Alcohol-related injury visits: Do we know the true prevalence in U.S. trauma centres?

Macleod, Jana; Hungerford, Daniel W.

doi:10.1016/j.injury.2010.01.098

Cited by 67 publications

(52 citation statements)

References 25 publications

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“…30 While little evidence directly links increased incidence of alcohol related injury in the evening and increased trauma admissions, given that alcohol is estimated to be involved in a considerable proportion of injuries and its use is more common in the evening, this seems a reasonable hypothesis. [31][32][33] The cause of higher admissions in the afternoon for BSUH is not immediately clear. Analysis of the demographics and mechanisms of injury associated with these admissions may provide an explanation.…”

Section: Discussionmentioning

confidence: 99%

“…However, considering the role of alcohol in a considerable number of injuries and an increase in alcohol intake at the weekend, it seems reasonable that alcohol associated injury contributes to an increase in weekend trauma admissions. [31][32][33] National data show that more RTC casualties occur on weekdays than at the weekend, 20 negating this as a possible cause. There is likely to be regional variation and further analysis of the injury mechanism of our admissions would provide better insight.…”

Section: Discussionmentioning

confidence: 99%

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Temporal variation in major trauma admissions

Kieffer

Michalik

Gallagher

et al. 2016

annals

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INTRODUCTION Trauma is a significant cause of morbidity and mortality in the UK. Since the inception of the trauma networks, little is known of the temporal pattern of trauma admissions. METHODS Trauma Audit and Research Network data for 1 April 2011 to 31 March 2013 were collated from two large major trauma centres (MTCs) in the South East of England: Brighton and Sussex University Hospitals NHS Trust (BSUH) and St George's University Hospitals NHS Foundation Trust (SGU). The number of admissions and the injury severity score by time of admission, by weekdays versus weekend and by month/season were analysed. RESULTS There were 1,223 admissions at BSUH and 1,241 at SGU. There was significant variation by time of admission; there were more admissions in the afternoons (BSUH p<0.001) and evenings (SGU p<0.001). There were proportionally more admissions at the weekends than on weekdays (BSUH p<0.001, SGU p=0.028). There was significant seasonal variation in admissions at BSUH (p<0.001) with more admissions in summer and autumn. No significant seasonal variation was observed at SGU (p=0.543). CONCLUSIONS The temporal patterns observed were different for each MTC with important implications for resource planning of trauma care. This study identified differing needs for different MTCs and resource planning should be individualised to the network.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Temporal variation in major trauma admissions

Kieffer

Michalik

Gallagher

et al. 2016

annals

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“…Thus, student-athletes represent an atrisk group in particular need of programming aimed at reducing alcohol use. 13,14 Alcohol Use and Risk of Injury Alcohol consumption represents a substantial risk factor for injury, 15,16 with the greatest likelihood of repeat injuries occurring among heavier drinkers. 17,18 Given that collegiate athletes represent one of the highest-risk drinking subgroups on college campuses, they are more likely to experience alcohol-related consequences, such as ARUIs, than their nonathlete peers.…”

Section: Literature Review Drinking Among Collegiate Student-athletesmentioning

confidence: 99%

Exploring the Athletic Trainer's Role in Assisting Student-Athletes Presenting With Alcohol-Related Unintentional Injuries

Howell

Barry

Pitney

2015

Journal of Athletic Training

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Compared with their nonathlete peers, collegiate athletes consume higher quantities of alcohol, drink with greater frequency, and exhibit an increased propensity to engage in heavy episodic drinking (ie, binge drinking), which often may result in alcohol-related consequences. Moreover, collegiate athletes are also more likely to engage in other maladaptive lifestyle behaviors, such as participating in physical fights and riding with an intoxicated driver, and less likely to engage in protective behaviors, such as wearing a helmet while operating a motorcycle, moped, or bicycle. Taken together, these behaviors clearly pose a health risk for student-athletes and increase the likelihood that they will experience an alcoholrelated unintentional injury (ARUI). An ARUI represents a risk not only to the health and well-being of collegiate athletes but also to their athletic performances, collegiate careers, and potential professional opportunities. Therefore, athletic trainers need to be equipped with the knowledge and skills to provide face-to-face brief interventions to student-athletes presenting with ARUIs and to evaluate the effect of their involvement. We address potential action items for implementation by athletic trainers.

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“…Of the emergency department visits, 26.2%-62.5% are alcohol-related. 2 Alcohol use disorder is also associated with life-threatening medical illnesses, including cirrhosis, pancreatitis, bone marrow suppression, hypertension, dilated cardiomyopathy, delirium tremens (DT), and seizures, [3][4][5][6] resulting in longer and more complicated hospital and intensive care unit stays. 7,8 In general, 4%-15% of patients with alcohol withdrawal show withdrawal seizures or DT.…”

Section: Introductionmentioning

confidence: 99%