<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-0390</journal-id>
<journal-title><![CDATA[Revista Médica del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Méd. Urug.]]></abbrev-journal-title>
<issn>1688-0390</issn>
<publisher>
<publisher-name><![CDATA[Sindicato Médico del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-03902019000200101</article-id>
<article-id pub-id-type="doi">10.29193/rmu.35.2.5</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Consumo de alcohol, relación con el trauma y su severidad]]></article-title>
<article-title xml:lang="en"><![CDATA[Relationship between alcohol consumption and trauma. Severity of traumatic injury]]></article-title>
<article-title xml:lang="pt"><![CDATA[Consumo de álcool, relação com o trauma e sua gravidade]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Delgado]]></surname>
<given-names><![CDATA[Edward]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Trostchansky]]></surname>
<given-names><![CDATA[Julio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mion]]></surname>
<given-names><![CDATA[Marcelo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ketzoian]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barindelli]]></surname>
<given-names><![CDATA[Ana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Machado]]></surname>
<given-names><![CDATA[Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de la República Departamento de Emergencia, Hospital de Clínicas Facultad de Medicina]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de la República Departamento de Emergencia, Hospital de Clínicas Facultad de Medicina]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de la República Clínica Quirúrgica &#8220;A&#8221;. Hospital de Clínicas Facultad de Medicina]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de la República Hospital de Clínicas. Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad de la República Hospital de Clínicas Facultad de Medicina]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Universidad de la República Hospital de Clínicas Facultad de Medicina]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>35</volume>
<numero>2</numero>
<fpage>101</fpage>
<lpage>126</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-03902019000200101&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-03902019000200101&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-03902019000200101&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  Uruguay no cuenta con estudios que reporten resultados de alcoholemias en traumatizados y menos aún su asociación con la severidad del trauma. Desde el año 2016 nuestro país cuenta con la llamada ley de tolerancia cero en base al supuesto de que la alcoholemia positiva representa un factor de riesgo para la severidad del trauma.  Objetivos:  describir el perfil epidemiológico de los traumatizados y estudiar la asociación existente entre el consumo de alcohol y la severidad del trauma.  Material y método:  estudio transversal; se incluyeron todos los pacientes que presentaron un evento traumático y fueron asistidos en el Departamento de Emergencia del Hospital de Clínicas durante el período 1 de marzo al 31 de agosto de 2017. Los datos se recopilaron prospectivamente y se extrajo muestra de alcoholemia a cada uno de los pacientes. Se consideraron diversas variables relacionadas con los pacientes y la severidad del traumatismo Se analizó la asociación entre las alcoholemias positivas y la severidad del trauma.  Resultados:  se incluyeron 121 pacientes, 28% presentaron alcoholemia positiva y 27% presentaron trauma severo. La alcoholemia positiva se asoció con la severidad del trauma (p &lt; 0,0001). No se encontró asociación entre el nivel de alcoholemia y la severidad del trauma (p = 0,323).  Conclusiones: el consumo de alcohol se asocia significativamente con la severidad del trauma. Nuestro estudio muestra que los traumatismos son severos solo por el hecho de presentar alcoholemias positivas independientemente de su nivel, apoyando la implementación de la ley de tolerancia cero.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction: our country has not conducted studies to report results on blood alcohol levels in traumatized patients or on its association with the severity of the traumatic injury.  Objective: to describe the epidemiological profile of trauma patients and to study the relationship between alcohol consumption and the severity of the traumatic injury.  Method: transversal study including all patients who suffered a traumatic event and were assisted at the Emergency Department of the Clínicas Hospital between March 1, 2017 and August 31, 2017. Data was prospectively collected and a blood alcohol level sample was taken from each one of the patients. Several patient related variables were considered, as well as the severity of the traumatic injury.  Results: 121 patients were included in the study, 28% showed positive blood alcohol levels and 27% presented severe traumatic injuries. Positive blood alcohol levels were associated to severity of the traumatic injury (p &lt; 0.0001). No association was found between blood alcohol levels and the severity of the traumatic injury (p = 0.323).  Conclusions: alcohol consumption is significantly associated to the severity of trauma. Our study shows that traumas are severe simply because blood alcohol levels are positive, regardless of the alcohol level, what supports the Zero Tolerance Law.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  no Uruguai não existem estudos que mostrem não somente os resultados de alcoolemia em traumatizados como também sua associação com a gravidade do trauma. Desde 2016 conta com a Lei de Tolerância 0 baseada no princípio de que a alcoolemia positiva é um fator de risco para a gravidade do trauma.  Objetivos:  descrever o perfil epidemiológico dos traumatizados e estudar a associação existente entre o consumo de álcool e a gravidade do trauma.  Materiais e métodos:  estudo transversal que incluiu todos os pacientes que apresentaram um evento traumático e foram atendidos no Departamento de Emergência do Hospital de Clínicas no período 1 de março - 31 de agosto de 2017. Os dados foram levantados prospectivamente e uma amostra de alcoolemia foi coletada a todos os pacientes. Foram incluídas variáveis relacionadas aos pacientes e à gravidade do traumatismo. A associação entre as alcoolemias positivas e a gravidade do trauma foi analisada.  Resultados:  foram incluídos 121 pacientes; 28% apresentaram alcoolemia positiva e 27% apresentaram trauma severo. As alcoolemias positivas estavam associadas com a gravidade do trauma (p &lt; 0,0001). Os resultados não mostraram associação entre o nível de alcoolemia e a gravidade do trauma (p = 0,323).  Conclusões:  o consumo de álcool está significativamente associado com a gravidade do trauma. Nosso estudo mostra que os traumatismos são graves somente pela presença de alcoolemias positivas independentemente de seu nível o que respalda a implementação da Lei de Tolerância 0.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Consumo de bebidas alcohólicas]]></kwd>
