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dc.contributor.authorPapadopoulos, I. N.en
dc.contributor.authorBonovas, Stefanosen
dc.contributor.authorKanakaris, Nikolaos K.en
dc.contributor.authorKonstantiadou, Ioannaen
dc.contributor.authorNikolopoulos, Georgios K.en
dc.contributor.authorKonstantoudakis, Georgiosen
dc.contributor.authorLeukidis, Christosen
dc.creatorPapadopoulos, I. N.en
dc.creatorBonovas, Stefanosen
dc.creatorKanakaris, Nikolaos K.en
dc.creatorKonstantiadou, Ioannaen
dc.creatorNikolopoulos, Georgios K.en
dc.creatorKonstantoudakis, Georgiosen
dc.creatorLeukidis, Christosen
dc.date.accessioned2018-06-22T09:54:03Z
dc.date.available2018-06-22T09:54:03Z
dc.date.issued2010
dc.identifier.urihttps://gnosis.library.ucy.ac.cy/handle/7/42173
dc.description.abstractAims: The frequency and the effect of alcohol and illicit drugs on injury type, severity and location of death in motor vehicle collision (MVC) fatalities were investigated. Design: Retrospective case-control study based on autopsy and toxicology. Settings: Single faculty accepting referrals from Greater Athens and prefectures. Participants: Consecutive pre-hospital and in hospital fatalities. Measurements Demographics, toxicology, abbreviated injury scale (AIS), injury severity score (ISS), and location of death. Findings: Of the 1860 screened subjects, 612 (32.9%) constituted the positive toxicology group (PTG) for alcohol or illicit drugs or both and the 1248 (67.1%) the negative toxicology group (NTG). The median age was 34 (4-90) years for the PTG and 45 (3-97) years for the NTG. The PTG included significantly higher proportions of males and motorcyclists. The PTG had a 50% increased risk for a severe (AIS≥3) cervical spine and 85% for a severe upper extremity injury, compared to the NTG. A total of 29.2% of the PTG and 22.4% of the NTG deaths were non-preventable (ISS = 75). The frequency of severe trauma (ISS≥16) was comparable between PTG and NTG (P = 0.87). The PTG presented with a median ISS of 43 (6-75) versus 41 (2-75) of the NTG, hence without significant difference (P = 0.11). The pre-hospital death rate was 77.8% for the PTG versus 58% of the NTG (P < 0.001). The analysis confirmed that the odds of positive toxicology were considerably higher in the subjects who arrived dead at the hospital (OR 2.62, P < 0.001). Conclusions: In the greater Athens region, almost a third of motor vehicle collision-related fatalities involved alcohol, illicit drugs or both. Individuals screened positive for alcohol or drugs were 2.6 times more likely to die before hospital admission than those with a negative toxicology screen, despite comparable injury severity. Specific evidence-based management protocols and reassessment of surveillance are required. © 2010 The Authors, Addiction © 2010 Society for the Study of Addiction.en
dc.language.isoengen
dc.sourceAddictionen
dc.subjectGreeceen
dc.subjectPreschoolen
dc.subjectChilden
dc.subjectArticleen
dc.subjectYoung adulten
dc.subjectHumanen
dc.subject80 and overen
dc.subjectAgeden
dc.subjectHumansen
dc.subjectAdulten
dc.subjectAgeden
dc.subjectFemaleen
dc.subjectRetrospective studiesen
dc.subjectRetrospective studyen
dc.subjectAdolescenten
dc.subjectCase-control studiesen
dc.subjectMaleen
dc.subjectMortalityen
dc.subjectCase control studyen
dc.subjectChilden
dc.subjectBlooden
dc.subjectMiddle ageden
dc.subjectInjuryen
dc.subjectClassificationen
dc.subjectPreschool childen
dc.subjectSubstance abuseen
dc.subjectStatisticsen
dc.subjectSubstance-related disordersen
dc.subjectAccidentsen
dc.subjectAddictionen
dc.subjectAlcoholen
dc.subjectAlcohol drinkingen
dc.subjectAlcohol intoxicationen
dc.subjectAlcoholic intoxicationen
dc.subjectAuditen
dc.subjectAutomobile drivingen
dc.subjectAutopsyen
dc.subjectCar drivingen
dc.subjectDrinking behavioren
dc.subjectIllicit drugsen
dc.subjectInjury scaleen
dc.subjectMotor vehicleen
dc.subjectMotor vehiclesen
dc.subjectSubstance abuse detectionen
dc.subjectTrafficen
dc.subjectTraffic accidenten
dc.subjectTrauma mortalityen
dc.subjectTrauma severity indicesen
dc.subjectWounds and injuriesen
dc.titleMotor vehicle collision fatalities involving alcohol and illicit drugs in Greece: The need for management protocols and a reassessment of surveillanceen
dc.typeinfo:eu-repo/semantics/article
dc.identifier.doi10.1111/j.1360-0443.2010.03072.x
dc.description.volume105
dc.description.issue11
dc.description.startingpage1952
dc.description.endingpage1961
dc.author.facultyΙατρική Σχολή / Medical School
dc.author.departmentΙατρική Σχολή / Medical School
dc.type.uhtypeArticleen
dc.contributor.orcidNikolopoulos, Georgios K.[0000-0002-3307-0246]
dc.contributor.orcidBonovas, Stefanos [0000-0001-6102-6579]
dc.contributor.orcidKanakaris, Nikolaos K. [0000-0002-1695-1519]
dc.gnosis.orcid0000-0002-3307-0246
dc.gnosis.orcid0000-0001-6102-6579
dc.gnosis.orcid0000-0002-1695-1519


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