Evidence map›Paper›PMID 42478675›Full record

ArticleInternational journal of occupational medicine and environmental health2026

An assessment of the suitability of online blood alcohol concentration calculators.

Joanna Stragierowicz, Natalia Jońska, Gabriela Szydłowska, Weronika Raczyńska, Anna Kilanowicz

Abstract read
In one paragraph

Article in International journal of occupational medicine and environmental health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Joanna StragierowiczMedical University of Lodz, Łódź, Poland (Faculty of Pharmacy, Department of Toxicology).
Natalia JońskaMedical University of Lodz, Łódź, Poland (Faculty of Pharmacy, Department of Toxicology).
Gabriela SzydłowskaMedical University of Lodz, Łódź, Poland (Faculty of Pharmacy, Department of Toxicology).
Weronika RaczyńskaMedical University of Lodz, Łódź, Poland (Faculty of Pharmacy, Department of Toxicology).
Anna KilanowiczMedical University of Lodz, Łódź, Poland (Faculty of Pharmacy, Department of Toxicology).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe increasing popularity of online blood alcohol concentration (BAC) calculators which estimate alcohol levels based on user-entered variables such as sex, weight, and alcohol consumption data raises concerns about their reliability and their influence on the decision to drive. The aim of this study is to assess the accuracy and usability of 36 online BAC calculators in Polish and English. MATERIAL AND

methodsThe calculated BAC values were compared with reference values obtained from 8 female, 8 male in both fasted and post-meal states. Blood alcohol concentration was evaluated at the predicted maximum value and at 60 min and 120 min post-consumption.

resultsSignificant variability was noted: mean values exceeded reference concentrations by 39-49%, and few calculators correlated with reference values. Only the BACscan, Aisko, and Website No. 3 calculators yielded results comparable to reference values under certain conditions (Passing-Bablok regression and Bland-Altman plots). Furthermore, in the present study an online survey (N = 103) found that although 73.2% of users had used an online breathalyzer, 85.4% of these did not base decisions (e.g., driving) on their results, believing them to be unreliable.

conclusionsOverall, most online BAC calculators lack sufficient precision and are unsuitable for assessing intoxication. These findings underscore the need for public education on the limitations of such tools and call for better regulation of their accuracy and presentation. Int J Occup Med Environ Health. 2026;39(3):245-69.

Indexed as

Alcohol DrinkingBlood Alcohol ContentInternetAdultBreath TestsFemaleHumansMalePolandReference ValuesReproducibility of ResultsBlood Alcohol Contentalcohol concentrationBAC calculatorBAC counterblood alcohol concentrationonline breath analyzervirtual breath analyzer

Identifiers

PMID42478675
PMCPMC13420427

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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.