<kwd lng="es"><![CDATA[Heridas y lesiones]]></kwd>
<kwd lng="es"><![CDATA[Índices de gravedad del trauma]]></kwd>
<kwd lng="en"><![CDATA[Alcohol drinking]]></kwd>
<kwd lng="en"><![CDATA[Wounds and injuries]]></kwd>
<kwd lng="en"><![CDATA[Trauma severity indices]]></kwd>
<kwd lng="pt"><![CDATA[Consumo de bebidas alcoólicas]]></kwd>
<kwd lng="pt"><![CDATA[Ferimentos e lesões]]></kwd>
<kwd lng="pt"><![CDATA[Índices de gravidade do trauma]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vázquez Pedrouzo]]></surname>
<given-names><![CDATA[RA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Causas de los accidentes de tránsito o desde una visión de la medicina social el binomio alcohol-tránsito]]></article-title>
<source><![CDATA[Rev Méd Urug]]></source>
<year>2004</year>
<volume>20</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>178-86</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="book">
<collab>Uruguay.Junta Nacional de Drogas</collab>
<source><![CDATA[Incidencia del alcohol en los siniestros de tránsito en el Uruguay: generación de un Sistema de Información Permanente. Informe final julio de 2007]]></source>
<year>2007</year>
<publisher-loc><![CDATA[Montevideo ]]></publisher-loc>
<publisher-name><![CDATA[OSMET-OUD]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gómez Restrepo]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Gómez García]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Naranjo]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Rondón]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Acosta Hernández]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Alcohol consumption as an incremental factor in health care costs for traffic accident victims: evidence in a medium sized Colombian city]]></article-title>
<source><![CDATA[Accid Anal Prev]]></source>
<year>2014</year>
<volume>73</volume>
<page-range>269-73</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Campos]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[de Souza e Silva]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Duailibi]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[dos Santos]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Laranjeira]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The effect of the new traffic law on drinking and driving in São Paulo, Brazil]]></article-title>
<source><![CDATA[Accid Anal Prev]]></source>
<year>2013</year>
<volume>50</volume>
<page-range>622-7</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hall]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Wallace]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Cobiac]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Doran]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Vos]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[How can we reduce alcohol-related road crash deaths among young Australians?]]></article-title>
<source><![CDATA[Med J Aust]]></source>
<year>2010</year>
<volume>192</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>464-6</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[de Pena]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Accidentes de tránsito y alcohol: aspectos legales y éticos]]></article-title>
<source><![CDATA[Rev Méd Urug]]></source>
<year>1995</year>
<volume>11</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>153-6</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dapueto]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Yusim]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Russi]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Utilizacio´n de cuestionarios en el diagnóstico de alcoholismo en un hospital general]]></article-title>
<source><![CDATA[Rev Méd Urug]]></source>
<year>1992</year>
<volume>8</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>120-6</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Anderson]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Cremona]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Paton]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Turner]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Wallace]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The risk of alcohol]]></article-title>
<source><![CDATA[Addiction]]></source>
<year>1993</year>
<volume>88</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>1493-508</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Edwards]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Anderson]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Babor]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Casswell]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Ferrence]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Giesbrecht]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<source><![CDATA[Alcohol policy and the public Good.]]></source>
<year>1995</year>
<publisher-loc><![CDATA[Oxford,UK ]]></publisher-loc>
<publisher-name><![CDATA[Oxford University Press]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="book">
<collab>World Health Organization</collab>
<source><![CDATA[WHO Expert Committee on Problems Related to Alcohol Consumption: second report. (WHO Technical Report Series; nº 944)]]></source>
<year>2007</year>
<publisher-loc><![CDATA[Geneva ]]></publisher-loc>
<publisher-name><![CDATA[WHO]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Babor]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Higgins Biddle]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Saunders]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Monteiro]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[AUDIT: cuestionario de identificación de los trastornos debidos al consume de alcohol. Pautas para su utilización en atención primaria]]></source>
<year>2001</year>
<publisher-loc><![CDATA[Ginebra ]]></publisher-loc>
