Saratov JOURNAL of Medical and Scientific Research

Dynamics of frequency of alcohol-related fatal automobile trauma in the Saratov region from 2006 till 2017

Year: 2019, volume 15 Issue: №3 Pages: 701-706
Heading: Forensic medicine Article type: Original article
Authors: Savenkova E.N., Efimov А.А., Alekseev Yu.D., Raykova K.A., Avdeeva O.S., Gavrichenko E.P.
Organization: Saratov State Medical University

Objective; to analyze of the dynamics of frequency of alcohol-related fatal automobile trauma in the Saratov region over the years 2006-2017. Material and Methods. The study was conducted on the basis of the results of forensic medical examinations of the corpses of persons dead in a car accident in the period from 2006 to 2017 Results. During the study period in the Saratov region slightly decreased the proportion of alcohol intoxication in traffic accidents from 35-40% (2012-2015) to 23.5% (2017). Until 2015, the frequency of alcohol intoxication with trauma in the cabin and pedestrian injury almost did not differ, making up 35-40%. By 2017, the proportion of injured pedestrians with ethanol in the blood more than twice exceeded those affected in the cabin, moreover, the structure of ethanol intoxication in pedestrians is dominated by a concentration of 2.5-3.5%o and more. Along with the decrease in the frequency of ethanol in the blood among drivers (from about 40% in 2012-2015 to 23.5% in 2017), the share of heavy ethanol intoxication decreased, which until 2012 ranged from 33 to 60%, in 2017 it decreased to 25%. The age structure of alcohol-associated automobile trauma has changed: the share of intoxication among persons of 17-30 years has decreased, has increased in age groups of 31-40 years and 41-50 years. Conclusion. During the twelve-year period in the Saratov region in the structure of alcohol- associated automobile trauma there have been positive trends, expressed in a decrease in the proportion of victims in the cabin with the presence of ethanol in the blood, among drivers, and also a decrease in alcohol intoxication among young people. Negative trends should be considered an increase in the proportion of pedestrians with the presence of alcohol in the blood with a predominance of concentration corresponding to a severe degree of ethanol intoxication, increase of the share of ethanol intoxication in older age groups.

1 World report on road traffic injury prevention. Moscow: Ves' mir, 2004; 280 p.
2 Savenkova EN, Efimov АА. Child-pedestrian injuries inflicted in the road traffic accidents as a forensic medical problem. Forensic Medical Expertise 2017; 60 (6): 13-7.
3 Savenkova EN, Efimov АА, Semizhonova VN. Features of damages in children under certain types automobile fatal injuries. Problems of expertise in medicine 2015; 15 (1-2): 47-9.
4 Kovalev AV, Morozov YuE, Samokhodskaya OV, et al. Alcohol-associated mortality in Russia (based on the materials for the period from 2011 till 2016). Forensic Medical Expertise 2017; 60 (6): 4-8.
5 Phillips DP, Brewer KM. The relationship between serious injury and blood alcohol concentration (ВАС) in fatal motor vehicle accidents: BAC=0.01 % is associated with significantly more dangerous accidents than BAC=0.00%. Addiction 2011; 106: 1614-22.
6 Lipatov EJu, Gorshenin AA. Reasons of decrease in efficiency of the driver. Science and Technology in Transport 2014; (4): 72-6.
7 Stubig Т, et al. Alcohol intoxication in road traffic accidents leads to higher impact speed difference, higher ISS and MAIS, and higher preclinical mortality. Alcohol 2012; 46: 681-6.
8 Zador PL. Alcohol-related relative risk of fatal driver injuries in relation to driver age and sex. Journal of Studies on Alcohol 1991;52:302-10.
9 Mann RE, et al. The effects of introducing or lowering legal per se blood alcohol limits for driving: an international review. Accident Analysis and Prevention 2001; 33: 569-83.
10 Efimov AA, Savenkova EN, Alekseev YuD. et al. The analysis of the structure of causes of violent death in Saratov (from 2011 to 2015). Saratov Journal of Medical Scientific Research 2016; 12 (1): 27-31.
11 Official site of the State traffic inspectorate of the Ministry of Internal Affairs of Russia. Available at: March 30, 2019

2019_03_701-706.pdf641.73 KB

No votes yet