Alcohol intoxication in road traffic accidents leads to higher impact speed difference, higher ISS and MAIS, and higher preclinical mortality
Abstract Alcohol is one of the most important personal risk factors for serious and fatal injuries, contributing to approximately one third of all deaths from accidents. It is also described that alcohol intoxication leads to a higher mortality in the clinical course. In this study, we hypothesized...
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Veröffentlicht in: | Alcohol (Fayetteville, N.Y.) N.Y.), 2012-11, Vol.46 (7), p.681-686 |
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description | Abstract Alcohol is one of the most important personal risk factors for serious and fatal injuries, contributing to approximately one third of all deaths from accidents. It is also described that alcohol intoxication leads to a higher mortality in the clinical course. In this study, we hypothesized that alcohol intoxication leads to different accident kinematics, a higher ISS (Injury Severity Score), and higher preclinical mortality compared to sober patients. A technical and medical investigation of alcohol intoxated road users was performed on the scene of the crash and at the primary admitting hospital. Alcohol testing was performed with either breath alcohol tests or measurement of blood alcohol concentration (BAC) in a standard laboratory test. Between 1999 and 2010, 37,635 road traffic accidents were evaluated by the Accident Research Unit. Overall 20,741 patients were injured, 2.3% of the patients were killed. Among the injured patients, 2.2% with negative BAC were killed, compared to 4.6% fatal injuries in patients with a positive BAC ( p |
doi_str_mv | 10.1016/j.alcohol.2012.07.002 |
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It is also described that alcohol intoxication leads to a higher mortality in the clinical course. In this study, we hypothesized that alcohol intoxication leads to different accident kinematics, a higher ISS (Injury Severity Score), and higher preclinical mortality compared to sober patients. A technical and medical investigation of alcohol intoxated road users was performed on the scene of the crash and at the primary admitting hospital. Alcohol testing was performed with either breath alcohol tests or measurement of blood alcohol concentration (BAC) in a standard laboratory test. Between 1999 and 2010, 37,635 road traffic accidents were evaluated by the Accident Research Unit. Overall 20,741 patients were injured, 2.3% of the patients were killed. Among the injured patients, 2.2% with negative BAC were killed, compared to 4.6% fatal injuries in patients with a positive BAC ( p < 0.0001). Of the patients with a positive BAC, 8.0% were severely injured, compared to 3.6% in the BAC negative group ( p < 0.0001). Regarding the relative speed at impact (Δ v for motorized drivers, vehicle collision speed for pedestrians and bikers), there was a significant higher difference for BAC positive patients (30 ± 20) compared to the BAC negative patients (25 ± 19, p < 0.0001). Alcohol intoxication in trauma patients leads to higher preclinical mortality, higher impact speed difference, and higher injury severity. The subgroup analysis for different alcohol concentrations shows no difference in ISS, MAIS, and relative speed, but a correlation of increasing age of patients with higher alcohol concentrations.</description><identifier>ISSN: 0741-8329</identifier><identifier>EISSN: 1873-6823</identifier><identifier>DOI: 10.1016/j.alcohol.2012.07.002</identifier><identifier>PMID: 22819121</identifier><identifier>CODEN: ALCOEX</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Accidents, Traffic - mortality ; Accidents, Traffic - statistics & numerical data ; Adult ; Age Factors ; Alcohol ; Alcoholic Intoxication - blood ; Alcoholic Intoxication - mortality ; Alcoholic Intoxication - psychology ; Automobile Driving - psychology ; Automobile Driving - statistics & numerical data ; Bicycling ; Biomarkers - blood ; Breath Tests ; Cause of Death ; Chi-Square Distribution ; Disease ; Disease prevention ; Documentation ; Drug dosages ; Ethanol - blood ; Female ; Germany ; Humans ; Injury severity ; Injury Severity Score ; Male ; Middle Aged ; Mortality ; Motorcycles ; Psychiatry ; Retrospective Studies ; Risk Assessment ; Risk Factors ; Risk-Taking ; Road users ; Studies ; Time Factors ; Traffic accidents & safety ; Trauma ; Truck drivers ; Vehicles ; Walking ; Wounds and Injuries - blood ; Wounds and Injuries - mortality ; Wounds and Injuries - psychology ; Young Adult</subject><ispartof>Alcohol (Fayetteville, N.Y.), 2012-11, Vol.46 (7), p.681-686</ispartof><rights>Elsevier Inc.</rights><rights>2012 Elsevier Inc.</rights><rights>Copyright © 2012 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c481t-e1612baf44ee3dbf8a42f628699659d028a348cf05b130284f4f2ceb9c13e5583</citedby><cites>FETCH-LOGICAL-c481t-e1612baf44ee3dbf8a42f628699659d028a348cf05b130284f4f2ceb9c13e5583</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0741832912001267$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22819121$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Stübig, Timo</creatorcontrib><creatorcontrib>Petri, Maximilian</creatorcontrib><creatorcontrib>Zeckey, Christian</creatorcontrib><creatorcontrib>Brand, Stephan</creatorcontrib><creatorcontrib>Müller, Christian</creatorcontrib><creatorcontrib>Otte, Dietmar</creatorcontrib><creatorcontrib>Krettek, Christian</creatorcontrib><creatorcontrib>Haasper, Carl</creatorcontrib><title>Alcohol intoxication in road traffic accidents leads to higher impact speed difference, higher ISS and MAIS, and higher preclinical mortality</title><title>Alcohol (Fayetteville, N.Y.)</title><addtitle>Alcohol</addtitle><description>Abstract Alcohol is one of the most important personal risk factors for serious and fatal injuries, contributing to approximately one third of all deaths from accidents. It is also described that alcohol intoxication leads to a higher mortality in the clinical course. In this study, we hypothesized that alcohol intoxication leads to different accident kinematics, a higher ISS (Injury Severity Score), and higher preclinical mortality compared to sober patients. A technical and medical investigation of alcohol intoxated road users was performed on the scene of the crash and at the primary admitting hospital. Alcohol testing was performed with either breath alcohol tests or measurement of blood alcohol concentration (BAC) in a standard laboratory test. Between 1999 and 2010, 37,635 road traffic accidents were evaluated by the Accident Research Unit. Overall 20,741 patients were injured, 2.3% of the patients were killed. Among the injured patients, 2.2% with negative BAC were killed, compared to 4.6% fatal injuries in patients with a positive BAC ( p < 0.0001). Of the patients with a positive BAC, 8.0% were severely injured, compared to 3.6% in the BAC negative group ( p < 0.0001). Regarding the relative speed at impact (Δ v for motorized drivers, vehicle collision speed for pedestrians and bikers), there was a significant higher difference for BAC positive patients (30 ± 20) compared to the BAC negative patients (25 ± 19, p < 0.0001). Alcohol intoxication in trauma patients leads to higher preclinical mortality, higher impact speed difference, and higher injury severity. The subgroup analysis for different alcohol concentrations shows no difference in ISS, MAIS, and relative speed, but a correlation of increasing age of patients with higher alcohol concentrations.