Alcohol diagnostic validation for injury-related trauma: Findings from a pilot study.

Journal: Digital health

Volume: 9

Issue: 

Year of Publication: 

Affiliated Institutions:  Burden of Disease Research Unit, South African Medical Research Council, Cape Town, South Africa. Mental Health, Alcohol, Substance Use and Tobacco Research Unit, South African Medical Research Council, Cape Town, South Africa. Gender and Health Research Unit, South African Medical Research Council, Cape Town, South Africa. Orthopaedic Trauma Service, Groote Schuur Hospital, University of Cape Town, South Africa. George Institute for Global Health, Imperial College London, UK.

Abstract summary 

Alcohol consumption is a key driver of the burden of violence and injury in South Africa (SA). Hence, we aim to validate various alcohol assessment tools against a blood test to assess their utility for improving national health practice and policy.We conducted a cross-sectional pilot study from 3 to 19 August 2022 at Groote Schuur Hospital in Cape Town, SA. This was to test logistics for the time of venous blood centrifugation and validation of alcohol assessment tools used in injured patients ahead of the main validation study. Adults aged 18 years and older, who were injured <8 h before arrival were included. Consent was obtained for venous blood alcohol testing to validate, as the gold standard, against the following: active- and passive breath alcohol testing, clinical screening and a finger prick test. Descriptive statistics were reported for the pilot study.The active breath alcohol test's digital reading and the passive test's 'yes/no' results corresponded well against the venous blood alcohol results. The average time to centrifugation was within the laboratory's 2-h cut-off requirement to preserve the alcohol in the serum.The pilot study was helpful in identifying challenges with one of the alcohol assessment tools and prevented further costs ahead of the main validation study. We also determined that the selected tertiary hospital site caused a delay in recruiting eligible patients due to other hospital referrals. Hence, the main validation study is in progress at a district-level hospital for a larger sample of eligible patients for testing.

Authors & Co-authors:  Prinsloo Megan M Petersen Williams Petal P Neethling Ian I Mhlongo Shibe X SX Maqungo Sithombo S Peden Margaret M MM Parry Charles C Matzopoulos Richard R

Study Outcome 

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Statistics
Citations :  Matzopoulos R, Prinsloo M, Pillay-van Wyk V, et al. Injury-related mortality in South Africa: a retrospective descriptive study of post-mortem investigations. Bull World Health Organ 2015; 93: 303–313.
Authors :  8
Identifiers
Doi : 20552076231218138
SSN : 2055-2076
Study Population
Male,Female
Mesh Terms
Other Terms
South Africa;alcohol assessment tools;alcohol consumption;blood alcohol;breathalyzer;evidentiary breath alcohol testing;injury;violence
Study Design
Descriptive Study,Cross Sectional Study
Study Approach
Country of Study
South Africa
Publication Country
United States