The Effect of Psychoactive Substances Used on Clinical Outcomes in Injured Drivers Referred to Emergency Medicine; Case-Control Study

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Abstract

Objective: The use of psychoactive substances increases the risk of accidents. This study evaluated the relationship between the type of psychoactive substances among traffic injured admitted to the medical center. Methods: Injured drivers (100 used drugs), (260 control group), who were transferred to 7-Tir Hospital from April 2021 to March 2022 were studied. The information related to the accident scene, personal characteristics, and the substance used was collected from the police and the medical center documents. We used multiple logistic regression to find the important factor in outcomes. Results: The mean age of the case group (37.49 ±13.61) compared to the control group (34.18 ±14.05) was significant (p=0.044). The most common substances in the case group were opioids which had the highest mean age (41.90 ± 13.541). Injured who used sedatives had higher signs of head trauma than the others. Also, being guilty had a remarkable difference in the groups (94.6 vs 62.4 p= <0.001). Motorcyclist drivers were 185(65%) as responsible for the accident, in addition, 69(69%) were in the case group. Head trauma, type of accident, and level of triage had a significant effect on the death of the injured. Conclusion: Using sedatives causes increased head trauma. Driving under the effect of psychoactive drugs is more common among motorcycle drivers, and a large percentage of them were guilty of accidents.
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使用精神药物对急诊科转诊的受伤司机临床结果的影响;病例对照研究
目的使用精神活性物质会增加事故风险。本研究评估了医疗中心收治的交通事故伤员中精神活性物质类型之间的关系。研究方法研究对象为 2021 年 4 月至 2022 年 3 月期间转入 7-Tir 医院的受伤司机(100 人使用过药物)(260 人为对照组)。我们从警方和医疗中心的文件中收集了与事故现场、个人特征和使用药物有关的信息。我们使用多元逻辑回归法来寻找影响结果的重要因素。结果病例组的平均年龄(37.49 ±13.61)与对照组(34.18 ±14.05)相比,差异显著(P=0.044)。病例组中最常见的药物是阿片类药物,其平均年龄最高(41.90 ± 13.541)。与其他人相比,使用镇静剂的伤者有更多的头部外伤迹象。此外,有罪与否在各组中也有显著差异(94.6 vs 62.4 p= <0.001)。185名摩托车驾驶员(65%)对事故负有责任,此外,69名摩托车驾驶员(69%)属于肇事组。头部创伤、事故类型和分流级别对伤者的死亡有显著影响。结论使用镇静剂会增加头部创伤。在精神药物作用下驾驶在摩托车驾驶员中更为常见,其中有很大比例的人是事故肇事者。
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