scholarly journals Prevalence of substance use among trauma patients treated in a Brazilian emergency room

2006 ◽  
Vol 28 (3) ◽  
pp. 191-195 ◽  
Author(s):  
Alessandra Diehl Reis ◽  
Neliana Buzi Figlie ◽  
Ronaldo Laranjeira
Keyword(s):  
Substance Use ◽  
Emergency Room ◽  
Blood Alcohol Concentration ◽  
Cross Sectional Study ◽  
Alcohol Concentration ◽  
World Health ◽  
Trauma Patients ◽  
Blood Alcohol ◽  
Emergency Rooms ◽  
Cross Sectional

OBJECTIVE: Although there is a considerable amount of data in the literature regarding the association between alcohol consumption and injuries treated in emergency rooms, little is known about the relationship between such injury and the use of other substances. The objective of this study was to estimate the prevalence of substance use in patients admitted to the emergency room for non-fatal injuries. METHOD: A prospective cross-sectional study assessing all patients admitted to the emergency room within 6 hours after a non-fatal injury was conducted over a three-month period. The following were used as measures of alcohol and drug use: a standardized World Health Organization questionnaire; a self-administered questionnaire related to drug consumption within the 24 hours preceding contact; the Drug Abuse Screening Test; urine screens for cannabis, cocaine and benzodiazepines; and determination of blood alcohol concentration. Descriptive analyses were performed and the confidence interval used was 95%. RESULTS: A total of 353 patients were included. Cannabis and cocaine screens were conducted for 242 patients and benzodiazepine screens were conducted for 166. Blood alcohol concentrations reached the level of positivity in 11% (n = 39), and 10% (n = 33) presented some degree of intoxication. Among the 242 patients screened, 13.6% (n = 33) tested positive for cannabis, and 3.3% (n = 8) tested positive for cocaine, whereas 4.2% (n = 7) of the 166 patients screened tested positive for benzodiazepines. CONCLUSIONS: Substance use was highly prevalent among these individuals. In this sample, the frequency for the use of cannabis (an illicit drug) was comparable to that of alcohol. More studies are needed in order to characterize such use among Brazilians and to develop proper approaches to such cases, with the aim of reducing substance use and its consequences.

scholarly journals Drinking behaviours and blood alcohol concentration in four European drinking environments: a cross-sectional study

2011 ◽  
Vol 11 (1) ◽  
Author(s):  
Karen Hughes ◽  
Zara Quigg ◽  
Mark A Bellis ◽  
Ninette van Hasselt ◽  
Amador Calafat ◽  
...  
Keyword(s):  
Blood Alcohol Concentration ◽  
Cross Sectional Study ◽  
Alcohol Concentration ◽  
Blood Alcohol ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Relative risk of injury due to alcohol consumption in car and motorcycle drivers

2020 ◽  
Vol 26 (12) ◽  
pp. 1525-1531
Author(s):  
Mahnaz Yadollahi ◽  
Forough Pazhuheian
Keyword(s):  
Relative Risk ◽  
Alcohol Consumption ◽  
Injury Severity ◽  
Road Traffic ◽  
Blood Alcohol Concentration ◽  
Alcohol Concentration ◽  
Trauma Patients ◽  
Blood Alcohol ◽  
Cross Sectional ◽  
Risk Of Injury

Background: There is strong evidence that a substantial number of fatal as well as nonfatal injuries in road traffic accidents result from alcohol consumption and abuse. Aims: To examine the relationship between blood alcohol concentration and characteristics of injury in trauma patients admitted to a major teaching hospital. Methods: This was a cross-sectional investigation of trauma characteristics among 38 435 car and motorcycle drivers referred to the South of Iran Trauma Center between October and March 2018. A log-binomial regression model was used to evaluate the relative risk of each covariate on the Injury Severity Score. Results: There were 253 patients (7.78%) with alcohol consumption. Also, blood alcohol level was positive in 8.66% and 6.93% of car and motorcycle drivers, respectively. The ISS in alcohol consumers and nonconsumers was 6.34 (standard deviation; 8.73) and 4.12 (7.78), respectively, which was significantly higher in the alcohol consumers (t test = 12.96, P < 0.001). Therefore, alcohol consumption was a significant factor in increasing the relative risk of injury, which was 2.83 units more than among drivers who had not consumed alcohol. Conclusions: Our findings show that the police and law enforcement agencies have a responsibility to enforce stricter rules to reduce drink driving and the burden of trauma on the healthcare system.

A Cross Sectional Study of Incidence of Alcohol Consumption in Patients Admitted with Traumatic Injury in the Department of Surgery, Maharaja Yashwant Rao Hospital, Indore

2021 ◽  
Vol 8 (27) ◽  
pp. 2462-2466
Author(s):  
Paresh Sodhiya ◽  
Khushal Rao Hurmade ◽  
Sanjay Mahajan ◽  
Gajendra Dandotiya ◽  
Manisankar Das ◽  
...  
Keyword(s):  
Blood Alcohol Concentration ◽  
Traumatic Injury ◽  
Cross Sectional Study ◽  
Alcohol Concentration ◽  
P Value ◽  
Blood Alcohol ◽  
Sectional Study ◽  
Cross Sectional ◽  
Breath Analyzer ◽  
History Of

