Prevalence of alcohol and other drug use in patients presenting to hospital for fall-related injuries: a systematic review

Beck, B (通讯作者),Monash Univ, Sch Publ Hlth & Prevent Med, Melbourne, Vic 3800, Australia.
2022-8
Background Alcohol and other drug (AOD) use is a key preventable risk factor for serious injuries. Prevention strategies to date have largely focused on transport injuries, despite AOD use being a significant risk factor for other injury causes, including falls. This systematic review aimed to report the prevalence of AOD use in patients presenting to hospital for fall-related injuries. Methods This systematic review includes studies published in English after the year 2010 that objectively measured the prevalence of AOD use in patients presenting to hospital for a fall-related injury. Screening, data extraction and risk of bias assessments were completed by two independent reviewers. Data were presented using narrative synthesis and, where appropriate, meta-analyses. Results A total of 12 707 records were screened. Full texts were retrieved for 2042 records, of which 29 were included. Four studies reported the combined prevalence of any alcohol and/or drug use, generating a pooled prevalence estimate of 37% (95% CI 25% to 49%). Twenty-two records reported on the prevalence of acute alcohol use alone and nine reported specifically on the prevalence of drugs other than alcohol, with prevalence ranging from 2% to 57% and 7% to 46%, respectively. The variation in prevalence estimates likely resulted from differences in toxicology testing methods across studies. Conclusions AOD exposure was common in hospitalised fall-related injuries. However, research addressing prevalence across different types of falls and the use of drugs other than alcohol was limited. Future research should address these areas to improve our understanding of which populations should be targeted in AOD and injury prevention strategies . PROSPERO registration number CRD42020188746.
INJURY PREVENTION
卷号:28|期号:4|页码:381-393
ISSN:1353-8047|收录类别:SCIE
语种
英语
来源机构
Monash University; Swansea University; Florey Institute of Neuroscience & Mental Health; Florey Institute of Neuroscience & Mental Health; Burnet Institute; Curtin University; Monash University; Laval University
资助信息
GL was supported by an Australian Government Research Training Programme Scholarship (not applicable) and a Westpac Future Leaders Scholarship (not applicable). BJG was supported by National Health and Medical Research Council Investigator Grant (L2, ID 2009998). PMD was supported by a National Health and Medical Research Council Senior Research Fellowship (1136090). BB was supported by an Australian Research Council Discovery Future Fellowship (FT210100183).
被引频次(WOS)
1
被引频次(其他)
1
180天使用计数
2
2013以来使用计数
4
EISSN
1475-5785
出版年
2022-8
DOI
10.1136/injuryprev-2021-044513
WOS学科分类
Public, Environmental & Occupational Health
学科领域
循证公共卫生
关键词
Fall Alcohol Drugs Systematic Review Metanalysis
资助机构
Australian Government Research Training Programme Scholarship(Australian Government) Westpac Future Leaders Scholarship National Health and Medical Research Council Investigator Grant(National Health and Medical Research Council (NHMRC) of Australia) National Health and Medical Research Council Senior Research Fellowship(National Health and Medical Research Council (NHMRC) of Australia) Australian Research Council Discovery Future Fellowship(Australian Research Council) Australian Research Council(Australian Research Council) National Health and Medical Research Council of Australia(National Health and Medical Research Council (NHMRC) of Australia)