Citation

Mannenbach MS, Hargarten SW, Phelan MB. Acad. Emerg. Med. 1997; 4(1): 40-44.

Affiliation

Medical College of Wisconsin, Children's Hospital of Wisconsin, Milwaukee. mannenbach.mark@mayo.edu

Copyright

(Copyright © 1997, Society for Academic Emergency Medicine, Publisher John Wiley and Sons)

DOI

unavailable

PMID

9110010

Abstract

OBJECTIVE: To examine the scope of alcohol use among a population of injured adolescents. METHODS: A convenience sample of injured patients aged 12-18 years seen at a pediatric ED was tested for the presence of alcohol. Injured patients seen within 6 hours of their injuries were asked to submit urine samples for testing using reagent strips. Data were collected from the patient, out-of-hospital emergency care personnel, and parents regarding the circumstances of the injury. RESULTS: Of the 243 injured patients who were tested during an 8-month period, 231 were included in the final analysis. Ninety patients (39%) were alcohol-positive. The mean age of the alcohol-positive group was 16.0 +/- 1.64 years, compared with 15.3 +/- 1.8 years for the alcohol-negative group (p < 0.003). There was no significant difference between the 2 groups based on race, gender, or injury characteristics. A positive urine alcohol test was found for 18 (33%) of motor vehicle crash victims, 9 (38%) of the motor vehicle drivers, 10 (37%) of the patients who attempted suicide, and 49 (44%) of the assault victims. CONCLUSIONS: A substantial percentage of injured adolescent patients were alcohol-positive. The authors recommend the use of alcohol screening when treating injured adolescents.