BACKGROUND The number of trauma cases is increasing day by day in our setup. Daily 10-15 patients of trauma came to MYH, we found that among these patients many patients have under the influence of alcohol. Alcohol consumption is the leading cause of trauma and reason for visitation to emergency department. We wanted to prospectively study the incidence of alcoholism in victims of trauma admitted in Dept of surgery, MYH Indore and correlate the severity of trauma in relation to blood alcohol concentration. METHODS This cross sectional study conducted at Maharaja Yashwant Rao Hospital from January 2019 to march 2020 and it includes all patients 16 years and above with traumatic injury admitted in Department of Surgery. Breath analyzer test will be done on all patients and levels will be documented. RESULTS In our study head injury (73.6 %) was the most common type of injury in which breath analyzer testing was found positive in 82 %,followed by burn (12.7 %) in which breath analyzer testing was found positive in 2.1 %, followed by poly trauma (4 %) in which breath analyzer testing was found positive in 4.3 %, followed by blunt trauma chest (2.4 %) in which breath testing was found positive in 2.7 %, followed by limbs (0.7 %) in which breath analyzer testing was found positive in 0.9 %. CONCLUSIONS In our study we have found that out of total 3105 patients history of alcoholism is present in 1420 patients while breath alcohol analyzing test positive in 2072 patients and there is significance relationship between trauma and history of alcoholism with the p value of <0.0001. We also found that significant relationship between trauma and breath alcohol analyzing testing with the p value of <0.0001. KEYWORDS Glasgow Coma Scale, Blood Alcohol Concentration, Road Traffic Accidents, Emergency Department, Breath Analyzer

Effects of positive blood alcohol concentration on outcome and systemic interleukin-6 in major trauma patients

Injury ◽  
2016 ◽  
Vol 47 (3) ◽  
pp. 640-645 ◽  
Author(s):  
B. Relja ◽  
J. Menke ◽  
N. Wagner ◽  
B. Auner ◽  
M. Voth ◽  
...  
Keyword(s):  
Interleukin 6 ◽  
Major Trauma ◽  
Blood Alcohol Concentration ◽  
Alcohol Concentration ◽  
Trauma Patients ◽  
Blood Alcohol

scholarly journals Emergency room visits due to external causes and alcohol consumption - Capitals and the Federal District, Brazil, 2011

2015 ◽  
Vol 20 (4) ◽  
pp. 1037-1046 ◽  
Author(s):  
Márcio Dênis Medeiros Mascarenhas ◽  
Alice Cristina Medeiros das Neves ◽  
Rosane Aparecida Monteiro ◽  
Marta Maria Alves da Silva ◽  
Deborah Carvalho Malta
Keyword(s):  
Alcohol Consumption ◽  
Emergency Room ◽  
Federal District ◽  
Cross Sectional Study ◽  
Alcoholic Beverages ◽  
Emergency Room Visits ◽  
Emergency Rooms ◽  
Cross Sectional ◽  
Study Objective ◽  
External Causes

The study objective was to describe the profile and factors related to alcohol consumption among emergency room visits by external causes. It is a cross-sectional study with data from the Survey of Violence and Injuries in Emergency between September and October 2011, in 24 state capitals and the Federal District. Statistical analysis were performed for all cases treated in selected services, comparing the characteristics of the victims, according to the statement of alcohol consumption. 33,289 visits to emergency rooms by external causes in the population above 18 years of age were included. The prevalence of self-reported statement of alcohol consumption among these services was 14.9% for the 24 capitals and the Federal District, and was significantly higher among visits by violent causes than by accidents. For both accidents and violence the associated causes were victims male, black/brown, less educated, members of specific populations, occurrences on public roads. The results support global discussions on the importance of establishing policies and legal measures to restrict the consumption of alcohol and vehicular direction, control advertising of alcoholic beverages, and laws normalizing the functioning of sales points of alcoholic beverages.

scholarly journals Use of rabies immune globulin in seven urban emergency rooms in Pakistan

2014 ◽  
Vol 8 (1) ◽  
pp. 61-65 ◽  
Author(s):  
Naseem Salahuddin ◽  
Khadija Mubashar ◽  
Naila Baig-Ansari
Keyword(s):  
Emergency Room ◽  
Immune Globulin ◽  
Health Care Providers ◽  
Cross Sectional Study ◽  
Human Rabies ◽  
Care Providers ◽  
Emergency Rooms ◽  
Cross Sectional ◽  
Life Saving ◽  
The Cost

Abstract Background: Human rabies is a fatal infectious disease that is entirely preventable if correct and timely postexposure prophylaxis is given. Unfortunately, rabies immune globulin (RIG) administration, a life-saving biological, is often avoided by Emergency Room health care providers (HCPs). Objective: To understand the practices of HCPs for administration of RIG in severe dog-bite exposures, which are common causes of emergency room visits in Pakistan. Methods: A cross-sectional study was conducted among 103 HCPs working in seven hospitals in three cities of Pakistan. Results: Of 103 HCPs who responded to the questionnaires, 97.1% had administered rabies vaccine and 31.1% had administered ERIG in the past three years of their practice; three quarters said they would prefer to use HRIG if available; 35% said they would not inject wounds at all, 24.3% would only vaccinate a patient with severe dog bites, but not administer RIG. More than 55% were concerned about the cost of human and equine RIG. Conclusion: Although there is awareness about use of RIG, this life saving biological is grossly underused because of poor availability in Emergency Rooms (ERs) even though stocked by local dealers. Animal bite centers must make RIG available for severe exposures.

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