{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T13:56:15Z","timestamp":1786802175267,"version":"build-2736575974"},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,9,17]],"date-time":"2023-09-17T00:00:00Z","timestamp":1694908800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,9,17]],"date-time":"2023-09-17T00:00:00Z","timestamp":1694908800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000923","name":"Australian Research Council","doi-asserted-by":"publisher","award":["FT210100183"],"award-info":[{"award-number":["FT210100183"]}],"id":[{"id":"10.13039\/501100000923","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["ID 2009998"],"award-info":[{"award-number":["ID 2009998"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100015972","name":"Westpac Scholars Trust","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100015972","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To measure the prevalence of alcohol and\/or other drug (AOD) detections in suspected major trauma patients with non\u2010transport injuries who presented to an adult major trauma centre.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This registry\u2010based cohort study examined the prevalence of AOD detections in patients aged \u226518\u2009years who: (i) sustained non\u2010transport injuries; and (ii) met predefined trauma call\u2010out criteria and were therefore managed by an interdisciplinary trauma team between 1 July 2021 and 31 December 2022. Prevalence was measured using routine in\u2010hospital blood alcohol and urine drug screens.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 1469 cases met the inclusion criteria. Of cases with a valid blood test (<jats:italic>n<\/jats:italic>\u2009=\u20091248, 85.0%), alcohol was detected in 313 (25.1%) patients. Of the 733 (49.9%) cases with urine drug screen results, cannabinoids were most commonly detected (<jats:italic>n<\/jats:italic>\u2009=\u2009103, 14.1%), followed by benzodiazepines (<jats:italic>n<\/jats:italic>\u2009=\u200998, 13.4%), amphetamine\u2010type substances (<jats:italic>n<\/jats:italic>\u2009= 80, 10.9%), opioids (<jats:italic>n<\/jats:italic>\u2009=\u200928, 3.8%) and cocaine (<jats:italic>n<\/jats:italic>\u2009=\u200917, 2.3%). Alcohol and\/or at least one other drug was detected in 37.4% (<jats:italic>n<\/jats:italic>\u2009=\u2009472) of cases with either a blood alcohol or urine drug test completed (<jats:italic>n<\/jats:italic>\u2009=\u20091263, 86.0%). Multiple substances were detected in 16.6% (<jats:italic>n<\/jats:italic>\u2009=\u2009119) of cases with both blood alcohol and urine drug screens (<jats:italic>n<\/jats:italic>\u2009=\u2009718, 48.9%). Detections were prevalent in cases of interpersonal violence (<jats:italic>n<\/jats:italic>\u2009=\u2009123\/179, 68.7%) and intentional self\u2010harm (<jats:italic>n<\/jats:italic>\u2009=\u200950\/106, 47.2%), and in those occurring on Friday and Saturday nights (<jats:italic>n<\/jats:italic>\u2009=\u2009118\/191, 61.8%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>AOD detections were common in trauma patients with non\u2010transport injury causes. Population\u2010level surveillance is needed to inform prevention strategies that address AOD use as a significant risk factor for serious injury.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1742-6723.14312","type":"journal-article","created":{"date-parts":[[2023,9,17]],"date-time":"2023-09-17T14:05:35Z","timestamp":1694959535000},"page":"78-87","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Prevalence of alcohol and other drug detections in non\u2010transport injury events"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6519-0405","authenticated-orcid":false,"given":"Georgina","family":"Lau","sequence":"first","affiliation":[{"name":"School of Public Health and Preventive Medicine Monash University  Melbourne Victoria 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