Relationship between anatomical sites and severity of the lesions and use of alcohol and psychotropic substances in traumatized drivers admitted to Emergency Department of Padua, Italy

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Abstract

Introduction: Driving under the influence of alcohol and/or psychoactive substances increases the risk of road accidents, but it is controversial whether this affects site and severity of injuries.Material and methods: We search for alcohol, cannabinoid, cocaine, benzodiazepines, opioid, methadone, amphetamine and barbiturate in biological fluids of 1764 traumatized drivers admitted to the Emergency Department (ED) of Padova between 2010 and 2014.Results: We note correlation between alcohol and benzodiazepine and admission in ICU and between all the intoxications and the reserved prognosis. The sites of injuries were: head (37.13%), maxillofacial (8.33%), spinal column (44.67%), thoracic (15.31%), abdominal (5%), pelvis (2.55%) and limb traumas (23.58%). We observed a correlation between head trauma (p<0.0001), maxillofacial trauma (p=0.0418), thoracic trauma (p=0.0215), pelvic trauma (p=0.0008), spinal column trauma (p<0.0001) and the totality of the intoxication and an association between benzodiazepines and thoracic and pelvic trauma.Conclusions: Alcohol and benzodiazepines intoxication increases the risk of reserved prognosis and admission in ICU; benzodiazepines intoxication correlates with thoracic and pelvis trauma.

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Foscarina Della Rocca - Azienda Ospedaliera di Padova

Miranda Zoleo

Francesca Pignatiello

Fabia De Lazzari

Anna Chiara Frigo

Gianna Vettore

Donata Favretto

Rossella Snenghi

How to Cite
Della Rocca, F., Zoleo, M., Pignatiello, F., De Lazzari, F., Frigo, A. C., Vettore, G., … Snenghi, R. (2018). Relationship between anatomical sites and severity of the lesions and use of alcohol and psychotropic substances in traumatized drivers admitted to Emergency Department of Padua, Italy. Annali dell’Istituto Superiore Di Sanità, 54(3), 201–207. Retrieved from https://annali.iss.it/index.php/anna/article/view/648
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