</description><subject>Accidents, Traffic - mortality</subject><subject>Accidents, Traffic - statistics & numerical data</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Alcohol</subject><subject>Alcoholic Intoxication - blood</subject><subject>Alcoholic Intoxication - mortality</subject><subject>Alcoholic Intoxication - psychology</subject><subject>Automobile Driving - psychology</subject><subject>Automobile Driving - statistics & numerical data</subject><subject>Bicycling</subject><subject>Biomarkers - blood</subject><subject>Breath Tests</subject><subject>Cause of Death</subject><subject>Chi-Square Distribution</subject><subject>Disease</subject><subject>Disease prevention</subject><subject>Documentation</subject><subject>Drug dosages</subject><subject>Ethanol - blood</subject><subject>Female</subject><subject>Germany</subject><subject>Humans</subject><subject>Injury severity</subject><subject>Injury Severity Score</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Motorcycles</subject><subject>Psychiatry</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Risk-Taking</subject><subject>Road users</subject><subject>Studies</subject><subject>Time Factors</subject><subject>Traffic accidents & safety</subject><subject>Trauma</subject><subject>Truck drivers</subject><subject>Vehicles</subject><subject>Walking</subject><subject>Wounds and Injuries - blood</subject><subject>Wounds and Injuries - mortality</subject><subject>Wounds and Injuries - psychology</subject><subject>Young Adult</subject><issn>0741-8329</issn><issn>1873-6823</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFks-O0zAQxiMEYsvCI4AsceGwKf6XxLmAqtUClRZxKJwtxx5TlyQOtovoQ-w749AWpL3syR7Nb77RzDdF8ZLgJcGkfrtbql77re-XFBO6xM0SY_qoWBDRsLIWlD0uFrjhpBSMthfFsxh3GOOmadqnxQWlgrSEkkVxtzqqIDcm_9tplZwfc4CCVwaloKx1GimtnYExRdSDMhElj7bu-xYCcsOkdEJxAjDIOGshwKjh6pxfbzZIjQZ9Xq03V39_p8QUQPduzB17NPiQVO_S4XnxxKo-wovTe1l8-3Dz9fpTefvl4_p6dVtqLkgqgdSEdspyDsBMZ4Xi1NZU1G1bV63BVCjGhba46gjLEbfcUg1dqwmDqhLssnhz1J2C_7mHmOTgooa-VyP4fZSkopxjVjH-MJqX3NSCkyajr--hO78PYx4kUwK3VLR0pqojpYOPMYCVU3CDCocMydlauZMna-VsrcSNzNbmulcn9X03gPlXdfYyA--PAOTN_XIQZNRuNsO4vOskjXcPtnh3T-Fs0Q84QPw_jYy5Rm7m-5rPi1CcVeqG_QF8Qsvy</recordid><startdate>20121101</startdate><enddate>20121101</enddate><creator>Stübig, Timo</creator><creator>Petri, Maximilian</creator><creator>Zeckey, Christian</creator><creator>Brand, Stephan</creator><creator>Müller, Christian</creator><creator>Otte, Dietmar</creator><creator>Krettek, Christian</creator><creator>Haasper, Carl</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QG</scope><scope>7RV</scope><scope>7T5</scope><scope>7TK</scope><scope>7TM</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AM</scope><scope>8AO</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGRYB</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K7.</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0O</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQGLB</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PRQQA</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>7T2</scope><scope>7U1</scope><scope>7U2</scope><scope>7U7</scope><scope>C1K</scope></search><sort><creationdate>20121101</creationdate><title>Alcohol intoxication in road traffic accidents leads to higher impact speed difference, higher ISS and MAIS, and higher preclinical mortality</title><author>Stübig, Timo ; Petri, Maximilian ; Zeckey, Christian ; Brand, Stephan ; Müller, Christian ; Otte, Dietmar ; Krettek, Christian ; Haasper, Carl</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c481t-e1612baf44ee3dbf8a42f628699659d028a348cf05b130284f4f2ceb9c13e5583</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Accidents, Traffic - mortality</topic><topic>Accidents, Traffic - statistics & numerical data</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Alcohol</topic><topic>Alcoholic Intoxication - blood</topic><topic>Alcoholic Intoxication - mortality</topic><topic>Alcoholic Intoxication - psychology</topic><topic>Automobile Driving - psychology</topic><topic>Automobile Driving - statistics & numerical data</topic><topic>Bicycling</topic><topic>Biomarkers - blood</topic><topic>Breath Tests</topic><topic>Cause of Death</topic><topic>Chi-Square Distribution</topic><topic>Disease</topic><topic>Disease prevention</topic><topic>Documentation</topic><topic>Drug dosages</topic><topic>Ethanol - blood</topic><topic>Female</topic><topic>Germany</topic><topic>Humans</topic><topic>Injury severity</topic><topic>Injury Severity Score</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Motorcycles</topic><topic>Psychiatry</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Risk-Taking</topic><topic>Road