Recreational Motorized Vehicle Use Under the Influence of Alcohol or Drugs Significantly Increases Odds of Craniofacial Injury.

IF 0.8 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Craniomaxillofacial Trauma & Reconstruction Pub Date : 2022-12-01 Epub Date: 2021-09-14 DOI:10.1177/19433875211046721
Thomas J Sorenson, Matthew D Rich, Abhinav Lamba, Annika Deitermann, Ruth J Barta, Warren Schubert
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Abstract

Study design: Cross-sectional study.

Objective: Concurrent substance-use, including alcohol and drugs, increases the risks of many recreational activities. Our purpose was to determine the relationship between substance use and craniofacial injuries in a large population of patients experiencing trauma due to recreational motorized vehicle use.

Methods: We report a cross-sectional study of patients reported to the National Electronic Injury Surveillance System (NEISS) from January 1, 2019 to December 31, 2019, in the United States. Patients were included in our study if they were evaluated in the emergency department (ED) for a recreational motorized vehicle-related injury. Primary outcome was craniofacial injury.

Results: There were a total of 6,485 adult patients who experience an injury after recreational motorized vehicle trauma reported by NEISS-participating EDs during the study period. Of this, 1,416 (21.8%) patients had a craniofacial injury, and 201 patients with craniofacial injuries were under the influence of alcohol/drugs (201/1,416; 14.2%). Injured patients under the influence of alcohol/drugs experienced greater odds of sustaining a general craniofacial injury (OR 2.50, 95% CI: 2.07-3.01, P < .0001), including craniofacial fracture (OR: 2.98, 95% CI: 2.01-4.40, P < .0001), laceration (OR: 2.19, 95% CI: 1.51-3.16, P < .00001) and internal injury (OR: 2.33, 95% CI: 1.84-2.95, P < .00001) than injured patients not under the influence.

Conclusions: Using recreational motorized vehicles under the influence of alcohol or drugs is not safe and increases the likelihood of craniofacial injuries, including fractures, lacerations, and internal injuries. As operating these recreational motorized vehicles under the influence is illegal, the law should be strictly enforced to prevent the occurrence of these injuries. Additional undertakings to increase helmet usage would be valuable.

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在酒精或药物影响下使用娱乐性机动车辆显著增加颅面损伤的几率。
研究设计:横断面研究。目的:同时使用物质,包括酒精和毒品,增加了许多娱乐活动的风险。我们的目的是确定在大量因娱乐性机动车辆使用而遭受创伤的患者中物质使用与颅面损伤之间的关系。方法:我们报告了2019年1月1日至2019年12月31日在美国向国家电子伤害监测系统(NEISS)报告的患者的横断面研究。在急诊科(ED)对娱乐性机动车相关损伤进行评估的患者被纳入我们的研究。主要结局为颅面损伤。结果:在研究期间,共有6485名成人患者在参与neiss的急诊科报告的娱乐性机动车创伤后发生损伤。其中1,416例(21.8%)患者有颅面损伤,201例颅面损伤患者受到酒精/药物的影响(201/1,416;14.2%)。与未受酒精/药物影响的受伤患者相比,受酒精/药物影响的受伤患者发生一般性颅面损伤的几率更大(OR 2.50, 95% CI: 2.07-3.01, P < 0.0001),包括颅面骨折(OR: 2.98, 95% CI: 2.01-4.40, P < 0.0001)、撕裂伤(OR: 2.19, 95% CI: 1.51-3.16, P < 0.00001)和内伤(OR: 2.33, 95% CI: 1.84-2.95, P < 0.001)。结论:在酒精或药物的影响下使用娱乐性机动车辆是不安全的,并且增加了颅面损伤的可能性,包括骨折、撕裂伤和内伤。由于在影响下操作这些娱乐机动车辆是非法的,法律应该严格执行,以防止这些伤害的发生。增加头盔使用的额外承诺将是有价值的。
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Craniomaxillofacial Trauma & Reconstruction
Craniomaxillofacial Trauma & Reconstruction DENTISTRY, ORAL SURGERY & MEDICINE-
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