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Episodic heavy drinking, problem drinking and injuries - Results of the WHO/NIAAA collaborative emergency room study in South Korea

机译：发作性的大量饮酒，问题酒和伤害-韩国WHO / NIAAA急诊室合作研究的结果

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Alcohol is the 5th leading risk factor to the global disease burden and disability and about half of the global alcohol burden was attributable to injuries. Despite a large body of evidence documenting the associations between alcohol and injuries, data from Asian countries including South Korea are sparse. The aim of this study was to investigate the associations between episodic heavy past-year drinking, problem drinking symptomatic of alcohol dependence and alcohol-related and intentional injuries. Data from 1989 injured patients recruited for the WHO/NIAAA Collaborative Study on Alcohol and Injury in South Korea were analyzed with respect to the prevalence rates and associations between injuries and frequency of past-year episodic heavy drinking and problem drinking. In estimating the odds ratios (ORs) and the associated 95% confidence intervals between alcohol intake and injuries multivariable logistic models were employed to adjust for sociodemographic characteristics and selected drinking variables. All analyses were conducted using the SAS 9.2 software. Findings of this study were consistent with prior studies that the risk of alcohol-related or intentional injury was positively associated with the frequency of episodic heavy drinking. The magnitudes of the associations were larger with frequent consumption of 5+ drinks (OR = 4.0 approximately) than with frequent consumption of 12+ drinks (OR = 3.1). Strong associations were also noted between RAPS4-assessed alcohol dependence and alcohol-related and intentional injuries. Further, the prevalence of intentional injury and its association with alcohol increased sharply once the acute alcohol intake exceeded 90 ml. Our results were consistent with prior studies that episodic heavy consumption, acute intoxication and problem drinking are pervasive among emergency room patients. Results of our study also lent support for administering a single-item screener querying consumption of 5+ drinks at a sitting in the past 12 months as a triage tool in Korea.
机译：酒精是造成全球疾病负担和残疾的第五大危险因素，全球约一半的酒精负担与伤害有关。尽管有大量证据证明了酒精与伤害之间的关系，但包括韩国在内的亚洲国家的数据却很少。这项研究的目的是调查过去一年间发作性饮酒，酗酒症状的酒精依赖以及与酒精有关的和故意伤害之间的关联。分析了1989年为世界卫生组织/ NIAAA在韩国进行的酒精和伤害协作研究而招募的受伤患者的数据，分析了过去流行的重度饮酒和问题饮酒的受伤率和发病率与频率之间的关联。在估计比值比（OR）和相关的饮酒与伤害之间的95％置信区间时，采用了多变量逻辑模型来调整社会人口统计学特征和所选的饮酒变量。所有分析均使用SAS 9.2软件进行。这项研究的发现与先前的研究一致，即与酒精有关或故意伤害的危险与发作性重度饮酒的频率呈正相关。频繁饮用5种以上饮品（或约为4.0）的关联程度要大于频繁饮用12种以上饮品（或= 3.1）。还注意到在RAPS4评估的酒精依赖与酒精相关和故意伤害之间存在强烈关联。此外，一旦急性酒精摄入量超过90 ml，人为伤害及其与酒精的关联的发生率就会急剧增加。我们的结果与先前的研究一致，即在急诊室患者中普遍大量食用，急性中毒和酗酒。我们的研究结果还为在韩国进行分类检查的过去12个月中一次就诊5次以上酒水消费的单项筛选器的管理提供了支持。

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