Alcohol interventions for trauma patients are not just for adults: justification for brief interventions for the injured adolescent at a pediatric trauma center

The Journal of Trauma
Peter F EhrlichMaureen A Walton

Abstract

Research on the rates of alcohol and drug misuse as well as developmentally appropriate screening and intervention approaches in a hospitalized pediatric trauma population are lacking. The purpose of this study was to identify the rate of alcohol misuse in an admitted trauma population of adolescents aged 11 years to 17 years and to identify key correlates of alcohol misuse in this population including age, gender, and injury severity. A prospective clinical study of 230 injured youth (aged 11-17 years) comprising both hospitalized and emergency department (ED) population was performed, and the patients were screened for the Alcohol Use Disorders Identification Test (AUDIT), blood alcohol levels (BALs), and drinking and driving index. The main outcome measures were rates of alcohol misuse characterized by a positive BAL or a positive AUDIT. Thirty percent hospitalized trauma patients screened positive for alcohol misuse. Five patients had a positive BAL without a positive AUDIT score. Binge drinking was the most commonly positive domain of the AUDIT tool. In hospitalized trauma patients who are older than 14 years (p = 0.005), it was significantly associated with a positive AUDIT score, but the injury severity score, gender, me...Continue Reading

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Citations

Aug 7, 2014·American Journal of Surgery·Norman G NicolsonMarie L Crandall
Jan 26, 2016·Journal of Trauma Management & Outcomes·Jessica McKeePaul Engels
Nov 3, 2010·Journal of Pediatric Surgery·Jeffrey S UppermanJonathan I Groner
Mar 15, 2013·The Journal of Emergency Medicine·Allison TadrosStephen M Davis
Dec 22, 2014·Addictive Behaviors·Erin E BonarMaureen A Walton
Nov 12, 2010·The Journal of Trauma·Jeffrey S UppermanJonathan I Groner
Nov 8, 2017·Pediatric Emergency Care·Julie R BrombergUNKNOWN Pediatric Emergency Care Applied Research Network
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Nov 7, 2020·Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses·Michael J MelloJanette Baird

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