This systematic review identified 14 articles that investigated the use of alcohol and trauma recidivism. Among the studies that reported a rate of alcohol-related trauma recidivism the median proportion of trauma recidivism related to alcohol use was 42.9% (range 21-77%). Trauma patients a positive BAC, an alcohol-related first injury, a SMAST Score of 3+, and an abnormal GGT value. This systematic review is the first to synthesize the evidence from studies reporting on the proportion of trauma recidivists presenting to a hospital or trauma center with a history of an alcohol-related trauma. This study is important due to the high prevalence of acute alcohol intoxication and chronic alcoholism among trauma patients and indicates that there is a need to effectively screen, diagnose, and treat trauma patients who abuse alcohol.
Paragraph 2: Discuss the results of this study and how they compare with other similar studies. some systematic reviews of interventions for alcohol use in trauma patients, could discuss these. There is also our SR on legal consequences for intoxicated drivers which include previous and subsequent DUI/DWI charges for intoxicated trauma patients.
The findings of this systematic review show that a large proportion of repeat trauma patients presenting to a hospital or trauma center are young to middle aged males, with a history of alcohol use. This is consistent with McCoy et al. 2013 who demonstrated similar patient characteristics for alcohol-related trauma recidivists. Their population of recidivists were young to middle aged (37 ± 18 years), 75% male, with 35% self reporting use of alcohol on the day of injury. Multiple studies have reviewed the effectiveness of alcohol interventions in eme...
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...few controlled for cofounding variables. Despite these limitations the majority of the studies reported on the incidence of alcohol-related trauma recidivism. Also, this systematic review was conducted following the PRISMSA guidelines for systematic reviews and meta-analyses (14).
Paragraph 7: Conclusion, briefly restate main findings and take home message. Suggest future directions for additional research, or how to reduce alcohol-related trauma recidivism in the future.
Evidence from the studies in this review indicates that a substantial proportion of trauma recidivism is related to alcohol use. With the establishment of common predicting factors for trauma recidivism more research is needed to investigate the screening and diagnosis of trauma recidivists for alcohol related problems. This could reduce the burden of trauma recidivism on the healthcare system.
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