原创力文档risk of future trauma based on alcohol screening scores a two-year prospective cohort study among us veterans未来基于酒精筛查创伤的风险分数两年美国退伍军人的前瞻性群组研究.pdfVIP
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risk of future trauma based on alcohol screening scores a two-year prospective cohort study among us veterans未来基于酒精筛查创伤的风险分数两年美国退伍军人的前瞻性群组研究
Harris et al. Addiction Science Clinical Practice 2012, 7:6
/content/7/1/6
RESEARCH Open Access
Risk of future trauma based on alcohol screening
scores: A two-year prospective cohort study
among US veterans
1* 1 1 1 1 2,3
Alex H S Harris , Anna Lembke , Patricia Henderson , Shalini Gupta , Rudolf Moos and Katharine A Bradley
Abstract
Background: Severe alcohol misuse as measured by the Alcohol Use Disorders Identification Test–Consumption
(AUDIT-C) is associated with increased risk of future fractures and trauma-related hospitalizations. This study
examined the association between AUDIT-C scores and two-year risk of any type of trauma among US Veterans
Health Administration (VHA) patients and assessed whether risk varied by age or gender.
Methods: Outpatients (215, 924 male and 9168 female) who returned mailed AUDIT-C questionnaires were
followed for 24 months in the medical record for any International Statistical Classification of Diseases and Related
Health Problems (ICD-9) code related to trauma. The two-year prevalence of trauma was examined as a function of
AUDIT-C scores, with low-level drinking (AUDIT-C 1–4) as the reference group. Men and women were examined
separately, and age-stratified analyses were performed.
Results: Having an AUDIT-C score of 9–12 (indicating severe alcohol misuse) was associated with increased risk for
trauma. Mean (SD) ages for men and women were 68.2 (11.5) and 57.2 (15.8), respectively. Age-stratified analyses
showed that, for men ≤50 years, those with AUDIT-C scores ≥9 had an increased risk for trauma compared with those
with AUDIT-C scores in the 1–4 range (adjusted prevalence, 25.7% versus 20.8%, respectively; OR = 1.24
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