Abstract:
OBJECTIVES:First, to test whether current injury is more closely related to acute intake than to usual consumption patterns, and second, to test whether repeated injury is more closely related to general consumption patterns than to acute intake. METHODS:Screening of alcohol consumption of 7,872 patients enrolling between January 1, 2003 and June 30, 2004 in an emergency department (ED) in Lausanne, Switzerland. General consumption patterns were measured as usual volume (in drinks per week) and binge drinking (5+ drinks for men; 4+ drinks for women) at least once monthly. Acute intake was measured through number of drinks in the 24-hour period prior to attending the ED. Separate logistic regression models of current injury and repeated injury on alcohol consumption patterns were estimated. RESULTS:Acute intake and binge drinking dominated the association with current injury, while general consumption patterns were predictive of repeated alcohol-related injury. CONCLUSIONS:Acute intake is associated with current injury in a dose-response relationship and with binge drinking. Because acute intake can be found among moderate volume drinkers as well as among chronic heavy drinkers, for current injury usual volume adds little predictive value over the effects of acute intake. Repeated injuries occur more often among chronic heavy drinkers, and thus general consumption patterns are more closely associated with injury "recidivism" than with acute intake. A screening question assessing prior injury may be a useful tool in the ED for distinguishing between chronic heavy drinkers and usually moderate drinkers with heavy drinking episodes, and thus prove helpful when creating preventive efforts tailored to different types of drinker.
journal_name
Swiss Med Wklyjournal_title
Swiss medical weeklyauthors
Gmel G,Givel JC,Yersin B,Daeppen JBdoi
2007/45/smw-11697subject
Has Abstractpub_date
2007-11-17 00:00:00pages
642-8issue
45-46eissn
1424-7860issn
1424-3997pii
smw-11697journal_volume
137pub_type
杂志文章abstract:PRINCIPLES:Current evidence indicates that chronic kidney disease (CKD) can be detected by simple laboratory tests. This study aimed to evaluate the cost-effectiveness of microalbuminuria screening and subsequent treatment in different populations. METHODS:Cost-effectiveness of microalbuminuria screening in a cohort o...
journal_title:Swiss medical weekly
pub_type: 杂志文章
doi:10.4414/smw.2012.13508
更新日期:2012-02-03 00:00:00
abstract:OBJECTIVES:To determine 1) rates of needlestick and sharps injuries (NSSIs) not reported to occupational health services, 2) reasons for underreporting and 3) awareness of reporting procedures in a Swiss university hospital. MATERIALS AND METHODS:We surveyed 6,367 employees having close clinical contact with patients ...
journal_title:Swiss medical weekly
pub_type: 杂志文章
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pub_type: 杂志文章,评审
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journal_title:Swiss medical weekly
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journal_title:Swiss medical weekly
pub_type: 杂志文章,评审
doi:2005/11/smw-10926
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journal_title:Swiss medical weekly
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journal_title:Swiss medical weekly
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更新日期:2007-06-02 00:00:00
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journal_title:Swiss medical weekly
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doi:2006/17/smw-11274
更新日期:2006-04-29 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2016-03-05 00:00:00
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journal_title:Swiss medical weekly
pub_type: 杂志文章,随机对照试验
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更新日期:2008-07-12 00:00:00
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更新日期:2015-03-05 00:00:00