Substance abuse, violence, and outcome after traumatic spinal cord injury

Short Title:
Substance abuse, violence, and outcome after traumatic spinal cord injury
Model System:
Reference Type:
Journal Article
Accession No.:
Journal of Physical Medicine and Rehabilitation
Year, Volume, Issue, Page(s):
1999, vol. 78, issue 4, pp 306-312
Publication Website:
Study examines admission toxicology (drug and alcohol) screens from 87 consecutive rehabilitation medicine patients diagnosed with acute traumatic spinal cord injury (SCI). Forty-six patients (53%) presented with positive toxicology screens (alcohol-44%, drug-30%, both-26%). Of patients with positive alcohol screens, 75% met state criteria for intoxication (blood alcohol level 0.08 mg/dl or greater). Compared to those with negative screens, patients with positive screens were significantly younger or unmarried (p<0.05). Compared with non-violence-related SCI, patients with violence-related SCI (gunshot wound and assault) were significantly more likely to have positive toxicology screens ((76% v 41%), drug screens 62% v 14%), and intoxication screens 72% v 34%). Similar rehabilitation outcome comparisons (length of stay, admission and discharge Functional Independence Measure (FIM) scores, FIM change scores, and FIM efficiency scores) were noted in both the positive and negative screen groups. This document is included in NCDDR's Guide to Substance Abuse and Disability Resources produced by NIDRR Grantees, 2nd Ed, number D.55.
McKinley, W. O.; Kolakowsky, S. A.; Kreutzer, J. S.
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