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자전거 탑승 중 발생한 손상 환자에서 음주의 영향

Effects of alcohol intake on the severity of injuries during riding a bicycle

대한응급의학회지 2020년 31권 4호 p.355 ~ 361
서민지, 조진성, 임용수, 양혁준, 우재혁, 최우성,
소속 상세정보
서민지 ( Seo Min-Jee ) - Gachon University Gil Medical Center Department of Emergency Medicine
조진성 ( Cho Jin-Seong ) - Gachon University Gil Medical Center Department of Emergency Medicine
임용수 ( Lim Yong-Su ) - Gachon University Gil Medical Center Department of Emergency Medicine
양혁준 ( Yang Hyuk-Jun ) - Gachon University Gil Medical Center Department of Emergency Medicine
우재혁 ( Woo Jae-Hyug ) - Gachon University Gil Medical Center Department of Emergency Medicine
최우성 ( Choi Woo-Sung ) - Gachon University Gil Medical Center Department of Emergency Medicine

Abstract


Objective: When bike riding under the influence of alcohol, incidence of injury increases, although reports of highly severe injuries is rare. Therefore, this study aimed to determine how drinking alcohol affects bicycle injuries.

Method: This study included patients who visited the emergency departments at 23 hospitals. Participants were enrolled in the emergency department-based injury in-depth surveillance program of the Korea Centers for Disease Control and Prevention, were over 15-years-old, and were injured while riding a bike either with or without alcohol intake. Patients with important data missing or insufficient data such as Excess Mortality Ratio-adjusted Injury Severity Score (EMR-ISS) were excluded from the analysis.

Results: A total of 28,094 patients were analyzed. The alcohol-intake group numbered 1,946 (6.9%) while the non-alcohol-intake group numbered 26,148 (93.1%). The incidence of severe injury (EMR-ISS≥25) in the alcohol-intake group was 451 (23.2%), whereas that in the non-alcohol-intake group was 2,881 (11.0%), which was statistically different between the two groups (P<0.001). According to multivariate logistic regression, the odds ratio of severe injuries in the alcohol-intake group was 2.04 (95% confidence interval, 1.80-2.30) compared to the non-alcohol-intake group after adjusting for age, alcohol use, type of road, sex, injury time, and transportation.

Conclusion: Alcohol is associated with an increase in the incidence of severe injuries. Therefore, as part of preventive measures, it will be necessary to tighten regulations on post-drinking bike riding and improve awareness through public relations.

키워드

Alcohols; Bicycling; Traffic accidents

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