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Titolo:
Alcohol interventions in a trauma center as a means of reducing the risk of injury recurrence
Autore:
Gentilello, LM; Rivara, FP; Donovan, DM; Jurkovich, GJ; Daranciang, E; Dunn, CW; Villaveces, A; Copass, M; Ries, RR;
Indirizzi:
Univ Washington, Harborview Med Ctr, Sch Med, Dept Surg, Seattle, WA 98104USA Univ Washington Seattle WA USA 98104 Med, Dept Surg, Seattle, WA 98104USA Univ Washington, Sch Med, Dept Pediat, Seattle, WA 98195 USA Univ Washington Seattle WA USA 98195 , Dept Pediat, Seattle, WA 98195 USA Univ Washington, Sch Med, Dept Psychiat, Seattle, WA 98195 USA Univ Washington Seattle WA USA 98195 Dept Psychiat, Seattle, WA 98195 USA Univ Washington, Sch Med, Dept Med, Seattle, WA 98195 USA Univ WashingtonSeattle WA USA 98195 Med, Dept Med, Seattle, WA 98195 USA Univ Washington, Harborview Med Ctr, Harborview Injury Prevent & Res Ctr, Seattle, WA 98104 USA Univ Washington Seattle WA USA 98104 ent & Res Ctr, Seattle, WA 98104 USA Univ Washington, Inst Alcohol & Drug Abuse, Seattle, WA 98195 USA Univ Washington Seattle WA USA 98195 & Drug Abuse, Seattle, WA 98195 USA
Titolo Testata:
ANNALS OF SURGERY
fascicolo: 4, volume: 230, anno: 1999,
pagine: 473 - 480
SICI:
0003-4932(199910)230:4<473:AIIATC>2.0.ZU;2-C
Fonte:
ISI
Lingua:
ENG
Soggetto:
SCREENING-TEST; ABUSE; DRINKING; QUESTIONNAIRE; EPIDEMIOLOGY; EMERGENCY; READINESS; DEATHS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
39
Recensione:
Indirizzi per estratti:
Indirizzo: Gentilello, LM Univ Washington, Harborview Med Ctr, Sch Med, Dept Surg, Box 359796,325 9th Ave, Seattle, WA 98104 USA Univ Washington Box 359796,325 9th Ave Seattle WA USA 98104
Citazione:
L.M. Gentilello et al., "Alcohol interventions in a trauma center as a means of reducing the risk of injury recurrence", ANN SURG, 230(4), 1999, pp. 473-480

Abstract

Objective Alcoholism is the leading risk factor for injury, The authors hypothesized that providing brief alcohol interventions as a routine component of trauma care would significantly reduce alcohol consumption and would decrease the rate of trauma recidivism. Methods This study was a randomized, prospective controlled trial in a level 1 trauma center. Patients were screened using a blood alcohol concentration, gamma glutamyl transpeptidase level, and short Michigan Alcoholism Screening Test (SMAST). Those with positive results were randomized to a briefintervention or control group. Reinjury was detected by a computerized search of emergency department acid statewide hospital discharge records, and 6- and 12-month interviews were conducted to assess alcohol use. Results A total of 2524 patients were screened; 1153 screened positive (46%). Three hundred sixty-six were randomized to the intervention group, and 396 to controls. At 12 months, the intervention group decreased alcohol consumption by 21.8 +/- 3.7 drinks per week; in the control group, the decrease was 6.7 +/- 5.8 (p = 0.03). The reduction was most apparent in patients with mild to moderate alcohol problems (SMAST score 3 to 8); they had 21.8 +/- 4.2 fewer drinks per week, compared to an increase of 2.3 +/- 8.3 drinksper week in controls (p < 0.01). There was a 47% reduction in injuries requiring either emergency department or trauma center admission (hazard ratio0.53, 95% confidence interval 0.26 to 1.07, p = 0.07) and a 48% reduction in injuries requiring hospital admission (3 years follow-up). Conclusion Alcohol interventions are associated with a reduction in alcohol intake and areduced risk of trauma recidivism. Given the prevalence of alcohol problems in trauma centers, screening, intervention, and counseling for alcohol problems should be routine.

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Documento generato il 12/07/20 alle ore 06:29:57