The relationship between serious injury and blood alcohol concentration (BAC) in fatal motor vehicle accidents: BAC=0.01% is associated with significantly more dangerous accidents than BAC=0.00%

Addiction

Volumn 106, Issue 9, 2011, Pages 1614-1622

  Phillips, David P ^a   Brewer, Kimberly M ^a  

^a UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

Accidents; Alcohol; Automotive accidents; Blood alcohol concentration (BAC); Buzzed driving; Cars; Drunk driving; Fatalities; Injuries; Seatbelts; Speed; United States

Indexed keywords

ALCOHOL;

ALCOHOL INTOXICATION; ARTICLE; BLOOD; CAR; CAR DRIVING; COGNITION; DOSE RESPONSE; DRINKING BEHAVIOR; DRUG EFFECT; EPIDEMIOLOGY; HUMAN; INJURY; INJURY SCALE; LEGAL ASPECT; MORTALITY; RISK FACTOR; SEATBELT; STATISTICS; TIME; TRAFFIC ACCIDENT; UNITED STATES;

ACCIDENTS, TRAFFIC; ALCOHOL DRINKING; ALCOHOLIC INTOXICATION; AUTOMOBILE DRIVING; AUTOMOBILES; COGNITION; CONFOUNDING FACTORS (EPIDEMIOLOGY); DOSE-RESPONSE RELATIONSHIP, DRUG; EPIDEMIOLOGIC STUDIES; ETHANOL; HUMANS; INJURY SEVERITY SCORE; RISK FACTORS; SEAT BELTS; TIME FACTORS; UNITED STATES; WOUNDS AND INJURIES;

EID: 79961127674     PISSN: 09652140     EISSN: 13600443     Source Type: Journal    
DOI: 10.1111/j.1360-0443.2011.03472.x     Document Type: Article

References (34)

