open access

Vol 3, No 3 (2018)
ORIGINAL ARTICLE
Published online: 2018-09-30
Get Citation

The influence of alcohol related accidents on health care cost

Bulut Demirel, Mehmet Ergin, Ayhan Özhasenekler, Cahit Teke, Fatih Tanrıverdi, Gülhan Kurtoğlu Çelik, Alp Şener, Gül Pamukçu Günaydın, Şervan Gökhan
DOI: 10.5603/DEMJ.2018.0017
·
Pubmed: 27457965
·
Disaster Emerg Med J 2018;3(3):71-74.

open access

Vol 3, No 3 (2018)
ORIGINAL ARTICLE
Published online: 2018-09-30

Abstract

Introduction: Road traffic accidents are globally leading causes of mortality and morbidity. Alcohol is among the most frequently used pleasure-inducing substances in the world. Use of motor vehicle under the influence of alcohol is completely illegal in some countries. However, it is allowed up to a certain level of eth- anol in blood in other countries. Traffic accidents caused by alcohol consumption are known to cause more harmonhealthofindividuals.Thealcoholaffectsnervoussystem. Alcoholslowsreflexesandimpairsbalance. In other words, alcohol intake reduces capability of individuals while using any motor vehicle. This study aims to search the health care cost of individuals who had traffic accidents under the influence of alcohol. 

Methods: This present study included 657 patients who were admitted to the E.R. resulting from traffic accidents between the dates 01.01.2017–01.06.2017. Demographic information of the patients, their time of hospital admission, medical analyses and examinations, the cost of those analyses and examinations, and their ethanol levels were recorded. 

Results: 657 patients were included in the study. 460 (68.1) of those patients were males. Their age average was 35.57 ± 15.18. 61 (9.0%) of the patients were seen to have ethanol positive blood. The health care expenditures of ethanol positive patients were found to be 374,75 ± 251,3 TL whereas the expenditures of ethanol free patients were identified to be 283,17 ± 222,72 TL. The health care expenditures of ethanol positive patients were seen to have substantially increased. (p = 0,003). 

Conclusions: Alcohol intake is known to be a leading cause of traffic accidents that generally results in deaths and heavy injuries. This present study displays that traffic accidents caused by alcohol consumption increases the cost of health care as well. 

Abstract

Introduction: Road traffic accidents are globally leading causes of mortality and morbidity. Alcohol is among the most frequently used pleasure-inducing substances in the world. Use of motor vehicle under the influence of alcohol is completely illegal in some countries. However, it is allowed up to a certain level of eth- anol in blood in other countries. Traffic accidents caused by alcohol consumption are known to cause more harmonhealthofindividuals.Thealcoholaffectsnervoussystem. Alcoholslowsreflexesandimpairsbalance. In other words, alcohol intake reduces capability of individuals while using any motor vehicle. This study aims to search the health care cost of individuals who had traffic accidents under the influence of alcohol. 

Methods: This present study included 657 patients who were admitted to the E.R. resulting from traffic accidents between the dates 01.01.2017–01.06.2017. Demographic information of the patients, their time of hospital admission, medical analyses and examinations, the cost of those analyses and examinations, and their ethanol levels were recorded. 

Results: 657 patients were included in the study. 460 (68.1) of those patients were males. Their age average was 35.57 ± 15.18. 61 (9.0%) of the patients were seen to have ethanol positive blood. The health care expenditures of ethanol positive patients were found to be 374,75 ± 251,3 TL whereas the expenditures of ethanol free patients were identified to be 283,17 ± 222,72 TL. The health care expenditures of ethanol positive patients were seen to have substantially increased. (p = 0,003). 

Conclusions: Alcohol intake is known to be a leading cause of traffic accidents that generally results in deaths and heavy injuries. This present study displays that traffic accidents caused by alcohol consumption increases the cost of health care as well. 

Get Citation

Keywords

alcohol; traffic; accident; health care; cost

About this article
Title

The influence of alcohol related accidents on health care cost

Journal

Disaster and Emergency Medicine Journal

Issue

Vol 3, No 3 (2018)

Pages

71-74

Published online

2018-09-30

DOI

10.5603/DEMJ.2018.0017

Pubmed

27457965

Bibliographic record

Disaster Emerg Med J 2018;3(3):71-74.

Keywords

alcohol
traffic
accident
health care
cost

Authors

Bulut Demirel
Mehmet Ergin
Ayhan Özhasenekler
Cahit Teke
Fatih Tanrıverdi
Gülhan Kurtoğlu Çelik
Alp Şener
Gül Pamukçu Günaydın
Şervan Gökhan

