dc.contributor.author | Papadopoulos, I. N. | en |
dc.contributor.author | Bonovas, Stefanos | en |
dc.contributor.author | Kanakaris, Nikolaos K. | en |
dc.contributor.author | Konstantiadou, Ioanna | en |
dc.contributor.author | Nikolopoulos, Georgios K. | en |
dc.contributor.author | Konstantoudakis, Georgios | en |
dc.contributor.author | Leukidis, Christos | en |
dc.creator | Papadopoulos, I. N. | en |
dc.creator | Bonovas, Stefanos | en |
dc.creator | Kanakaris, Nikolaos K. | en |
dc.creator | Konstantiadou, Ioanna | en |
dc.creator | Nikolopoulos, Georgios K. | en |
dc.creator | Konstantoudakis, Georgios | en |
dc.creator | Leukidis, Christos | en |
dc.date.accessioned | 2018-06-22T09:54:03Z | |
dc.date.available | 2018-06-22T09:54:03Z | |
dc.date.issued | 2010 | |
dc.identifier.uri | https://gnosis.library.ucy.ac.cy/handle/7/42173 | |
dc.description.abstract | Aims: 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.iso | eng | en |
dc.source | Addiction | en |
dc.subject | Greece | en |
dc.subject | Preschool | en |
dc.subject | Child | en |
dc.subject | Article | en |
dc.subject | Young adult | en |
dc.subject | Human | en |
dc.subject | 80 and over | en |
dc.subject | Aged | en |
dc.subject | Humans | en |
dc.subject | Adult | en |
dc.subject | Aged | en |
dc.subject | Female | en |
dc.subject | Retrospective studies | en |
dc.subject | Retrospective study | en |
dc.subject | Adolescent | en |
dc.subject | Case-control studies | en |
dc.subject | Male | en |
dc.subject | Mortality | en |
dc.subject | Case control study | en |
dc.subject | Child | en |
dc.subject | Blood | en |
dc.subject | Middle aged | en |
dc.subject | Injury | en |
dc.subject | Classification | en |
dc.subject | Preschool child | en |
dc.subject | Substance abuse | en |
dc.subject | Statistics | en |
dc.subject | Substance-related disorders | en |
dc.subject | Accidents | en |
dc.subject | Addiction | en |
dc.subject | Alcohol | en |
dc.subject | Alcohol drinking | en |
dc.subject | Alcohol intoxication | en |
dc.subject | Alcoholic intoxication | en |
dc.subject | Audit | en |
dc.subject | Automobile driving | en |
dc.subject | Autopsy | en |
dc.subject | Car driving | en |
dc.subject | Drinking behavior | en |
dc.subject | Illicit drugs | en |
dc.subject | Injury scale | en |
dc.subject | Motor vehicle | en |
dc.subject | Motor vehicles | en |
dc.subject | Substance abuse detection | en |
dc.subject | Traffic | en |
dc.subject | Traffic accident | en |
dc.subject | Trauma mortality | en |
dc.subject | Trauma severity indices | en |
dc.subject | Wounds and injuries | en |
dc.title | Motor vehicle collision fatalities involving alcohol and illicit drugs in Greece: The need for management protocols and a reassessment of surveillance | en |
dc.type | info:eu-repo/semantics/article | |
dc.identifier.doi | 10.1111/j.1360-0443.2010.03072.x | |
dc.description.volume | 105 | |
dc.description.issue | 11 | |
dc.description.startingpage | 1952 | |
dc.description.endingpage | 1961 | |
dc.author.faculty | Ιατρική Σχολή / Medical School | |
dc.author.department | Ιατρική Σχολή / Medical School | |
dc.type.uhtype | Article | en |
dc.contributor.orcid | Nikolopoulos, Georgios K.[0000-0002-3307-0246] | |
dc.contributor.orcid | Bonovas, Stefanos [0000-0001-6102-6579] | |
dc.contributor.orcid | Kanakaris, Nikolaos K. [0000-0002-1695-1519] | |
dc.gnosis.orcid | 0000-0002-3307-0246 | |
dc.gnosis.orcid | 0000-0001-6102-6579 | |
dc.gnosis.orcid | 0000-0002-1695-1519 | |