Trauma risk perception related to alcohol, cannabis, and cocaine intake

Cordovilla‐Guardia, Sergio; Guerrero-López, F.; Maldonado, Antonio; Vilar-López, Raquel; Salmerón, Joan Manuel; Romero, Irene Gallego; Pose, S.V.; Fernández-Modéjar, E.

doi:10.1007/s00068-014-0384-9

Cited by 17 publications

(12 citation statements)

References 30 publications

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“…Given that in our setting almost half of trauma patients are admitted under the influence of alcohol and/or illicit drugs [ 38 ], the potential impact on public health of the implementation of SBIRT programs in trauma centers in Spain is enormous. In a cost-benefit analysis [ 39 ] with a similar estimated trauma risk reduction, screening and brief intervention for alcohol problems in trauma patients was found to be cost-effective (savings of USD3.81 for every USD1.00 spent), and the authors suggested that it should be routinely implemented.…”

Section: Discussionmentioning

confidence: 99%

“…It is important to take into account that the reduction in alcohol and illicit drug use resulting from BI may not be the only mediator between BI and the reduction in trauma recidivism: BI may also have a positive influence on other variables causally related to trauma, such as impulsive behavior [ 40 – 46 ] or trauma risk perception related to substance use. This perceived risk is particularly low in our social context, especially among consumers of substances other than alcohol, such as cannabis and cocaine [ 38 ]. According to the authors of the DRUID project (DRiving Under the Influence of Drugs) carried out in 18 European countries [ 47 ], the greater likelihood observed in some countries of detecting drivers under the influence of illicit drugs and medicines compared to drivers exposed to alcohol may be explained by the lower efforts and resources devoted to campaigns for accident prevention related to the consumption of these substances.…”

Section: Discussionmentioning

confidence: 99%

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Effect of a brief intervention for alcohol and illicit drug use on trauma recidivism in a cohort of trauma patients

et al. 2017

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ObjectiveEstimate the effectiveness of brief interventions in reducing trauma recidivism in hospitalized trauma patients who screened positive for alcohol and/or illicit drug use.MethodsDynamic cohort study based on registry data from 1818 patients included in a screening and brief intervention program for alcohol and illicit drug use for hospitalized trauma patients. Three subcohorts emerged from the data analysis: patients who screened negative, those who screened positive and were offered brief intervention, and those who screened positive and were not offered brief intervention. Follow-up lasted from 10 to 52 months. Trauma-free survival, adjusted hazard rate ratios (aHRR) and adjusted incidence rate ratios (aIRR) were calculated, and complier average causal effect (CACE) analysis was used.ResultsWe found a higher cumulative risk of trauma recidivism in the subcohort who screened positive. In this subcohort, an aHRR of 0.63 (95% CI: 0.41–0.95) was obtained for the group offered brief intervention compared to the group not offered intervention. CACE analysis yielded an estimated 52% reduction in trauma recidivism associated with the brief intervention.ConclusionThe brief intervention offered during hospitalization in trauma patients positive for alcohol and/or illicit drug use can halve the incidence of trauma recidivism.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Effect of a brief intervention for alcohol and illicit drug use on trauma recidivism in a cohort of trauma patients

et al. 2017

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“…Numerous studies have been able to show an inverse relationship between the risk perception of the use of a particular harmful substance or drug (cannabis, alcohol, or tobacco) and the levels of use of that substance or drug in a social group [21,22,23,24]. However, concerning alcohol specifically and its consumption during pregnancy, there are very few studies exploring pregnant women’s risk perception and beliefs about the possible harmful effects of alcohol consumption during pregnancy [25,26].…”

Section: Introductionmentioning

confidence: 99%

Pregnant Women’s Risk Perception of the Teratogenic Effects of Alcohol Consumption in Pregnancy

Gutiérrez

Mendoza

Gómez-Baya

et al. 2019

JCM

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There is ample evidence of the teratogenic effects of prenatal alcohol exposure, with long-term consequences throughout the entire life cycle. Nevertheless, research on risk perception of alcohol consumption among pregnant women is scarce. In order to analyze risk perception of alcohol consumption during pregnancy, a cross-sectional study was conducted with a random sample of 426 pregnant women (in their 20th week of gestation) receiving care at the outpatient clinics of a public university hospital in the southern European city of Seville (Spain). Data were collected through structured face-to-face interviews conducted by trained health professionals using a customized questionnaire. Data analysis included structural equation modeling. Only 48.1% of the sample indicated that the sequelae from alcohol consumption during pregnancy were life-long. The structural equation model showed that a lower risk perception about beer and wine consumption, and a lower educational level, were related to more frequent alcohol consumption. Younger participants showed lower risk perception concerning beer consumption. Higher levels of education were related to a greater risk perception of beer. Healthcare institutions should articulate programs that facilitate health advice regarding alcohol consumption during pregnancy, particularly when providing care for women with low educational levels.

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“…In recent years, an increase in cannabis use and a decrease in the perception of the risk of consumption for health in general have been detected in our country [ 25 ]. We also find a low perception when cannabis users who have suffered trauma are asked about the perceived risk that consumption entails at the time of suffering road traffic injury [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

Association between the detection of alcohol, illicit drugs and/or psychotropic medications/opioids in patients admitted due to trauma and trauma recidivism: A cohort study

et al. 2018

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ObjectiveTo quantify the association between the presence and type of drug detected and trauma recidivism in a cohort of patients admitted due to trauma.MethodA cohort study was conducted based on data from a project where the presence of alcohol and other drugs (cannabis, cocaine, amphetamines, methamphetamines, tricyclic antidepressants, barbiturates, opiates and benzodiazepines) was analysed in 1,187 patients aged 16 to 70 years admitted due to trauma. The patients were followed for a period of between 10 to 52 months until June 2016. For this study, the recurrence of injuries from a sample of 929 patients from this cohort was analysed according to their consumption profile. Survival curves were estimated and adjusted Hazard Rate Ratios (aHRR) and adjusted incidence rate ratios (aIRR) were calculated.ResultsThe incidence rate of TR was 10.94 cases per 100 patient-years in the group of patients negative for substances and 27.99 per 100 patient-years in positive patients. The survival curves show very significant differences in cumulative recurrence-free survival between the groups (Log Rank: p<0.001). Both the aHRR and the aIRR estimates show an increased risk of re-injury due to alcohol consumption (aIRR: 2.33 (1.72–3.15), p<0.001), cannabis use (aIRR: 1.87 (1.09–3.20), p = 0.022) and polydrug use (aIRR: 2.34 (1.80–3.04), p<0.001).ConclusionsThe presence of alcohol and/or illicit drugs in these patients doubles the risk of trauma recidivism.

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Trauma risk perception related to alcohol, cannabis, and cocaine intake

Abstract: The low perception of risk associated with alcohol, cannabis, or cocaine consumption by trauma patients under the influence of these substances on admission may be a predisposing factor for recidivism. Recommendations for both primary and secondary prevention are presented.

Cited by 17 publications

References 30 publications

Effect of a brief intervention for alcohol and illicit drug use on trauma recidivism in a cohort of trauma patients

Effect of a brief intervention for alcohol and illicit drug use on trauma recidivism in a cohort of trauma patients

Pregnant Women’s Risk Perception of the Teratogenic Effects of Alcohol Consumption in Pregnancy

Association between the detection of alcohol, illicit drugs and/or psychotropic medications/opioids in patients admitted due to trauma and trauma recidivism: A cohort study

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