The prevalence and effect of alcohol and drug abuse on cohort-matched critically injured patients

Edward E. Cornwell, Howard Belzberg, George Velmahos, Linda S. Chan, Demetrios Demetriades, B. Montgomery Stewart, Danila B. Oder, Deborah Kahaku, Dennis Chan, Juan A. Asensio, Thomas V. Berne

Research output: Contribution to journalArticle

84 Citations (Scopus)

Abstract

A prospective study was undertaken at a Level I trauma center to evaluate the prevalence of substance use among victims of major trauma, along with the impact on clinical outcome. Five hundred sixteen patients had urine toxicology and blood alcohol screens performed and correlated with pattern and severity of injury, hospital course, and outcome. Three hundred seventy- one patients (71%) screened positive for alcohol or drugs, or both. Fifty- two per cent had positive alcohol screens, and 42 per cent had positive drug screens (cocaine and opiates represented 91% of positive drug screens). Univariate analysis revealed patterns of alcohol/drug use varied among subgroups according to demographics (less use among patients older than 55 years, females and Asians; more drug use in blacks; more alcohol use in Hispanics), mechanism of injury (non-use in blunt trauma patients and use of both in penetrating trauma patients) and body region injured (non-use in head-injured patients). Septic complications and mortality were more correlative with severity of injury, but not with use or non-use of alcohol or drugs. We conclude that alcohol and drug use remains a major comorbid factor in major trauma, and that injury prevention efforts should include a strong focus on counseling regarding these lifestyle choices.

Original languageEnglish
Pages (from-to)461-465
Number of pages5
JournalAmerican Surgeon
Volume64
Issue number5
StatePublished - 1998
Externally publishedYes

Fingerprint

Alcoholism
Substance-Related Disorders
Alcohols
Wounds and Injuries
Pharmaceutical Preparations
Opiate Alkaloids
Body Regions
Trauma Centers
Cocaine
Hispanic Americans
Toxicology
Life Style
Counseling
Head
Demography
Urine
Prospective Studies
Mortality

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Cornwell, E. E., Belzberg, H., Velmahos, G., Chan, L. S., Demetriades, D., Stewart, B. M., ... Berne, T. V. (1998). The prevalence and effect of alcohol and drug abuse on cohort-matched critically injured patients. American Surgeon, 64(5), 461-465.

The prevalence and effect of alcohol and drug abuse on cohort-matched critically injured patients. / Cornwell, Edward E.; Belzberg, Howard; Velmahos, George; Chan, Linda S.; Demetriades, Demetrios; Stewart, B. Montgomery; Oder, Danila B.; Kahaku, Deborah; Chan, Dennis; Asensio, Juan A.; Berne, Thomas V.

In: American Surgeon, Vol. 64, No. 5, 1998, p. 461-465.

Research output: Contribution to journalArticle

Cornwell, EE, Belzberg, H, Velmahos, G, Chan, LS, Demetriades, D, Stewart, BM, Oder, DB, Kahaku, D, Chan, D, Asensio, JA & Berne, TV 1998, 'The prevalence and effect of alcohol and drug abuse on cohort-matched critically injured patients', American Surgeon, vol. 64, no. 5, pp. 461-465.
Cornwell EE, Belzberg H, Velmahos G, Chan LS, Demetriades D, Stewart BM et al. The prevalence and effect of alcohol and drug abuse on cohort-matched critically injured patients. American Surgeon. 1998;64(5):461-465.
Cornwell, Edward E. ; Belzberg, Howard ; Velmahos, George ; Chan, Linda S. ; Demetriades, Demetrios ; Stewart, B. Montgomery ; Oder, Danila B. ; Kahaku, Deborah ; Chan, Dennis ; Asensio, Juan A. ; Berne, Thomas V. / The prevalence and effect of alcohol and drug abuse on cohort-matched critically injured patients. In: American Surgeon. 1998 ; Vol. 64, No. 5. pp. 461-465.
@article{f6e2a71f1d5749b99909867b4e5d64fb,
title = "The prevalence and effect of alcohol and drug abuse on cohort-matched critically injured patients",
abstract = "A prospective study was undertaken at a Level I trauma center to evaluate the prevalence of substance use among victims of major trauma, along with the impact on clinical outcome. Five hundred sixteen patients had urine toxicology and blood alcohol screens performed and correlated with pattern and severity of injury, hospital course, and outcome. Three hundred seventy- one patients (71{\%}) screened positive for alcohol or drugs, or both. Fifty- two per cent had positive alcohol screens, and 42 per cent had positive drug screens (cocaine and opiates represented 91{\%} of positive drug screens). Univariate analysis revealed patterns of alcohol/drug use varied among subgroups according to demographics (less use among patients older than 55 years, females and Asians; more drug use in blacks; more alcohol use in Hispanics), mechanism of injury (non-use in blunt trauma patients and use of both in penetrating trauma patients) and body region injured (non-use in head-injured patients). Septic complications and mortality were more correlative with severity of injury, but not with use or non-use of alcohol or drugs. We conclude that alcohol and drug use remains a major comorbid factor in major trauma, and that injury prevention efforts should include a strong focus on counseling regarding these lifestyle choices.",
author = "Cornwell, {Edward E.} and Howard Belzberg and George Velmahos and Chan, {Linda S.} and Demetrios Demetriades and Stewart, {B. Montgomery} and Oder, {Danila B.} and Deborah Kahaku and Dennis Chan and Asensio, {Juan A.} and Berne, {Thomas V.}",
year = "1998",
language = "English",
volume = "64",
pages = "461--465",
journal = "American Surgeon",
issn = "0003-1348",
publisher = "Southeastern Surgical Congress",
number = "5",