<publisher-name><![CDATA[OMS]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Barrios Camponovo]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Enfermedad traumática en Uruguay: aspectos epidemiológicos]]></article-title>
<source><![CDATA[Rev Méd Urug]]></source>
<year>1995</year>
<volume>11</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>187-207</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Trostchansky]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Dibarboure]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Bado]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Machado]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Castiñeiras]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Historia clínica para trauma. Registro hospitalario específico para pacientes traumatizados: un recurso para países en desarrollo]]></article-title>
<source><![CDATA[Rev Méd Urug]]></source>
<year>2011</year>
<volume>27</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>12-20</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="book">
<collab>Uruguay. Unidad de Seguridad Vial</collab>
<source><![CDATA[Siniestralidad vial en Uruguay: informe anual 2014]]></source>
<year>2014</year>
<publisher-loc><![CDATA[Montevideo ]]></publisher-loc>
<publisher-name><![CDATA[UNASEV]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Stübig]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Petri]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Zeckey]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Brand]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Müller]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Otte]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Alcohol intoxication in road traffic accidents leads to higher impact speed difference, higher ISS and MAIS, and higher preclinical mortality]]></article-title>
<source><![CDATA[Alcohol]]></source>
<year>2012</year>
<volume>46</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>681-6</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hsieh]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Su]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Wang]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Fu]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Lo]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Lin]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Does alcohol intoxication protect patients from severe injury and reduce hospital mortality? The association of alcohol consumption with the severity of injury and survival in trauma patients]]></article-title>
<source><![CDATA[Am Surg]]></source>
<year>2013</year>
<volume>79</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>1289-94</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fell]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Voas]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The effectiveness of a 0 05 blood alcohol concentration (BAC) limit for driving in the United States]]></article-title>
<source><![CDATA[Addiction]]></source>
<year>2014</year>
<volume>109</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>869-74</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ditsuwan]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Lennert Veerman]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Bertram]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Vos]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cost-effectiveness of interventions for reducing road traffic injuries related to driving under the influence of alcohol]]></article-title>
<source><![CDATA[Value Health]]></source>
<year>2013</year>
<volume>16</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>23-30</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sousa]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Lunnen]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Gonçalves]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Schmitz]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Pasa]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Bastos]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Challenges associated with drunk driving measurement combining police and self-reported data to estimate an accurate prevalence in Brazil]]></article-title>
<source><![CDATA[Injury]]></source>
<year>2013</year>
<volume>44</volume>
<numero>Suppl 4</numero>
<issue>Suppl 4</issue>
<page-range>S11-6</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Carter]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Flannagan]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Bingham]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Cunningham]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Rupp]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Modeling the injury prevention impact of mandatory alcohol ignition interlock installation in all new US vehicles]]></article-title>
<source><![CDATA[Am J Public Health]]></source>
<year>2015</year>
<volume>105</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>1028-35</page-range></nlm-citation>
</ref>
<ref id="B21">
<label>21</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vanerio]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Trostchansky]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Machado]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Barrios]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Impacto de la ley uruguaya en la mortalidad por siniestros de tránsito]]></article-title>
<source><![CDATA[Rev Méd Urug]]></source>
<year>2018</year>
<volume>34</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>149-54</page-range></nlm-citation>
</ref>
<ref id="B22">
<label>22</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Barrios]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Índices de gravedad en el paciente traumatizado]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Juambeltz]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Machado]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Trostchansky]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Trauma la enfermedad del nuevo milenio]]></source>
<year>2005</year>
<page-range>98-9</page-range><publisher-loc><![CDATA[Montevideo ]]></publisher-loc>
<publisher-name><![CDATA[Arena]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B23">