References (30)
  1. Özen E, Genç E, Kaya Z. Awareness of Traffic Accidents and Thoughts on Traffic and Traffic: The Case of Uşak Province. 2014.
  2. Peden M, Scurfield R, Sleet D, et al. World report on road traffic injury prevention. World Health Organization Geneva. 2004.
  3. Murray CJ, Lopez AD. Alternative projections of mortality and disability by cause 1990-2020: Global Burden of Disease Study. Lancet. 1997; 349(9064): 1498–1504.
  4. Heifer U. Blood alcohol concentration and effect, traffic medicine characteristics and legal traffic relevance of alcohol limit values in road traffic. Blutalkohol. 1991; 28(3): 121–145.
  5. Phillips DP, Brewer KM. The relationship between serious injury and blood alcohol concentration (BAC) in fatal motor vehicle accidents: BAC = 0.01% is associated with significantly more dangerous accidents than BAC = 0.00%. Addiction. 2011; 106(9): 1614–1622.
  6. Karakus A, İdiz N, Dalgiç M, et al. Comparison of the effects of two legal blood alcohol limits: the presence of alcohol in traffic accidents according to category of driver in Izmir, Turkey. Traffic Inj Prev. 2015; 16(5): 440–442.
  7. TÜİK. Turkey Statistic Institution, Road Traffic Accident Statistics. 2016, 2017.
  8. Aydın S. Global strategies in the struggle against alcohol from the WHO. Health and Medical Culture Journal. 2011(12).
  9. Varol M. Alcohol Report. Istanbul: Turkey Green Crescent Society. 2011.
  10. Petridou E, Moustaki M. Human factors in the causation of road traffic crashes. Eur J Epidemiol. 2000; 16(9): 819–826.
  11. Movig KLL, Mathijssen MPM, Nagel PHA, et al. Psychoactive substance use and the risk of motor vehicle accidents. Accid Anal Prev. 2004; 36(4): 631–636.
  12. Elvik R. Risk of road accident associated with the use of drugs: a systematic review and meta-analysis of evidence from epidemiological studies. Accid Anal Prev. 2013; 60: 254–267.
  13. CANTÜRK G. Medico-Legal Issues in the Detection of Blood Alcohol. Turkish Clinics, Journal of Forensic Medicine-Special Topics. 2017; 3(2): 125–30.
  14. Alcohol, drugs and traffic safety. Accident Analysis & Prevention. 1982; 14(6): 490–492.
  15. Shih HC, Hu SC, Yang CC, et al. Alcohol intoxication increases morbidity in drivers involved in motor vehicle accidents. Am J Emerg Med. 2003; 21(2): 91–94.
  16. Tien HCN, Tremblay LN, Rizoli SB, et al. Association between alcohol and mortality in patients with severe traumatic head injury. Arch Surg. 2006; 141(12): 1185–91; discussion 1192.
  17. Orsay EM, Turnbull TL, Dunne M, et al. Prospective study of the effect of safety belts on morbidity and health care costs in motor-vehicle accidents. JAMA. 1988; 260(24): 3598–3603.
  18. Lugo LH, García HI, Cano BC, et al. Multicentric study of epidemiological and clinical characteristics of persons injured in motor vehicle accidents in Medellín, Colombia, 2009-2010. Colomb Med (Cali). 2013; 44(2): 100–107.
  19. Gotsens M, Marí-Dell'Olmo M, Pérez K, et al. Other MEDEA Members. Trends in socio-economic inequalities in injury mortality among men in small areas of 26 Spanish cities, 1996-2007. Accid Anal Prev. 2013; 51: 120–128.
  20. Boström L, Wladis A, Nilsson B. A review of serious injuries and deaths among car occupants after motor vehicle crashes in Sweden from 1987 to 1994. Arch Orthop Trauma Surg. 2001; 121(1-2): 1–6.
  21. El-Sadig M, Norman JN, Lloyd OL, et al. Road traffic accidents in the United Arab Emirates: trends of morbidity and mortality during 1977-1998. Accid Anal Prev. 2002; 34(4): 465–476.
  22. Sharma BR, Harish D, Sharma V, et al. Road-traffic accidents--a demographic and topographic analysis. Med Sci Law. 2001; 41(3): 266–274.
  23. DeJoy DM. An examination of gender differences in traffic accident risk perception. Accid Anal Prev. 1992; 24(3): 237–246.
  24. Buzrul S. Alcohol Consumption in Turkey. Journal of Food and Health Science. 2016: 112–122.
  25. Montazeri A. Road-traffic-related mortality in Iran: a descriptive study. Public Health. 2004; 118(2): 110–113.
  26. Gómez-Restrepo C, Naranjo-Lujan S, Rondón M, et al. Costs of health care and influence of alcohol in traffic accidents in Bogota-Colombia. Journal of clinical epidemiology. 2016.
  27. Homma Y, Yamauchi S, Mizobe M, et al. Emergency department outpatient treatment of alcohol-intoxicated bicyclists increases the cost of medical care in Japan. PLoS One. 2017; 12(3): e0174408.
  28. Kuendig H, Hasselberg M, Laflamme L, et al. Alcohol and nonlethal injuries: a Swiss emergency department study on the risk relationship between acute alcohol consumption and type of injury. J Trauma. 2008; 65(1): 203–211.
  29. Akay N, Çelik GK, Karakayalı O, et al. The Effects of Blood Alcohol Levels on Injury Severity and Cost in Motor Vehicle Accidents. Ankara Medical Journal. 2014; 14(1).
  30. Alp S, Engin T. Analysis and evaluation of the relationship between causes and consequences of traffic accidents by using topsis and ahp methods. Istanbul Ticaret Üniversity, Science Faculty Journal. 2011; 19(10): 65–87.

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk, Poland
tel.:+48 58 320 94 94, fax:+48 58 320 94 60, e-mail: viamedica@viamedica.pl