}

TY - JOUR

T1 - The prevalence and effect of alcohol and drug abuse on cohort-matched critically injured patients

AU - Cornwell, Edward E.

AU - Belzberg, Howard

AU - Velmahos, George

AU - Chan, Linda S.

AU - Demetriades, Demetrios

AU - Stewart, B. Montgomery

AU - Oder, Danila B.

AU - Kahaku, Deborah

AU - Chan, Dennis

AU - Asensio, Juan A.

AU - Berne, Thomas V.

PY - 1998

Y1 - 1998

N2 - A prospective study was undertaken at a Level I trauma center to evaluate the prevalence of substance use among victims of major trauma, along with the impact on clinical outcome. Five hundred sixteen patients had urine toxicology and blood alcohol screens performed and correlated with pattern and severity of injury, hospital course, and outcome. Three hundred seventy- one patients (71%) screened positive for alcohol or drugs, or both. Fifty- two per cent had positive alcohol screens, and 42 per cent had positive drug screens (cocaine and opiates represented 91% of positive drug screens). Univariate analysis revealed patterns of alcohol/drug use varied among subgroups according to demographics (less use among patients older than 55 years, females and Asians; more drug use in blacks; more alcohol use in Hispanics), mechanism of injury (non-use in blunt trauma patients and use of both in penetrating trauma patients) and body region injured (non-use in head-injured patients). Septic complications and mortality were more correlative with severity of injury, but not with use or non-use of alcohol or drugs. We conclude that alcohol and drug use remains a major comorbid factor in major trauma, and that injury prevention efforts should include a strong focus on counseling regarding these lifestyle choices.

AB - A prospective study was undertaken at a Level I trauma center to evaluate the prevalence of substance use among victims of major trauma, along with the impact on clinical outcome. Five hundred sixteen patients had urine toxicology and blood alcohol screens performed and correlated with pattern and severity of injury, hospital course, and outcome. Three hundred seventy- one patients (71%) screened positive for alcohol or drugs, or both. Fifty- two per cent had positive alcohol screens, and 42 per cent had positive drug screens (cocaine and opiates represented 91% of positive drug screens). Univariate analysis revealed patterns of alcohol/drug use varied among subgroups according to demographics (less use among patients older than 55 years, females and Asians; more drug use in blacks; more alcohol use in Hispanics), mechanism of injury (non-use in blunt trauma patients and use of both in penetrating trauma patients) and body region injured (non-use in head-injured patients). Septic complications and mortality were more correlative with severity of injury, but not with use or non-use of alcohol or drugs. We conclude that alcohol and drug use remains a major comorbid factor in major trauma, and that injury prevention efforts should include a strong focus on counseling regarding these lifestyle choices.

UR - http://www.scopus.com/inward/record.url?scp=0031979893&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031979893&partnerID=8YFLogxK

M3 - Article

C2 - 9585786

AN - SCOPUS:0031979893

VL - 64

SP - 461

EP - 465

JO - American Surgeon

JF - American Surgeon

SN - 0003-1348

IS - 5

ER -