1. Breitmeier D., Seeland-Schulze I., Hecker H., Schneider U. The influence of blood alcohol concentrations of around 0.03% on neuropsychological functions-a double-blind, placebo-controlled investigation. Addict Biol 2007; 12: 183-9.
2. Tagawa M., Kano M., Okamaru N., Itoh N., Sakurai E., Watanabe T. etal. Relationship between effects of alcohol on psychomotor performances and blood alcohol concentrations. Jpn J Pharmacol 2000; 83: 253-60.
3. Huckenbeck W., Bonte W. Alkohologie. In: Madea B., Brinkmann B., editors. Handbuch Gerichtliche Medizin. Berlin/Heidelberg: Springer; 2003, p. 379-519.
4. Schweitzer T. A., Vogel-Sprott M., Dixon M. J., Jolicoeur P. The stage-specific effect of alcohol on human information processing. Psychopharmacology 2004; 13: 87-96.
5. Grutters G., Reichelt J. A., Ritz-Timme S., Thome M., Kaatsch H. J. Impairment of safety in navigation caused by alcohol: impact on visual function. Ophthalmologe 2003; 100: 391-5.
6. Nyberg S., Wahlstrom G., Backstrom T., Poromaa I. S. No differences in responsiveness to a low dose of alcohol between healthy women and men. Pharmacol Biochem Behav 2004; 78: 603-10.
7. Moskowitz H., Robinson C. Driving-related skills impaired at low blood alcohol levels. In: Noordzu P. C., Roszbach R., editors. Alcohol, Drugs and Traffic Safety, T86. New York: Elsevier; 1987, p. 79-86.
8. Perrine M. W., Peck R. C., Fell J. C. Epidemiological perspectives on drunk driving. In: Surgeon General's Workshop on Drunk Driving: Background Papers, Rockville, MD: US Department of Health and Human Services; 1989, p. 35-76.
9. Drive and Stay Alive Inc. International Blood Alcohol Limits Available at: (accessed 30 August 2010; archived by Webcite at
10. National Highway Traffic Safety Administration. Setting Limit, Saving Lives: the Case for 0.08% BAC Laws (Publication no. DOT HS 808 524Washington, DC: National Highway Traffic Safety Administration; 1997.
11. Zador P. L., Krawchuk S. A., Voas R. B. Alcohol-related relative risk of driver fatalities and driver involvement in fatal crashes in relation to driver age and gender: an update using 1996 data. J Stud Alcohol 2000; 61: 387-95.
12. Compton R. P., Blomberg R. D., Moskowitz H., Burns M., Peck R. C., Fiorentino D. Crash risk of alcohol impaired driving. In: Mayhew D. R., Dussault C., editors. Proceedings of Alcohol, Drugs & Traffic Safety-T 2002: 16th International Conference on Alcohol, Drugs & Traffic Safety, August 4-9, 2002. Montreal, Canada: International Council on Alcohol, Drugs and Traffic Safety (ICADTS); 2002, p. 39-44.
13. Blomberg R. D., Peck R. C., Moskowitz H., Burns M., Fiorentino D. Crash Risk of Alcohol Involved Driving: A Case-Control Study. Stanford, CT: Dunlap & Associates, Inc.; 2005.
14. Rosen S. M., Miller T. R., Simon M. The cost of alcohol in California. Alcohol Clin Exp Res 2008; 32: 1925-36.
15. Blincoe L., Seay A., Zaloshnja E., Miller T., Romano E., Luchter S. etal. The Economic Impact of Motor Vehicle Crashes, 2000 (Publication no. DOT HS 809 446Washington, DC: National Highway Traffic Safety Administration; 2002.
16. Zaloshnja E., Miller T., Romano E., Spicer R. Crash costs by body part injured, fracture involvement, and threat to life severity, United States, 2000. Accid Anal Prev 2004; 36: 415-27.
17. Taylor D., Miller T., Cox K. Impaired Driving in the United States Cost Fact Sheets. Washington, DC: National Highway Traffic Safety Administration; 2002. Available at: (accessed 30 August 2010; archived by Webcite at
18. National Highway Traffic Safety Administration. Fatal Accident Reporting System Encyclopedia 1994-2008. Washington, DC: US Department of Education; 2010. Available at: (accessed 30 August 2010; archived by Webcite at
19. Subramanian R. Transitioning to Multiple Imputation-A New Method to Estimate Missing Blood Alcohol Concentration (BAC) Values in FARS (Publication no. DOT HS 809 403Washington, DC: National Highway Traffic Safety Administration; 2002.
20. National Highway Traffic Safety Administration. National Roadside Survey of Alcohol and Drug Use by Drivers. Washington, DC: US Department of Education; 2007. Available at: (accessed 24 January 2011; archived by Webcite at
21. Broughton J. The benefits of improved car secondary safety. Accid Anal Prev 2003; 35: 527-35.
22. Cunningham C. M., Hummer J. E., Moon J. P. An evaluation of the safety effects of speed enforcement cameras in Charlotte, NC. Raleigh, NC; Institute for Transportation Research and Education, North Carolina State University; 2005.
23. Hewson P. J. Cycle helmets and road casualties in the UK. Traffic Inj Prev 2005; 6: 127-34.
24. Peck R. C., Gebers M. A., Voas R. B., Romano E. Improved Methods for Estimating Relative Crash Risk in A Case-Control Study of Blood Alcohol Levels. Calverton, MD: Pacific Institute for Research and Evaluation; 2007.
25. Mura P., Kintz P., Ludes B., Gaulier J. M., Marquet P., Martin-Dupont S. etal. Comparison of the prevalence of alcohol, cannabis and other drugs between 900 injured drivers and 900 control subjects: results of a French collaborative study. Forensic Sci Int 2003; 133: 79-85.
26. National Center for Health Statistics. Vital Statistics of the United States 1990. Mortality Part A. Vol 2, Sect 7, Technical Appendix. Hyattsville, MD: US Department of Health and Human Services; 1994.
27. Phillips D. P., Jarvinen J. R., Abramson I. S., Phillips R. R. Cardiac mortality is higher around Christmas and New Year's than at any other time: the holidays as a risk factor for death. Circulation 2004; 110: 3781-8.
28. Phillips D. P., Liu G. C., Kwok K., Jarvinen J. R., Zhang W., Abramson I. S. The Hound of the Baskervilles effect: natural experiment on the influence of psychological stress on the timing of death. BMJ 2001; 323: 1443-6.
29. Phillips D. P., Christenfeld N., Ryan N. M. An increase in the number of deaths in the United States in the first week of the month-an association with substance abuse and other causes of death. N Engl J Med 1999; 341: 93-8.
30. Phillips D. P., Christenfeld N., Ryan N. M. Increase in US medication-error deaths between 1983 and 1993. Lancet 1999; 351: 643-4.
31. Phillips D. P., Ruth T. E., Wagner L. M. Psychology and survival. Lancet 1993; 342: 1142-5.
32. Phillips D. P., Paight D. J. The impact of televised movies about suicides: a replicative study. N Engl J Med 1987; 317: 809-11.
33. Gardner M. J., Altman D. G., editors. Statistics with Confidence: Confidence Intervals and Statistical Guidelines, 2nd edn. London, UK: BMJ Books; 2000.
34. Robertson M. D., Drummer O. H. Responsibility analysis: a methodology to study the effects of drugs in driving. Accid Anal Prev 1994; 26: 243-7.