users</topic><topic>Studies</topic><topic>Time Factors</topic><topic>Traffic accidents & safety</topic><topic>Trauma</topic><topic>Truck drivers</topic><topic>Vehicles</topic><topic>Walking</topic><topic>Wounds and Injuries - 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Academic</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>Alcohol (Fayetteville, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stübig, Timo</au><au>Petri, Maximilian</au><au>Zeckey, Christian</au><au>Brand, Stephan</au><au>Müller, Christian</au><au>Otte, Dietmar</au><au>Krettek, Christian</au><au>Haasper, Carl</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Alcohol intoxication in road traffic accidents leads to higher impact speed difference, higher ISS and MAIS, and higher preclinical mortality</atitle><jtitle>Alcohol (Fayetteville, N.Y.)</jtitle><addtitle>Alcohol</addtitle><date>2012-11-01</date><risdate>2012</risdate><volume>46</volume><issue>7</issue><spage>681</spage><epage>686</epage><pages>681-686</pages><issn>0741-8329</issn><eissn>1873-6823</eissn><coden>ALCOEX</coden><abstract>Abstract Alcohol is one of the most important personal risk factors for serious and fatal injuries, contributing to approximately one third of all deaths from accidents. It is also described that alcohol intoxication leads to a higher mortality in the clinical course. In this study, we hypothesized that alcohol intoxication leads to different accident kinematics, a higher ISS (Injury Severity Score), and higher preclinical mortality compared to sober patients. A technical and medical investigation of alcohol intoxated road users was performed on the scene of the crash and at the primary admitting hospital. Alcohol testing was performed with either breath alcohol tests or measurement of blood alcohol concentration (BAC) in a standard laboratory test. Between 1999 and 2010, 37,635 road traffic accidents were evaluated by the Accident Research Unit. Overall 20,741 patients were injured, 2.3% of the patients were killed. Among the injured patients, 2.2% with negative BAC were killed, compared to 4.6% fatal injuries in patients with a positive BAC ( p < 0.0001). Of the patients with a positive BAC, 8.0% were severely injured, compared to 3.6% in the BAC negative group ( p < 0.0001). Regarding the relative speed at impact (Δ v for motorized drivers, vehicle collision speed for pedestrians and bikers), there was a significant higher difference for BAC positive patients (30 ± 20) compared to the BAC negative patients (25 ± 19, p < 0.0001). Alcohol intoxication in trauma patients leads to higher preclinical mortality, higher impact speed difference, and higher injury severity. The subgroup analysis for different alcohol concentrations shows no difference in ISS, MAIS, and relative speed, but a correlation of increasing age of patients with higher alcohol concentrations.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>22819121</pmid><doi>10.1016/j.alcohol.2012.07.002</doi><tpages>6</tpages></addata></record> |
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subjects | Accidents, Traffic - mortality Accidents, Traffic - statistics & numerical data Adult Age Factors Alcohol Alcoholic Intoxication - blood Alcoholic Intoxication - mortality Alcoholic Intoxication - psychology Automobile Driving - psychology Automobile Driving - statistics & numerical data Bicycling Biomarkers - blood Breath Tests Cause of Death Chi-Square Distribution Disease Disease prevention Documentation Drug dosages Ethanol - blood Female Germany Humans Injury severity Injury Severity Score Male Middle Aged Mortality Motorcycles Psychiatry Retrospective Studies Risk Assessment Risk Factors Risk-Taking Road users Studies Time Factors Traffic accidents & safety Trauma Truck drivers Vehicles Walking Wounds and Injuries - blood Wounds and Injuries - mortality Wounds and Injuries - psychology Young Adult |
title | Alcohol intoxication in road traffic accidents leads to higher impact speed difference, higher ISS and MAIS, and higher preclinical mortality |
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