Alcohol intoxication/dependence, ethnicity and utilisation of health care resources in a level I trauma center.

Injury
Bahman RoudsariCraig Field

Abstract

To evaluate the potential influence of acute intoxication and dependence to alcohol on extrautilisation of health care resources by ethnic minority trauma patients in a level I trauma center. We analysed the data of 1493 patients enrolled in a study that evaluated the effectiveness of brief alcohol intervention among ethnic minority trauma patients. The database included detailed demographic, injury-related and drinking-related characteristics (including acute intoxication and alcohol dependency status). Patients were categorised into the following groups: non-intoxicate/nondependent(NI/ND), non-intoxicated/dependent (NI/D), intoxicated/non-dependent (I/ND) and intoxicated/dependent (I/D). We compared utilisation of several diagnostic and therapeutic procedures among these four categories. We placed special emphasis on ethnicity as a potential effect modifier. Relative to NI/ND trauma patients, I/ND patients (relative risk (RR): 1.8, 95% CI: 1.2–2.8) and I/D patients (RR: 2.4, 95% CI: 1.6–3.6) had significantly higher chance of being evaluated by abdominal ultrasound during the first 24 h of hospital arrival. Similar pattern was observed for head CT scan (with the corresponding RRs of 2.1 and 2.6, respectively). Chance of admis...Continue Reading

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Citations

Sep 20, 2012·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Shahram LotfipourFederico E Vaca
Sep 22, 2012·AJR. American Journal of Roentgenology·Bahman RoudsariJeffrey G Jarvik
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Apr 30, 2021·Journal of Emergencies, Trauma, and Shock·Wirachin HoonpongsimanontShahram Lotfipour

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