title: Prosecution and conviction of the injured intoxicated driver.
abstract: BACKGROUND
  Previous studies have reported low conviction rates for drunk drivers injured in motor vehicle crashes and transported to the hospital. The purpose of this study was to evaluate this rate during a recent period and to investigate the variables that predict alcohol-related convictions for injured drunk drivers admitted to our hospital.
  
  
  METHODS
  A retrospective review of medical records from January 1991 through May 1997 identified 71 patients who were legally intoxicated drivers injured in motor vehicle crashes. Court records, police reports, and driving records were also obtained.
  
  
  RESULTS
  Overall, 51% of the drunk drivers were convicted of alcohol-related offenses and 32% escaped without any conviction. Blood alcohol level and a police officer's estimation of whether the driver had been drinking were significant predictors of an alcohol-related conviction. Age, Injury Severity Score, a police officer's estimation of injury, and the number of people or cars involved in the crash were not significantly associated with legal outcome.
  
  
  CONCLUSIONS
  Although this study shows an important increase in alcohol-related conviction rates, responsibility for further progress will depend on the medical community, law enforcement agencies, and the judicial system working together.
authors.affiliation: Division of Trauma, William Beaumont Hospital, Royal Oak, Michigan 48073, USA.
authors.forename: K R
authors.initials: KR
authors.lastname: Krause
authors.forename: G A
authors.initials: GA
authors.lastname: Howells
authors.forename: H A
authors.initials: HA
authors.lastname: Bair
authors.forename: P J
authors.initials: PJ
authors.lastname: Bendick
authors.forename: J L
authors.initials: JL
authors.lastname: Glover
mesh_terms: D000063:Accidents, Traffic / Q000331:legislation & jurisprudence*; D000328:Adult; D000435:Alcoholic Intoxication; D005260:Female; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D008499:Medical Records; D008824:Michigan; D012042:Registries; D012189:Retrospective Studies; D014947:Wounds and Injuries / Q000209:etiology*