<label>23</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sánchez]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Valsangiácomo]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Trostchansky]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Machado]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Perfil epidemiológico de traumatizados graves en un hospital de agudos]]></article-title>
<source><![CDATA[Rev Méd Urug]]></source>
<year>2006</year>
<volume>22</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>179-84</page-range></nlm-citation>
</ref>
<ref id="B24">
<label>24</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Toledo Castillo]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<source><![CDATA[Manual de seguridad vial: factor alcohol]]></source>
<year>2009</year>
<publisher-loc><![CDATA[Pamplona, Navarra ]]></publisher-loc>
<publisher-name><![CDATA[Aranzadi]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B25">
<label>25</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dornewald]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Estudio estadístico sobre muertes en accidentes de tránsito en CABA y su relación con la presencia de alcohol en sangre cadavérica]]></article-title>
<source><![CDATA[Prensa Méd Argent]]></source>
<year>2008</year>
<volume>95</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>606-13</page-range></nlm-citation>
</ref>
<ref id="B26">
<label>26</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Liu]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Siegel]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Brewer]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Mokdad]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Sleet]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Serdula]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevalence of alcohol-impaired driving Results from a national self-reported survey of health behaviors]]></article-title>
<source><![CDATA[JAMA]]></source>
<year>1997</year>
<volume>277</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>122-5</page-range></nlm-citation>
</ref>
<ref id="B27">
<label>27</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Danielsson]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Rivara]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Gentilello]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Maier]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Reasons why trauma surgeons fail to screen for alcohol problems]]></article-title>
<source><![CDATA[Arch Surg]]></source>
<year>1999</year>
<volume>134</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>564-8</page-range></nlm-citation>
</ref>
<ref id="B28">
<label>28</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Maier]]></surname>
<given-names><![CDATA[RV]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ethanol abuse and the trauma patient]]></article-title>
<source><![CDATA[Surg Infect (Larchmt)]]></source>
<year>2001</year>
<volume>2</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>133-41</page-range></nlm-citation>
</ref>
<ref id="B29">
<label>29</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fabbri]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Marchesini]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Morselli-Labate]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Rossi]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Cicognani]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Dente]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Positive blood alcohol concentration and road accidents A prospective study in an Italian emergency department]]></article-title>
<source><![CDATA[Emerg Med J]]></source>
<year>2002</year>
<volume>19</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>210-4</page-range></nlm-citation>
</ref>
<ref id="B30">
<label>30</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Abdel-Aty]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Abdelwahab]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Exploring the relationship between alcohol and the driver characteristics in motor vehicle accidents]]></article-title>
<source><![CDATA[Accid Anal Prev]]></source>
<year>2000</year>
<volume>32</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>473-82</page-range></nlm-citation>
</ref>
<ref id="B31">
<label>31</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sorrentino]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Schulz]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Chaudry]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Cohen]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Friedman]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The legal limit: differences in injury severity score for vehicular crashes]]></article-title>
<source><![CDATA[J Trauma Nurs]]></source>
<year>2016</year>
<volume>23</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>184-8</page-range></nlm-citation>
</ref>
<ref id="B32">
<label>32</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Friedman]]></surname>
<given-names><![CDATA[LS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Complications associated with blood alcohol concentration following injury]]></article-title>
<source><![CDATA[Alcohol]]></source>
<year>2014</year>
<volume>48</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>391-400</page-range></nlm-citation>
</ref>
<ref id="B33">
<label>33</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Leonard]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Buckley]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Curtis]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Impact of alcohol on outcomes in hospitalized major trauma patients:º/ a literature review]]></article-title>
<source><![CDATA[J Trauma Nurs]]></source>
<year>2016</year>
<volume>23</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>103-14</page-range></nlm-citation>
</ref>
<ref id="B34">
<label>34</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Andersen]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[McLellan]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Pagliarello]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Nelson]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The relative influence of alcohol and seatbelt usage on severity of injury from motor vehicle crashes]]></article-title>
<source><![CDATA[J Trauma]]></source>
<year>1990</year>
<volume>30</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>415-7</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
