Alcohol and brief intervention for trauma victims

Revista do Colégio Brasileiro de Cirurgiões

Karina Diniz Oliveira¹  Emilio Carlos Elias Baracat¹  Rafael Lanaro¹  Caroline Eugeni¹  Ellen Ricci¹  Mayara Schiavon Rabello¹  Juliana Perpetuo De Souza¹  Vitoria Carneiro Gimenes¹  Renata Cruz Soares De Azevedo¹  Gustavo Pereira Fraga¹ 

关键词: Alcoholism;    Wounds and Injuries;    Emergencies;    Alcohol-Related Disorders;    Alcoolismo;    Ferimentos e Lesões;    Emergências;    Transtornos Relacionados ao Uso de Álcool;   

DOI  :  10.1590/0100-69912015004002

来源: SciELO

【 摘 要 】

Objective:to describe the causes and severities of trauma in patients who met the criteria for alcohol abuse or dependence according to Mini International Neuropsychiatric Interview, and to display the pattern of alcohol consumption and subsequent changes one year after trauma.Methods:a transversal and longitudinal quantitative study carried out between November 2012 and September 2013 in the ED. Medical and nursing students collected blood samples, applied the J section of the Mini International Neuropsychiatric Interview (MINI) and submitted alcohol abusers and dependents to BI. One year after admission, patients were contacted and asked about their patterns of alcohol use and their reasons for any changes.Results:from a sample of 507 patients admitted to the ED for trauma, 348 responded to MINI, 90 (25.9%) being abusers and 36 (10.3%) dependent on alcohol. Among the abusers, the most frequent cause of injury was motorcycle accident (35.6%) and among the dependents it was predominantly interpersonal violence (22.2%). Positive blood samples for alcohol were identified in 31.7% of the abusers and 53.1% of the dependents. One year after trauma, 66 abusers and 31 dependents were contacted, and it was ascertained that 36.4% of the abusers and 19.4% of the dependents had decreased alcohol consumption. The main reported reason for the reduction was the experienced trauma.Conclusion:the motorcycle accident was the most common cause of injury. The detection of problematic alcohol use and implementation of BI are important strategies in the ED, however for alcohol abusers and dependents, BI was not the most reported reason for any changes in patterns of alcohol use.

【 授权许可】

CC BY   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License