Trauma center brief interventions for alcohol disorders decrease subsequent driving under the influence arrests.

Carol R. Schermer, Theresa B. Moyers, William R. Miller, Lori A. Bloomfield

Research output: Contribution to journalArticle

Abstract

BACKGROUND: A substantial number of trauma center admissions are related to driving under the influence (DUI); however, there has been no prior report of brief intervention (BI) after injury reducing subsequent DUI arrests. The hypothesis of this study was that injured patients receiving BI would have a lower risk of DUI arrest within 3 years of discharge than those receiving standard care (SC). METHODS: This prospective, randomized clinical trial randomly allocated patients involved in motor vehicle collisions to receive SC or a BI regarding alcohol use. The primary outcome measure was DUI arrest within 3 years of hospital discharge. DUI arrests were documented by matching demographic information to state traffic safety data. RESULTS: After randomization (N = 126), BI and SC groups were similar in age, prior DUI arrests, and alcohol screening score. BI sessions lasted an average of 30 minutes and were performed by either a social worker or a trauma surgeon. Approximately one in six participants (n = 21, 16.7%) had a DUI arrest within 3 years of hospital discharge. Within 3 years of hospital discharge, 14 of 64 patients (21.9%) in the SC group had an arrest for DUI compared with only 7 of 62 patients (11.3%) who received the BI. Multivariate analysis demonstrated that BI was the strongest protective factor against DUI arrest (odds ratio [OR], 0.32; 95% confidence interval < or =CI], 0.11-0.96). Prior number of DUIs (OR, 1.43; 95% CI, 1.03-2.01) and age (OR, 0.94; 95% CI, 0.88-0.99) were also associated with DUI arrest post-hospitalization, but alcohol screening score (OR, 1.06; 95% CI, 0.99-1.13) was not. The absolute risk reduction implies that only nine patients would need to receive a BI to prevent one DUI arrest. CONCLUSION: Patients who receive BI during a trauma center admission are less likely to be arrested for DUI within 3 years of discharge. BI represents a viable intervention to reduce DUI after trauma center admission.

Original languageEnglish (US)
Pages (from-to)29-34
Number of pages6
JournalThe Journal of trauma
Volume60
Issue number1
StatePublished - Jan 2006
Externally publishedYes

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Trauma Centers
Alcohols
Odds Ratio
Driving Under the Influence
Numbers Needed To Treat
Wounds and Injuries
Motor Vehicles
Random Allocation
Hospitalization
Multivariate Analysis
Randomized Controlled Trials

ASJC Scopus subject areas

  • Surgery

Cite this

Schermer, C. R., Moyers, T. B., Miller, W. R., & Bloomfield, L. A. (2006). Trauma center brief interventions for alcohol disorders decrease subsequent driving under the influence arrests. The Journal of trauma, 60(1), 29-34.

Trauma center brief interventions for alcohol disorders decrease subsequent driving under the influence arrests. / Schermer, Carol R.; Moyers, Theresa B.; Miller, William R.; Bloomfield, Lori A.

In: The Journal of trauma, Vol. 60, No. 1, 01.2006, p. 29-34.

Research output: Contribution to journalArticle

Schermer, CR, Moyers, TB, Miller, WR & Bloomfield, LA 2006, 'Trauma center brief interventions for alcohol disorders decrease subsequent driving under the influence arrests.', The Journal of trauma, vol. 60, no. 1, pp. 29-34.
Schermer, Carol R. ; Moyers, Theresa B. ; Miller, William R. ; Bloomfield, Lori A. / Trauma center brief interventions for alcohol disorders decrease subsequent driving under the influence arrests. In: The Journal of trauma. 2006 ; Vol. 60, No. 1. pp. 29-34.
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abstract = "BACKGROUND: A substantial number of trauma center admissions are related to driving under the influence (DUI); however, there has been no prior report of brief intervention (BI) after injury reducing subsequent DUI arrests. The hypothesis of this study was that injured patients receiving BI would have a lower risk of DUI arrest within 3 years of discharge than those receiving standard care (SC). METHODS: This prospective, randomized clinical trial randomly allocated patients involved in motor vehicle collisions to receive SC or a BI regarding alcohol use. The primary outcome measure was DUI arrest within 3 years of hospital discharge. DUI arrests were documented by matching demographic information to state traffic safety data. RESULTS: After randomization (N = 126), BI and SC groups were similar in age, prior DUI arrests, and alcohol screening score. BI sessions lasted an average of 30 minutes and were performed by either a social worker or a trauma surgeon. Approximately one in six participants (n = 21, 16.7{\%}) had a DUI arrest within 3 years of hospital discharge. Within 3 years of hospital discharge, 14 of 64 patients (21.9{\%}) in the SC group had an arrest for DUI compared with only 7 of 62 patients (11.3{\%}) who received the BI. Multivariate analysis demonstrated that BI was the strongest protective factor against DUI arrest (odds ratio [OR], 0.32; 95{\%} confidence interval < or =CI], 0.11-0.96). Prior number of DUIs (OR, 1.43; 95{\%} CI, 1.03-2.01) and age (OR, 0.94; 95{\%} CI, 0.88-0.99) were also associated with DUI arrest post-hospitalization, but alcohol screening score (OR, 1.06; 95{\%} CI, 0.99-1.13) was not. The absolute risk reduction implies that only nine patients would need to receive a BI to prevent one DUI arrest. CONCLUSION: Patients who receive BI during a trauma center admission are less likely to be arrested for DUI within 3 years of discharge. BI represents a viable intervention to reduce DUI after trauma center admission.",
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