Characteristics of 167 consecutive traffic accident victims with special reference to alcohol intoxication: a prospective emergency room study.

Détails

ID Serval
serval:BIB_1E397979F62C
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Characteristics of 167 consecutive traffic accident victims with special reference to alcohol intoxication: a prospective emergency room study.
Périodique
Sozial- und Präventivmedizin
Auteur(s)
Wyss D., Rivier L., Gujer H.R., Paccaud F., Magnenat P., Yersin B.
ISSN
0303-8408 (Print)
ISSN-L
0303-8408
Statut éditorial
Publié
Date de publication
1990
Volume
35
Numéro
3
Pages
108-116
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Résumé
This prospective study examined the characteristics of 167 consecutive traffic accident victims admitted to the emergency room of a major Swiss hospital with particular attention to the presence of a detectable blood alcohol concentration (BAC). The majority of the study population were male (71%), 16-29 years of age (56%) and occupants of an automobile or motorcycle (70%). Most patients were injured during the daytime, with nighttime accidents increasing towards the end of the week. Seventy-five percent of the injured were drivers of the crash vehicle and the majority (56%) were involved in multi-vehicle accidents. Fifty-three percent of all injuries consisted of internal lesions and/or fractures with motorcyclists and pedestrians being the most severely injured. There was a 21% incidence of alcohol intoxication (BAC greater than = 0.8 g/kg); 97% of intoxicated patients were male, of which 38% were 16-29 years of age. There was a distinct age-related alcohol intoxication pattern among males, with an intoxication rate of 20% in the 16-29 age range and 40% in the 30-75 age range. Alcohol-related accidents occurred predominantly in the nighttime and towards the end of the week, and victims of single-vehicle crashes were more likely to be intoxicated (28%) than those injured in multi-vehicle crashes (17%). Moped drivers exhibited the highest rate of intoxication (45%) followed by pedestrians (42%). Our study confirms the high prevalence of acute alcohol intoxication among traffic accident victims in Switzerland, a fact which needs to be considered by the treating medical care providers for the early detection and referral of alcohol-related problems, and which should be limited by effective preventive measures.
Mots-clé
Accidents, Traffic/statistics &amp, numerical data, Adolescent, Adult, Aged, Alcoholic Intoxication/blood, Emergency Service, Hospital/utilization, Ethanol/blood, Female, Humans, Male, Middle Aged, Type="Geographic">Switzerland/epidemiology, Time Factors, Wounds and Injuries/epidemiology
Pubmed
Web of science
Création de la notice
24/01/2008 17:31
Dernière modification de la notice
03/03/2018 14:35
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