Causes, types and severity of injury among army soldiers hospitalized with alcohol comorbidity.
OBJECTIVE
To examine the relationship between alcohol use and the cause, type and severity of hospitalized injuries.


METHODS
We used the Total Army Injury and Health Outcomes Database (TAIHOD) to conduct cross-sectional analyses of the association between alcohol comorbidity and the cause, type and severity of soldiers' non-combat injuries requiring hospitalization.


METHODS
Subjects were active-duty US army soldiers (n = 211 790) hospitalized with a primary diagnosis of injury between 1980 and 2002.


RESULTS
Alcohol comorbidity was positively associated with hospitalized injuries resulting from fights and falls and negatively associated with sports injuries; positively associated with hospitalized cases of head injury, open wounds and poisonings and negatively associated with musculoskeletal injury; and, overall, associated with shorter length of stay. Controlling for demographic factors did not moderate the association between alcohol and cause, type or severity of injury.


CONCLUSIONS
Alcohol comorbidity is specifically associated with injuries related to impairment and antisocial behavior.
Howland
Jonathan
J
US Army Research Institute of Environmental Medicine, Natick, MA 01760-5007, USA. jhowl@bu.edu
Bell
Nicole S
NS
Hollander
Ilyssa E
IE
D000293:Adolescent; D000328:Adult; D000428:Alcohol Drinking / Q000453:epidemiology*; D015897:Comorbidity; D003430:Cross-Sectional Studies; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data*; D006772:Hospitals, Military / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D008297:Male; D008889:Military Personnel / Q000523:psychology / Q000706:statistics & numerical data*; D019966:Substance-Related Disorders / Q000453:epidemiology*; D015599:Trauma Severity Indices; D014481:United States / Q000453:epidemiology; D014947:Wounds and Injuries / Q000453:epidemiology*
Alcohol Alcohol. 2005 Jul-Aug;40(4):269-73
15870091
Am J Prev Med. 2000 Apr;18(3 Suppl):164-73
10736553
Am J Prev Med. 2000 Apr;18(3 Suppl):174-87
10736554
Mil Med. 1999 Aug;164(8 Suppl):1-36
10847819
Pediatr Emerg Care. 2000 Oct;16(5):316-20
11063358
Am J Epidemiol. 2000 Apr 15;151(8):781-9
10965975
Work. 2002;18(2):141-50
12441578
J Spinal Cord Med. 2004;27(2):111-5
15162880
Addict Behav. 2004 Jul;29(5):959-63
15219342
J Stud Alcohol. 1987 May;48(3):212-9
3309468
Injury. 1990 Nov;21(6):353-7
2276795
J Stud Alcohol. 1991 Jul;52(4):302-10
1875701
Drug Alcohol Depend. 1994 Mar;35(1):61-7
8082557
J Trauma. 1995 Feb;38(2):287-90
7869454
J Trauma. 2005 Mar;58(3):561-70
15761352
Zentralbl Neurochir. 2005 May;66(2):59-62
15846532
Alcohol Alcohol. 2005 Jul-Aug;40(4):263-8
15851398