Evidence map›Paper›PMID 39487692›Full record

ArticleWorld journal of surgery2024

The utility of alcohol saliva test strips compared to the breathalyzer in trauma patients in a resource-limited setting.

Dylane N Davis, Jotham Gondwe, Selena J An, Jared Gallaher, Anthony Charles

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in World journal of surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Effects of alcohol consumption on postoperative outcomes: a scoping review.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2026
    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

5 authors.

Dylane N DavisDepartment of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Jotham GondweKamuzu Central Hospital, Lilongwe, Malawi.
Selena J AnUniversity of North Carolina, School of Medicine, Chapel Hill, North Carolina, USA.
Jared GallaherDepartment of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Anthony CharlesDepartment of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.ORCID 0000-0001-7332-4354

Funding

UJMT – ORWH – Gazzetta, Issa-BoubeD43TW009340 · FIC · UNIV OF NORTH CAROLINA CHAPEL HILL · PI William Checkley, Benjamin H. Chi · 2017 to 2026
$14.8M
FIC NIH HHS D43 TW009340FIC NIH HHS D43TW009340
6 · The paper itself

Abstract

introductionThe correlation between alcohol consumption and injury is undeniable. However, past research relying on self-reporting alcohol use likely resulted in underreporting and emphasizing the need to increase alcohol testing, especially in resource-limited settings where the burden of injuries is highest.

methodsThis is a prospective analysis of injured patients presenting to the trauma center at Kamuzu Central Hospital in Lilongwe, Malawi. We collected information including patient age, sex, admission date, mechanism of injury, breathalyzer test and Rapid Response

resultsA total of 805 trauma patients were included. The overall prevalence of alcohol consumption in this trauma cohort is 18.3%. There was a 95.5% agreement between the AST and breathalyzer test with a Kappa coefficient of 0.83. The sensitivity and specificity of the AST were determined to be 78.5% (CI 75.7-81.2) and 99.3% (CI 98.7-99.9), respectively. ROC analyses showed the AST to have excellent discrimination with an area under the curve of 0.88 (95% CI 0.85-0.92).

conclusionThe prevalence of alcohol-related injury is high in Malawi and the use of the Alcohol Saliva Test Strips is feasible and correlated with results derived from the breathalyzer. Routine alcohol testing for trauma patients presenting to a resource-limited setting is imperative and should be implemented.

Indexed as

Breath TestsSalivaWounds and InjuriesAdolescentAdultAlcohol DrinkingEthanolFemaleHumansMalawiMaleMiddle AgedProspective StudiesReagent StripsResource-Limited SettingsSensitivity and SpecificityEthanolReagent Stripsalcohol and injuryalcohol and saliva testingalcohol and trauma

Identifiers

PMID39487692
PMCPMC11620918

What OpenQuestion holds

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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.