Study objective: The identification of risk factors for recurrent motor vehicle crashes is the basis for prevention, but very few studies have been published on predictors of recurrence. We aimed to determine the main variables predicting recurrence in subjects attending an emergency department for injuries after motor vehicle crash. Methods: In a 5-year follow-up, we studied 2,354 consecutive adult subjects, treated in the emergency department following a motor vehicle crash in 1998. The variables of the original event were tested for predicting recurrence in a Cox proportional hazard model. Results: During follow-up 390/2,325 (16.8%) survivors were treated for injury after a new crash. The overall event rate was 34 per 1,000 subject-years. Four variables (age ?32 years, male sex, night-time crash, and blood alcohol concentration >50 mg/dL) were identified as independent predictors of recurrent crash. After adjustment for sex, age, and night-time, alcohol was the leading predictor (Relative Risk 3.73; 95% Confidence Interval 3.00 – 4.64). In the presence of the four variables, the recurrence rate was as high as 145 (117 – 175) events per 1,000 subject-years, and alcohol per se accounted for over 75% of events. In the absence of the four variables, the rate was as low as 11 (7 – 17) events per 1,000 subject-years. Conclusion: Alcohol is the most powerful behavioral factor predicting recurrent events in subjects treated in an emergency department for injury after motor vehicle crash, together with young age, male gender, and night-time. There is a call to action for prevention of alcohol-on-the-road.

A positive blood alcohol concentration is the main predictor of recurrent road accidents / A Fabbri; G Marchesini Reggiani; M Dente; T Iervese; M Spada; A Vandelli. - In: ANNALS OF EMERGENCY MEDICINE. - ISSN 0196-0644. - STAMPA. - 46:(2005), pp. 161-167. [10.1016/j.annemergmed.2005.04.002]

A positive blood alcohol concentration is the main predictor of recurrent road accidents

MARCHESINI REGGIANI, GIULIO;
2005

Abstract

Study objective: The identification of risk factors for recurrent motor vehicle crashes is the basis for prevention, but very few studies have been published on predictors of recurrence. We aimed to determine the main variables predicting recurrence in subjects attending an emergency department for injuries after motor vehicle crash. Methods: In a 5-year follow-up, we studied 2,354 consecutive adult subjects, treated in the emergency department following a motor vehicle crash in 1998. The variables of the original event were tested for predicting recurrence in a Cox proportional hazard model. Results: During follow-up 390/2,325 (16.8%) survivors were treated for injury after a new crash. The overall event rate was 34 per 1,000 subject-years. Four variables (age ?32 years, male sex, night-time crash, and blood alcohol concentration >50 mg/dL) were identified as independent predictors of recurrent crash. After adjustment for sex, age, and night-time, alcohol was the leading predictor (Relative Risk 3.73; 95% Confidence Interval 3.00 – 4.64). In the presence of the four variables, the recurrence rate was as high as 145 (117 – 175) events per 1,000 subject-years, and alcohol per se accounted for over 75% of events. In the absence of the four variables, the rate was as low as 11 (7 – 17) events per 1,000 subject-years. Conclusion: Alcohol is the most powerful behavioral factor predicting recurrent events in subjects treated in an emergency department for injury after motor vehicle crash, together with young age, male gender, and night-time. There is a call to action for prevention of alcohol-on-the-road.
2005
A positive blood alcohol concentration is the main predictor of recurrent road accidents / A Fabbri; G Marchesini Reggiani; M Dente; T Iervese; M Spada; A Vandelli. - In: ANNALS OF EMERGENCY MEDICINE. - ISSN 0196-0644. - STAMPA. - 46:(2005), pp. 161-167. [10.1016/j.annemergmed.2005.04.002]
A Fabbri; G Marchesini Reggiani; M Dente; T Iervese; M Spada; A Vandelli
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11585/4645
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