The implications of alcohol intoxication and the Uniform Policy Provision Law on trauma centers; a national trauma data bank analysis of minimally injured patients

Journal of Trauma - Injury, Infection and Critical Care

Volumn 66, Issue 2, 2009, Pages 495-498

  O'Keeffe, Terence ^a   Shafi, Shahid ^b   Sperry, Jason L ^c   Gentilello, Larry M ^b  

^a UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE   (United States)

^b UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER   (United States)

^c UNIVERSITY OF PITTSBURGH MEDICAL CENTER   (United States)

Author keywords

Alcohol; Health policy; Injury; Insurance; Trauma centers; Uniform Policy Provision Law

Indexed keywords

ADULT; ALCOHOL BLOOD LEVEL; ALCOHOL INTOXICATION; ARTICLE; BALLOON CATHETER; CONTROLLED STUDY; DATA BASE; DIAGNOSTIC PROCEDURE; DIAGNOSTIC TEST; EMERGENCY HEALTH SERVICE; FEMALE; HEALTH CARE UTILIZATION; HEALTH INSURANCE; HOSPITAL ADMISSION; HOSPITAL CHARGE; HOSPITAL COST; HOSPITAL DISCHARGE; HOSPITAL SERVICE; HUMAN; INJURY; INJURY SCALE; INTENSIVE CARE UNIT; INTUBATION; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; ADOLESCENT; AGED; CHI SQUARE DISTRIBUTION; ECONOMICS; INSURANCE; LEGAL ASPECT; MIDDLE AGED; REIMBURSEMENT; STATISTICAL MODEL; STATISTICS; SUBSTANCE ABUSE; UNITED STATES;

ADOLESCENT; ADULT; AGED; ALCOHOLIC INTOXICATION; CHI-SQUARE DISTRIBUTION; FEMALE; HUMANS; INJURY SEVERITY SCORE; INSURANCE COVERAGE; INSURANCE, HEALTH, REIMBURSEMENT; LENGTH OF STAY; LOGISTIC MODELS; MALE; MIDDLE AGED; SUBSTANCE ABUSE DETECTION; TRAUMA CENTERS; UNITED STATES; WOUNDS AND INJURIES;

EID: 67651162080     PISSN: 00225282     EISSN: 15298809     Source Type: Journal    
DOI: 10.1097/TA.0b013e31818234bf     Document Type: Article

References (15)

1. Jurkovich GJ, Rivara FP, Gurney JG, Seguin D, Fligner CL, Copass M. Effects of alcohol intoxication on the initial assessment of trauma patients. Ann Emerg Med. 1992;21:704-708.
2. McCadams JS, Daley BJ, Enderson BL. Does alcohol intoxication alter the assessment and outcome of "observation-status" trauma patients? Am Surg. 2001;67:1110-1112.
3. Rivara FP, Jurkovich GJ, Gurney JG, et al. The magnitude of acute and chronic alcohol abuse in trauma patients. Arch Surg. 1993;128:907-912; discussion 912-913.
4. Levy RS, Hebert CK, Munn BG, Barrack RL. Drug and alcohol use in orthopedic trauma patients: a prospective study. J Orthop Trauma. 1996;10:21-27.
5. National Association of Insurance Commissioners. Uniform Individual Accident and Sickness Policy Provisions Law in NAIC Model Laws Regulations and Guidelines: Model Regulation Service; 2004:180-181.
6. Rivara FP, Tollefson S, Tesh E, Gentilello LM. Screening trauma patients for alcohol problems: are insurance companies barriers? J Trauma. 2000;48:115-118. (Pubitemid 30054310)
7. Gentilello LM, Donato A, Nolan S, et al. Effect of the Uniform Accident and Sickness Policy Provision Law on alcohol screening and intervention in trauma centers. J Trauma. 2005;59:624-631. (Pubitemid 43014928)
8. American College of Surgeons-Committee on Trauma. Resources for Optimal Care of the Injured Patient; 2006.
9. American College of Surgeons-Committee on Trauma. National Trauma Data Bank Report; 2005.
10. Fabbri A, Marchesini G, Morselli-Labate AM, et al. Blood alcohol concentration and management of road trauma patients in the emergency department. J Trauma. 2001;50:521-528. (Pubitemid 32259816)
11. Mueller BA, Kenaston T, Grossman D, Salzberg P. Hospital charges to injured drinking drivers in Washington State: 1989-1993. Accid Anal Prev. 1998;30:597-605.
12. Blondell RD, Looney SW, Krieg CL, Spain DA. A comparison of alcohol-positive and alcohol-negative trauma patients. J Stud Alcohol. 2002;63:380-383.
13. Gentilello LM, Rivara FP, Donovan DM, et al. Alcohol interventions in a trauma center as a means of reducing the risk of injury recurrence. Ann Surg. 1999;230:473-480; discussion 480-483.
14. D'Onofrio G, Degutis LC. Preventive care in the emergency department: screening and brief intervention for alcohol problems in the emergency department: a systematic review. Acad Emerg Med. 2002;9:627-638. (Pubitemid 34596084)
15. Dinh-Zarr T, Goss C, Heitman E, Roberts I, DiGuiseppi C. Interventions for preventing injuries in problem drinkers. Cochrane Database Syst Rev. 2004:CD001857.