian Journal of Psychological Medicine

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“…26 The annual national records of road accidents in India published by the Ministry of Road Transport & Highways, Government of India, mention injuries due to drug and alcohol use in a single category. 19 There are only a few studies on the topic of driving under intoxication, mostly taken from victims brought to emergency departments [27][28][29] and discussing mostly alcohol. There is only one published systematic review from India on driving under intoxication, which included 23 studies.…”

Section: Let There Be Lightmentioning

confidence: 99%

Drug Use and Road Traffic Injuries— Shots in the Dark

Bhatia

Gupta

2023

Indian Journal of Psychological Medicine

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“…6,7 Substance use is a major risk factor for fatal and non-fatal crash injuries. [8][9][10][11] When viewed as a single heterogeneous group comprising alcohol and drug use, substance use is associated with 45% increased odds of adverse crash outcomes and increased risk of pre-admission Emergency Department fatality. 12,13 Alcohol is associated with a two to seven folds increased odds of crash involvement in a crash, [14][15][16] and a 15-fold increased odds of severe injury.…”

Section: Introductionmentioning

confidence: 99%

Substance Use and Pre-Hospital Crash Injury Severity Among U.S. Older Adults: A Five-Year National Cross-sectional Study

Adeyemi

Bukur²,

Berry³

et al. 2022

Preprint

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Background: This study aims to assess the rural-urban differences between substance use and crash injury severity among older adults. Methods: This single-year cross-sectional analysis pooled the 2019 data from the National Emergency Medical Service Information System. We measured injury severity (low acuity, emergent, critical, and fatal) as predicted by substance use, defined as self-reported or officer-reported alcohol and/or drug use. We controlled for age, sex, road user type, anatomical injured region, revised trauma score, location (scene) of the injury, and the time of the day. We stratified by rurality/urbanicity and performed a partial proportional ordinal logistic regression. We reported the odds of worse injury outcomes (emergent, critical, and fatal injuries) compared to low acuity injuries and the predicted probabilities of each injury category by rurality/urbanicity. Results: Our sample consisted of 58,238 older adults, who sustained crash injuries. Approximately 69%, 25%, 5%, and 1% sustained low acuity, emergent, critical, and fatal injuries, respectively. Substance use was reported in approximately 4% of the sample population, and this proportion did not significantly differ across rural-urban areas. After controlling for patient and injury characteristics, substance use was associated with 45% increased odds of emergent, critical, and fatal injuries compared to low acuity injuries across all areas. The predicted probabilities of critical and emergent injuries increase from urban to suburban and rural areas. Conclusion: Substance use is associated with worse geriatric crash injury severity and the predicted probabilities of substance use-related emergent and critical crash injuries increase from urban to rural areas.

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Alcohol and Drug Use in Injured Drivers – An Emergency Room Study in a Regional Tertiary Care Centre of North West India

Cited by 9 publications

References 13 publications

Legal, Social, and Occupational Problems in Persons with Alcohol Use Disorder: An Exploratory Study

Legal, Social, and Occupational Problems in Persons with Alcohol Use Disorder: An Exploratory Study

Drug Use and Road Traffic Injuries— Shots in the Dark

Substance Use and Pre-Hospital Crash Injury Severity Among U.S. Older Adults: A Five-Year National Cross-sectional Study

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