A prospective investigation of the impact of alcohol consumption on helmet use, injury severity, medical resource utilization, and health care costs in bicycle-related trauma

Daniel W Spaite, E. A. Criss, D. J. Weist, Terence D Valenzuela, D. Judkins, Harvey W Meislin

Research output: Contribution to journalArticle

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Abstract

Study Objective: To examine if a relationship exists between bicycle- related injuries, consumption of alcohol, helmet use, and medical resource utilization. Design: A prospective cohort study with data from emergency department, operating room, and inpatient records. Setting: University-based trauma center in a medium-sized metropolitan area. Type of Participants: Adult victims (age ≥ 18 years) of bicycle-related injury presenting to the emergency department. A total of 350 patients made up the study population. Results: Group 1 consisted of 29 patients (8.3%) with detectable blood alcohol levels at the time of the incident. Group 2 (321 patients) had a measured blood alcohol level of 0 or no clinical indication of alcohol consumption. Group 1 mean Injury Severity Score was 10.3, with six (20.7%) sustaining at least one severe anatomic injury. Group 2 had an Injury Severity Score of 3.3 (p < 0.0001), with only 4.4% (p = 0.0013) sustaining severe anatomic injury. Mean length of hospitalization for group 1 was 3.5 days, including a mean of 1.4 intensive care unit days. Mean hospitalization (0.5 days, p < 0.0001) and intensive care unit (0.1 days, p < 0.0001) were significantly lower in group 2. Mean combined hospital and physician charges were more than six times greater for group 1 ($7,206) than group 2 patients ($1170, p < 0.0001). Conclusion: In patients presenting with bicycle-related injuries, prior consumption of alcohol is highly associated with greater injury severity, longer hospitalization, and higher health care costs. This information is useful in the development of injury prevention strategies to decrease incidence and severity of adult bicycle injuries.

Original languageEnglish (US)
Pages (from-to)287-290
Number of pages4
JournalJournal of Trauma
Volume38
Issue number2
StatePublished - 1995

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Head Protective Devices
Alcohol Drinking
Health Care Costs
Wounds and Injuries
Injury Severity Score
Intensive Care Units
Hospital Emergency Service
Hospitalization
Hospitalization Insurance
Hospital Charges
Trauma Centers
Operating Rooms
Inpatients
Cohort Studies
Prospective Studies
Physicians
Incidence

ASJC Scopus subject areas

  • Surgery

Cite this

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title = "A prospective investigation of the impact of alcohol consumption on helmet use, injury severity, medical resource utilization, and health care costs in bicycle-related trauma",
abstract = "Study Objective: To examine if a relationship exists between bicycle- related injuries, consumption of alcohol, helmet use, and medical resource utilization. Design: A prospective cohort study with data from emergency department, operating room, and inpatient records. Setting: University-based trauma center in a medium-sized metropolitan area. Type of Participants: Adult victims (age ≥ 18 years) of bicycle-related injury presenting to the emergency department. A total of 350 patients made up the study population. Results: Group 1 consisted of 29 patients (8.3{\%}) with detectable blood alcohol levels at the time of the incident. Group 2 (321 patients) had a measured blood alcohol level of 0 or no clinical indication of alcohol consumption. Group 1 mean Injury Severity Score was 10.3, with six (20.7{\%}) sustaining at least one severe anatomic injury. Group 2 had an Injury Severity Score of 3.3 (p < 0.0001), with only 4.4{\%} (p = 0.0013) sustaining severe anatomic injury. Mean length of hospitalization for group 1 was 3.5 days, including a mean of 1.4 intensive care unit days. Mean hospitalization (0.5 days, p < 0.0001) and intensive care unit (0.1 days, p < 0.0001) were significantly lower in group 2. Mean combined hospital and physician charges were more than six times greater for group 1 ($7,206) than group 2 patients ($1170, p < 0.0001). Conclusion: In patients presenting with bicycle-related injuries, prior consumption of alcohol is highly associated with greater injury severity, longer hospitalization, and higher health care costs. This information is useful in the development of injury prevention strategies to decrease incidence and severity of adult bicycle injuries.",
author = "Spaite, {Daniel W} and Criss, {E. A.} and Weist, {D. J.} and Valenzuela, {Terence D} and D. Judkins and Meislin, {Harvey W}",
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T1 - A prospective investigation of the impact of alcohol consumption on helmet use, injury severity, medical resource utilization, and health care costs in bicycle-related trauma

AU - Spaite, Daniel W

AU - Criss, E. A.

AU - Weist, D. J.

AU - Valenzuela, Terence D

AU - Judkins, D.

AU - Meislin, Harvey W

PY - 1995

Y1 - 1995

N2 - Study Objective: To examine if a relationship exists between bicycle- related injuries, consumption of alcohol, helmet use, and medical resource utilization. Design: A prospective cohort study with data from emergency department, operating room, and inpatient records. Setting: University-based trauma center in a medium-sized metropolitan area. Type of Participants: Adult victims (age ≥ 18 years) of bicycle-related injury presenting to the emergency department. A total of 350 patients made up the study population. Results: Group 1 consisted of 29 patients (8.3%) with detectable blood alcohol levels at the time of the incident. Group 2 (321 patients) had a measured blood alcohol level of 0 or no clinical indication of alcohol consumption. Group 1 mean Injury Severity Score was 10.3, with six (20.7%) sustaining at least one severe anatomic injury. Group 2 had an Injury Severity Score of 3.3 (p < 0.0001), with only 4.4% (p = 0.0013) sustaining severe anatomic injury. Mean length of hospitalization for group 1 was 3.5 days, including a mean of 1.4 intensive care unit days. Mean hospitalization (0.5 days, p < 0.0001) and intensive care unit (0.1 days, p < 0.0001) were significantly lower in group 2. Mean combined hospital and physician charges were more than six times greater for group 1 ($7,206) than group 2 patients ($1170, p < 0.0001). Conclusion: In patients presenting with bicycle-related injuries, prior consumption of alcohol is highly associated with greater injury severity, longer hospitalization, and higher health care costs. This information is useful in the development of injury prevention strategies to decrease incidence and severity of adult bicycle injuries.

AB - Study Objective: To examine if a relationship exists between bicycle- related injuries, consumption of alcohol, helmet use, and medical resource utilization. Design: A prospective cohort study with data from emergency department, operating room, and inpatient records. Setting: University-based trauma center in a medium-sized metropolitan area. Type of Participants: Adult victims (age ≥ 18 years) of bicycle-related injury presenting to the emergency department. A total of 350 patients made up the study population. Results: Group 1 consisted of 29 patients (8.3%) with detectable blood alcohol levels at the time of the incident. Group 2 (321 patients) had a measured blood alcohol level of 0 or no clinical indication of alcohol consumption. Group 1 mean Injury Severity Score was 10.3, with six (20.7%) sustaining at least one severe anatomic injury. Group 2 had an Injury Severity Score of 3.3 (p < 0.0001), with only 4.4% (p = 0.0013) sustaining severe anatomic injury. Mean length of hospitalization for group 1 was 3.5 days, including a mean of 1.4 intensive care unit days. Mean hospitalization (0.5 days, p < 0.0001) and intensive care unit (0.1 days, p < 0.0001) were significantly lower in group 2. Mean combined hospital and physician charges were more than six times greater for group 1 ($7,206) than group 2 patients ($1170, p < 0.0001). Conclusion: In patients presenting with bicycle-related injuries, prior consumption of alcohol is highly associated with greater injury severity, longer hospitalization, and higher health care costs. This information is useful in the development of injury prevention strategies to decrease incidence and severity of adult bicycle injuries.

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