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Aim: Consumption of alcohol plays a key role in traumatic injuries The capacity of alcohol to distort human cognitive ability and reasoning makes it an important factor in the causation of motor vehicle and interpersonal violence-related injuries The aim of this study was to investigate the role of alcohol in severe facial injuries in settings of motor vehicular crashes and interpersonal violence.
Study Design: A prospective study of 118 patients who suffered alcohol-related facial injuries.
Place and Duration of Study: The study was conducted at the University of Uyo teaching hospital Uyo, Nigeria over a 5-year period, from January 2007 to January 2021.
Methodology: The variables analyzed included socio demographics, nature of injury and sites of injuries. Alcohol Use Disturbance Identification Test (AUDIT test) was used to identify risks and damages of alcohol use and dependence. Data analysis was done using SPSS version 21.0. Multivariate analysis was carried out using binary logistic regression analysis, P = 0.05 was considered to be statistically significant.
Results: A total of 118 patients suffered alcohol-related facial injuries in the period of the study. There were 97 males and 21 females, giving a male to female ratio of 4:1 The mean age of the patients’ population was 43 .The commonest age range involved in alcohol-related facial injuries was 29-38 years. Road traffic injuries were the commonest cause of facial injuries. Medium risk alcohol consumption and male gender were identified as risk factors for moderate and severe injuries as well as for avulsive injuries.
Conclusion: Alcohol-related injuries often turn out severe, and the identifiable risk factors include male gender, high-risk alcohol consumption and road traffic crashes.
WHO, Substance Abuse in Nigeria, WHO; 2012.
Available: http://www.who.int/substance abuse/publications/en/nigeria.pdf.
Madlen Schutze, H. Boeing, T. Pischon, Alcohol attributable burden of incidence of cancer in eight European countries based on results from prospective cohort study, BMJ. 2011;342, Article ID d1584.
Rehm J, Baliunas D, Borges GLG. et al, The relation between different dimensions of alcohol consumption and burden of disease: an overview, Addiction. 2010; 105;5:817–843.
Gureje O, Lasebikan VO. Alcohol beverage type, problem drinking and self-reported health status, Nigerian Journal of Psychiatry. 2006;4(1):4–8.
World Health Organization, The ASSIST-Linked Brief Intervention for Hazardous and Harmful Substance Use Manual for Use in Primary Care, World Health Organization, Geneva, Switzerland; 2010.
Zador PL, Krawchuk SA, Voas RB. 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.
Taylor B, Irving HM, Kanteres F, et al. The more you drink, the harder you fall: a systematic review and meta-analysis of how acute alcohol consumption and injury or collision risk increase together. Drug Alcohol Depend. 2010;110:108–16.
Liu HT, Liang CC, Rau CS, et al. Alcohol-related hospitalizations of adult motorcycle riders. World J Emerg Surg. 2015;10:2.
Stübig T, Petri M, Zeckey C, et al. Alcohol intoxication in road traffic accidents leads to higher impact speed difference, higher ISS and MAIS, and higher preclinical mortality. Alcohol. 2012;46:681–6.
Fabbri A, Marchesini G, Morselli-Labate AM, et al. Positive blood alcohol concentration and road accidents. A prospective study in an Italian emergency department. Emerg Med J. 2002;19:210–14.
Phillips DP, Brewer KM. 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. 2011;106: 1614–22.
Scheyerer MJ, Dütschler J, Billeter A, et al. Effect of elevated serum alcohol level on the outcome of severely injured patients. Emerg Med J. 2014;31:813–17.
Smith AJ. Shepherd JP. Hodgson RJ. Brief interventions for patients with alcohol-related trauma. Br J Oral Maxillofac Surg. 1998;36(6):408-415.
Rehm J, Gmel G, Sempos CT, Trevisan M. Alcohol-related morbidity and mortality. Alcohol Res Health. 2003;27:39-51.
Carvalho TB, Cancian LR, Marques CG,et al; Six years of facial trauma care: An epidemiological analysis of 355 cases. Braz J Otorhinolaryngol. 2010;76:565-74.
Lee K, Snape L, Steenberg L, Worthington J. Comparison between interpersonal violence and motor vehicle accidents in the aetiology of maxillofacial fractures. ANZ J Surg. 2007;77:695.
Bohn MJ, Babor TF, Kranzler HR. The Alcohol Use Disorders Identification Test (AUDIT): validation of a screening instrument for use in medical settings. J Stud Alcohol. 1995;56:423-32.
O’Meara C, Witherspoon RB, Hapangama N, et al. Alcohol and interpersonal violencemay increase the severity of facial fractures. Brit J Oral Maxillofac Surg. 2012; 50:36-40.
Peng SH, Hsu SY, Kuo PJ, et al. Influence of alcohol use on mortality and expenditure during hospital admission: a cross-sectional study. BMJ Open. 2016;6: e013176.
Chikere EIC, Mayowa MO. Prevalence and perceived health effect of alcohol use among male undergraduate students in Owerri, south-east Nigeria: A descriptive cross-sectional study. BMC Public Health. 2011;11:118.
Obot IS. Alcohol use and related problems in sub-Saharan Africa. African Journal of Drug and Alcohol Studies. 2006;5:17-26.
Jurkovich GJ, Rivara FP, Gurney JG, et al. The effect of acute alcohol intoxication and chronic alcohol abuse on outcome from trauma. JAMA. 1993;270:51–6.
Rehm J, Mathers C, Popova S, et al. Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders. Lancet. 2009;373:2223–33.
Centers for Disease Control and Prevention (CDC). Alcohol and other drug use among victims of motor-vehicle crashes—West Virginia, 2004–2005. MMWR Morb Mortal Wkly Rep. 2006;55:1293–6.
Stockwell T, McLeod R, Stevens M, et al. Alcohol consumption, setting, gender and activity as predictors of injury: a population-based case–control study. J Stud Alcohol. 2002;63:372–9.
Ye Y, Bond J, Cherpitel CJ, et al. Risk of injury due to alcohol: evaluating potential bias using the case-crossover usual-frequency method. Epidemiology. 2013;24:240–3.
Agoudavi K, Dalmay F, Legleyle S, et al, “Epidemiology of alcohol use in the general population of Togo,” Addictive Behaviors Reports. 2015;2:1–5.
Bennett LA, Campillo C, Chandrashekar CR, et al. Alcoholic beverage consumption in India, Mexico and Nigeria: A cross-cultural comparison, Alcohol Health and
Research World. 1998;22(4):243– 252.
Gowing LR, Ali RL, Allsop C, et al. Global statistics on addictive behaviours:2014 status report. Addiction. 2015;110:904–19.
Shield KD, Parry C, Rehm J. Chronic diseases and conditions related to alcohol use. Alcohol Research. 2013;35(2):155–171.