Single episode of alcohol use resulting in injury: a cross-sectional study in 21 countries
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OBJECTIVE: (ICD-11). METHODS: We used data on patients admitted to emergency departments in 21 countries with alcohol-related injuries (i.e. with drinking within the preceding six hours) who had no sign of alcohol intoxication or withdrawal, no alcohol in blood and no sign of alcohol dependence or harmful drinking as described in the ICD-10. We obtained data on alcohol-related injuries, the patient's causal attribution of injury to drinking, the alcohol amount consumed, blood alcohol concentration and usual drinking pattern. Patients with and without alcohol dependence or harmful drinking were compared. FINDINGS: We included a representative sample of 18 369 patients. After adjustment for unequal sampling, 18.8% reported drinking in the six hours before injury and 47.1% of these attributed their injury to drinking; 16.3% of those reporting drinking and 10.3% of those attributing their injury to drinking were not alcohol dependent or harmful drinkers. The majority of these last two groups reported never having had five or more drinks on one occasion during the last year and had a blood alcohol concentration less than 0.05%. CONCLUSION: Some individuals attending emergency departments had alcohol-attributable injuries due to a single episode of drinking but had no history of harmful use or dependence. These findings highlight the public health relevance of including the new diagnostic category in the ICD-11.
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The KCMC ED reports a higher proportion of injury patients testing positive for alcohol compared to neighboring Mozambique (17%).
“The KCMC ED reports a higher proportion of injury patients testing positive for alcohol compared to neighboring Mozambique (17%) [41], with alcohol use being associated with a 6-times increased risk of road traffic injury [42].”
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- Authors
- Cherpitel, C. J., Ye, Y., & Poznyak, V.
- Affiliations
- Public Health Institute (US)
- World Health Organization (CH)
- Corresponding author
- Cherpitel, Cheryl J
- Venue
- Bulletin of the World Health Organization
- Publisher
- WHO Press
- Published
- 2018-03-20
- Volume
- 96
- Issue
- 5
- Pages
- 335-342
- ISSN
- 0042-9686 (ISSN-L)
- PMC
- PMC5985422
- OpenAlex
- W2807891278
- Cited by
- 8
- References
- 34
- Citations by year
- 2026: 1 · 2025: 1 · 2023: 2 · 2021: 2 · 2020: 1 · 2019: 1
- FWCI
- 0.78
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by
- Locations
- Bulletin of the World Health Organization (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- World Health Organization
- National Institute on Alcohol Abuse and Alcoholism (R01AA013750)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Injury Epidemiology and Prevention
- Keywords
- alcohol-related injuries, ICD-11, alcoholism, hazardous drinking, blood alcohol concentration, emergency department admission, alcohol consumption patterns
- MeSH terms
- Blood Alcohol Content, Adolescent, Alcohol Drinking, Ethanol, Alcoholic Intoxication, Cross-Sectional Studies, Emergency Service, Hospital, Female, Humans, Male, Wounds and Injuries
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