Evidence map›Paper›PMID 38416393›Full record

Observational studyCJEM2024

Off-road vehicle crashes: dangers of alcohol and drug impairment.

Nelofar Kureshi, David B Clarke, Lorelei Audas, Kirk Magee, Bassam Nassar, Herbert Chan, Yue Yuan, Shannon Erdelyi, Jeffrey R Brubacher

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in CJEM, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.2field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Nelofar KureshiDepartment of Surgery (Neurosurgery), Dalhousie University, Halifax, NS, Canada.
David B ClarkeDepartment of Surgery (Neurosurgery), Dalhousie University, Halifax, NS, Canada. d.clarke@dal.ca.
Lorelei AudasDepartment of Surgery (Neurosurgery), Dalhousie University, Halifax, NS, Canada.
Kirk MageeDepartment of Emergency Medicine, Dalhousie University, Halifax, NS, Canada.
Bassam NassarDepartment of Pathology, Dalhousie University, Halifax, NS, Canada.
Herbert ChanDepartment of Emergency Medicine, University of British Columbia, Vancouver, BC, Canada.
Yue YuanDepartment of Emergency Medicine, University of British Columbia, Vancouver, BC, Canada.
Shannon ErdelyiDepartment of Emergency Medicine, University of British Columbia, Vancouver, BC, Canada.
Jeffrey R BrubacherDepartment of Emergency Medicine, University of British Columbia, Vancouver, BC, Canada.
Dalhousie University · CAUniversity of British Columbia · CA

Funding

Health Canada 1920-HQ-000008
6 · The paper itself

Abstract

backgroundImpaired driving is a public health issue, yet little is known concerning the prevalence of substance use in drivers involved in off-road vehicle crashes. The goal of the present study was to describe the demographics and prevalence of alcohol and drug use in drivers of off-road vehicle crashes.

methodsIn this observational substudy, we collected clinical and toxicological data on all moderately or severely injured off-road vehicle drivers who had blood samples obtained within 6 h of the crash. Clinical data were extracted from patients' medical charts and toxicology analyses were performed for blood alcohol, cannabinoids, recreational drugs, and impairing medications.

resultsThirty-three injured drivers met the inclusion criteria. The mean age was 37.6 ± 13.4 years and 79% were male. Blood alcohol was detected in 58% of drivers and 42% of these were above the legal limit. Tetrahydrocannabinol was positive in 12% of drivers, and 18% were positive for recreational drugs. Opiates were detected in 21% of drivers. Overall, 85% were positive for at least one substance and 39% tested positive for multiple substances.

conclusionThis study presents the first evidence of alcohol and drug use in off-road vehicle drivers after cannabis legalization in Canada. Our results show that over half of drivers in off-road vehicle crashes test positive for alcohol and 30% tested positive for THC, cocaine, or amphetamines. Opiates are also commonly detected in off-road vehicle drivers. Emergency department (ED) visits resulting from drug driving of off-road vehicles serve as an opportunity for screening, initiating treatment, and connecting patients to interventions for substance use disorders.

Indexed as

Accidents, TrafficDriving Under the InfluenceSubstance-Related DisordersAdultAlcohol DrinkingCanadaFemaleHumansMaleMiddle AgedPrevalenceSubstance Abuse DetectionCollisionDrug drivingOff-road vehicle

Identifiers

PMID38416393
OpenAlexW4392234170

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.