PDF(Pubmed)
Abstract：
Background This study investigates the impact of New York\'s relaxed alcohol consumption policies during the coronavirus disease (COVID-19) pandemic on alcohol-related traumatic brain injuries (TBIs) among patients admitted to a Level 1 trauma center in Queens. Given the limited research available, this study critically explores the link between public health policies and trauma care. It aims to address a significant gap in the literature and highlight the implications of alcohol regulations during global health emergencies. Methodology A retrospective analysis was conducted among trauma patients from 2019 to 2021. The study period was divided into the following three periods: pre-lockdown (March 7, 2019, to July 31, 2019), lockdown (March 7, 2020, to July 31, 2020), and post-lockdown (March 7, 2021, to July 31, 2021). Data on demographics, injury severity, comorbidities, and outcomes were collected. The study focused on assessing the correlation between New York\'s alcohol policies and alcohol-related TBI admissions during these periods. Results A total of 1,074 admissions were analyzed. The study found no significant changes in alcohol-positive patients over the full calendar years of 2019, 2020, and 2021 (42.65%, 38.91%, and 31.16% respectively; p = 0.08711). Specifically, during the lockdown period, rates of alcohol-positive TBI patients remained unchanged, despite the relaxed alcohol policies. There was a decrease in alcohol-related TBI admissions in 2021 compared to 2020 during the lockdown period. Conclusions Our study concludes that New York\'s specific alcohol policies during the COVID-19 pandemic were not correlated with an increase in alcohol-related TBI admissions. Despite the relaxation of alcohol consumption laws, there was no increase in alcohol positivity among TBI patients. The findings suggest a complex relationship between public policies, alcohol use, and trauma during pandemic conditions, indicating that factors other than policy relaxation might influence alcohol-related trauma incidences.
摘要：
背景这项研究调查了纽约在冠状病毒病(COVID-19)大流行期间放松饮酒政策对皇后区一级创伤中心收治的患者酒精相关创伤性脑损伤(TBI)的影响。鉴于现有的研究有限，这项研究批判性地探讨了公共卫生政策与创伤护理之间的联系.它旨在解决文献中的重大空白，并强调酒精法规在全球卫生紧急情况下的影响。方法对2019～2021年的创伤患者进行回顾性分析。研究期间分为以下三个时期：封锁前（2019年3月7日至2019年7月31日），封锁（2020年3月7日至2020年7月31日），和封锁后（2021年3月7日至2021年7月31日）。人口统计数据，损伤严重程度,合并症,并收集结果。该研究的重点是评估纽约的酒精政策与酒精相关的TBI入院之间的相关性。结果共分析了1074例入院病例。研究发现，在2019年，2020年和2021年的整个日历年中，酒精阳性患者没有显着变化（42.65％，38.91%,和31.16%；p=0.08711）。具体来说,在封锁期间,酒精阳性TBI患者的比率保持不变，尽管放松了酒精政策。与封锁期间的2020年相比，2021年与酒精相关的TBI入院人数有所减少。结论我们的研究得出的结论是，在COVID-19大流行期间，纽约的特定酒精政策与酒精相关TBI入院的增加无关。尽管酒精消费法律有所放松，TBI患者的酒精阳性没有增加.研究结果表明，公共政策之间存在复杂的关系，酒精使用,以及大流行期间的创伤，这表明政策放松以外的其他因素可能会影响酒精相关的创伤发生率。
