{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T11:21:15Z","timestamp":1787829675228,"version":"build-2784847793"},"reference-count":32,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T00:00:00Z","timestamp":1786665600000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100015795","name":"Motor Accident Insurance Commission","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100015795","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":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Alcohol and drug use is an established factor contributing to traumatic injury globally, yet regional and remote prevalence and impact are poorly characterised. This study examines associations between alcohol and drug use and clinical outcomes among major trauma patients in North Queensland.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective audit of major trauma patients in Townsville University Hospital Trauma Registry between October 2022\u20132023. Patients were classified by alcohol and drug use based on toxicology results and electronic medical record. Demographic, injury and outcome variables were compared using descriptive and non\u2010parametric analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 319 eligible patients, 110 (34.4%) patients were identified within the alcohol and drug cohort. Alcohol was most frequently detected (82.7%), followed by cannabis (20.0%) and amphetamines (12.7%), with 18.2% demonstrating polysubstance use. Alcohol and\/or drug\u2010positive patients were significantly younger (40.7 vs. 49.0\u2009years,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002) and more likely to sustain assault\u2010related injuries (OR 6.9 (95% CI: 3.1\u201315.3),\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). No statistical significance was found between groups for ICU admission rate, ICU LOS or hospital LOS. Discharge and mortality outcomes did not differ between groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study highlights the impact of alcohol and drug use in regional major trauma patients. Standardised testing, targeted prevention and tailored clinical pathways may improve outcomes and reduce the burden of alcohol and drug\u2010related trauma. Inconsistent screening practices mean the true prevalence remains uncertain, warranting further research to determine the impact and guide interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1742-6723.70330","type":"journal-article","created":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T03:23:29Z","timestamp":1786764209000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Trauma Under the Influence: A Cross\u2010Sectional Registry Audit of Drug and Alcohol\u2010Related Major Trauma in North Queensland"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-5285-3917","authenticated-orcid":false,"given":"Michael","family":"Ryan","sequence":"first","affiliation":[{"name":"Townsville Hospital and Health Service  Townsville Queensland Australia"},{"name":"University of Western Australia Medical School  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6872-6885","authenticated-orcid":false,"given":"Breeanna","family":"Spring","sequence":"additional","affiliation":[{"name":"Townsville Hospital and Health Service  Townsville Queensland Australia"},{"name":"Molly Wardaguga Institute for First Nations Birth Rights Charles Darwin University  Darwin Northern Territory Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3812-8101","authenticated-orcid":false,"given":"Benjamin J.","family":"Crowley","sequence":"additional","affiliation":[{"name":"Townsville Hospital and Health Service  Townsville Queensland Australia"},{"name":"Queensland Digital Health Centre The University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-4943-0080","authenticated-orcid":false,"given":"Bryannii","family":"Perks","sequence":"additional","affiliation":[{"name":"Townsville Hospital and Health Service  Townsville Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9663-6350","authenticated-orcid":false,"given":"Anna","family":"Grant","sequence":"additional","affiliation":[{"name":"Townsville Hospital and Health Service  Townsville Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christiaan","family":"Pretorius","sequence":"additional","affiliation":[{"name":"Townsville Hospital and Health Service  Townsville Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0944-1238","authenticated-orcid":false,"given":"Matan Ben","family":"David","sequence":"additional","affiliation":[{"name":"Townsville Hospital and Health Service  Townsville Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Amos","sequence":"additional","affiliation":[{"name":"James Cook University College of Medicine and Dentistry  Townsville Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,14]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"\u201cAustralian Instiute of Health and Warefare. Health System Spending on Disease and Injury in Australia 2022\u201323 \u201d2024 Canberra AIHW https:\/\/www.aihw.gov.au\/reports\/health\u2010welfare\u2010expenditure\/health\u2010system\u2010spending\u2010on\u2010disease\u2010and\u2010injury\u2010aus\/contents\/summary."},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/dar.13355"},{"key":"e_1_2_9_4_1","volume-title":"Australian Instiute of Health and Warefare. 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P.","year":"2022","journal-title":"Rural and Remote Health"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2023.111181"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.142.7.633"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2021.11.035"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1136\/emermed-2018-208329"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2023.111160"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2023.111065"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.4103\/JETS.JETS_141_19"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/imj.16140"},{"key":"e_1_2_9_28_1","unstructured":"Australasian College for Emergency Medicine \u201cAlcohol and Methamphetamine Harm in Emergency Departments: Findings From the 2019 Snapshot Survey \u201d(2020) https:\/\/acem.org.au\/getmedia\/f7bec2c4\u20106573\u2010471f\u20108cf4\u2010f9a0bc466506\/Alcohol\u2010Snapshot\u2010Report_R6."},{"key":"e_1_2_9_29_1","volume-title":"Alcohol and Drugs (Trauma Prevention) 2017 [Internet]","author":"Royal Australasian College of Surgeons (RACS)","year":"2017"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000003928"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1186\/1752-2897-5-3"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000002501"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12873-019-0222-9"}],"container-title":["Emergency Medicine Australasia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1742-6723.70330","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1742-6723.70330","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1742-6723.70330","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T10:48:41Z","timestamp":1787827721000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1742-6723.70330"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":32,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1111\/1742-6723.70330"],"URL":"https:\/\/doi.org\/10.1111\/1742-6723.70330","archive":["Portico"],"relation":{},"ISSN":["1742-6731","1742-6723"],"issn-type":[{"value":"1742-6731","type":"print"},{"value":"1742-6723","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"2025-12-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-06","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70330"}}