Variations of alcohol impairment in different types, causes and contexts of injuries: results of emergency room studies from 16 countries.
OBJECTIVE
The purpose of this paper is to document alcohol impairment (based on a blood alcohol content (BAC) of at least 80 mg%) for different types, causes and location contexts of injuries.


METHODS
Data from 45 studies with 11,536 injury patients were merged to determine variations in the percent of alcohol impairment among injury patients. In each study, emergency room (ER) injury patients were given a short interview on the circumstances of their injury and BAC was measured.


RESULTS
Injury severity, measured by number of body regions injured was significantly associated with BACs over 80 mg%. The highest percentage of injury type to involve alcohol was head injury/concussion. In terms of causes of injuries, patients with alcohol impairment were significantly more likely to be involved in violence than any other cause (i.e., vehicle, falling, poisoning or burns). Finally, injuries occurring at a bar or restaurant were significantly more likely to involve alcohol impairment than any other setting.


CONCLUSIONS
The results demonstrate considerable variation in the circumstances where alcohol is involved in injuries. These results may be useful for the development of prevention initiatives.
Macdonald
Scott
S
Centre for Addictions Research of BC and School of Health Information Science, University of Victoria, BC STN CSC, Vic. BC, Canada, V8W 2Y2. scottmac@uvic.ca
Cherpitel
Cheryl J
CJ
DeSouza
Amanda
A
Stockwell
Tim
T
Borges
Guilherme
G
Giesbrecht
Norman
N
D000058:Accidental Falls / Q000706:statistics & numerical data; D000063:Accidents, Traffic / Q000706:statistics & numerical data; D000328:Adult; D000428:Alcohol Drinking; D000435:Alcoholic Intoxication / Q000453:epidemiology*; D002056:Burns / Q000453:epidemiology; D004636:Emergency Service, Hospital; D000431:Ethanol / Q000097:blood*; D006801:Humans; D011041:Poisoning / Q000453:epidemiology; D012307:Risk Factors; D014754:Violence / Q000706:statistics & numerical data; D014947:Wounds and Injuries / Q000453:epidemiology*
D000431:Ethanol