GABRIEL ANDREUCCETTI
Projetos de Pesquisa
Unidades Organizacionais
LIM/40 - Laboratório de Imunohematologia e Hematologia Forense, Hospital das Clínicas, Faculdade de Medicina
16 resultados
Resultados de Busca
Agora exibindo 1 - 10 de 16
- Alcohol and drug involvement in motorcycle driver injuries in the city of Sao Paulo, Brazil: Analysis of crash culpability and other associated factors(2016) CARVALHO, Heraclito Barbosa de; ANDREUCCETTI, Gabriel; REZENDE, Marcelo Rosa; BERNINI, Celso; SILVA, Jorge Santos; LEYTON, Vilma; GREVE, Julia Maria D'AndreaBackground: Earlier studies have already identified that a greater proportion of injured drivers are under the effects of illicit drugs than alcohol in Brazil, but the crash risk attributable to each substance is still unknown. Methods: Injured motorcycle drivers who were involved in traffic accidents in the West Zone of the city of Sao Paulo were recruited for a cross-sectional study based on crash culpability analysis. Alcohol and drug positivity among drivers was evaluated according to their responsibility for the crash. Culpability ratios were generated based on the proportion of drivers who were deemed culpable in relation to those considered not culpable according to the use of drugs and alcohol. Results: Of the 273 drivers recruited, 10.6% tested positive for alcohol. Among those who were also tested for drugs (n=232), 20.3% had consumed either alcohol and/or other drugs, 15.5% of whom were positive only for drugs other than alcohol, specifically cannabis and cocaine. Drivers who tested positive for alcohol were significantly less likely to possess a valid driver's license and to report driving professionally, whereas those who had consumed only drugs were more likely to drive professionally. The culpability ratio estimated for alcohol-positive drivers was three times higher than that for alcohol-free drivers, showing a superior ratio than drivers who had consumed only drugs other than alcohol, who presented a 1.7 times higher culpability ratio than drug-free drivers. Conclusion: Substance use was overrepresented among culpable motorcycle drivers, with alcohol showing a greater contribution to crash culpability than other drugs.
- A review of emergency room studies on alcohol and injuries conducted in Latin America and the Caribbean region(2012) ANDREUCCETTI, Gabriel; CARVALHO, Heraclito B.; KORCHA, Rachael; YE, Yu; BOND, Jason; CHERPITEL, Cheryl J.Issues. Alcohol-attributable burden of injury is one of the most serious public health problems in Latin America and the Caribbean region (LAC). Although knowledge on alcohol's involvement in injuries has progressed along with the implementation of evidenced-based alcohol policies in developed countries, this was not true for the most part of LAC countries for which reducing alcohol-related injuries is an urgent necessity. Approach. A systematic review was performed in order to identify the most up-to-date information on alcohol and injuries derived from emergency room (ER) studies conducted in LAC. Key Findings. Findings corroborate that alcohol has a high prevalence among injured patients in the ER setting in LAC, with violence-related injuries showing an increased association with alcohol use compared to unintentional injuries. However, a large number of studies did not include all types of injury and the measurement of injury risk associated with alcohol consumption. The amount of alcohol consumed in the event and hazardous drinking patterns seem to be strongly associated with injury occurrence, as well as drinking in public spaces, but a paucity of data relating to social-contextual factors limits the interpretation of the heterogeneity in the magnitude of the association of alcohol and injuries found across studies. Conclusions. There is a lack of ER studies able to support strategies to reduce alcohol-related injuries in a region where effective alcohol policies are scant. Future research should focus on understanding how drinking influenced by local contexts and drinking behaviours may affect the risk of injury within each LAC country.[Andreuccetti G, Carvalho HB, Korcha R, Ye Y, Bond J, Cherpitel CJ. A review of emergency room studies on alcohol and injuries conducted in Latin America and the Caribbean region. Drug Alcohol Rev 2012;31:737746]
- Alcohol use among fatally injured victims in SAo Paulo, Brazil: bridging the gap between research and health services in developing countries(2017) ANDREUCCETTI, Gabriel; LEYTON, Vilma; LEMOS, Nikolas P.; MIZIARA, Ivan Dieb; YE, Yu; TAKITANE, Juliana; MUNOZ, Daniel Romero; REINGOLD, Arthur L.; CHERPITEL, Cheryl J.; CARVALHO, Heraclito Barbosa deBackground and aimsMost studies reporting alcohol use among fatally injured victims are subject to bias, particularly those related to sample selection and to absence of injury context data. We developed a research method to estimate the prevalence of alcohol consumption and test correlates of alcohol use prior to fatal injuries. Design, Setting and ParticipantsCross-sectional study based on a probability sample of fatally injured adult victims (n=365) autopsied in SAo Paulo, Brazil. Victims were sampled within systematically selected 8-hour sampling blocks, generating a representative sample of fatal injuries occurring during all hours of the day for each day of the week between June 2014 and December 2015. MeasurementsThe presence of alcohol and blood alcohol concentration (BAC) were the primary outcomes evaluated according to victims' socio-demographic, injury context data (type, day, time and injury place) and criminal history characteristics. FindingsAlcohol was detected in 30.1% [95% confidence interval (CI)=25.6-35.1)] of the victims, with a mean blood alcohol level (BAC) level of 0.11%w/v (95% CI=0.09-0.13) among alcohol-positive cases. Black and mixed race victims presented a higher mean BAC than white victims (P=0.03). Fewer than one in every six suicides tested positive for alcohol, while almost half of traffic-related casualties were alcohol-positive. Having suffered traffic-related injuries, particularly those involving vehicle crashes, and injuries occurring during weekends and at night were associated significantly with alcohol use before injury (P<0.05). ConclusionsNearly one-third of fatal injuries in SAo Paulo between June 2014 and December 2015 were alcohol-related, with traffic accidents showing a greater association with alcohol use than other injuries. The sampling methodology tested here, including the possibility of adding injury context data to improve population-based estimates of alcohol use before fatal injury, appears to be a reliable and lower-cost strategy for avoiding biases common in death investigations.
- Alcohol Use and Injury Severity Among Emergency Department Patients in Six Countries(2013) KORCHA, Rachael A.; CHERPITEL, Cheryl J.; YE, Yu; BOND, Jason; ANDREUCCETTI, Gabriel; BORGES, Guilherme; BAZARGAN-HEJAZI, ShahrzadThis study examines the individual and sociocultural factors related to severity of injury among emergency department (ED) patients across six countries (United States, Canada, Mexico, Australia, Spain, and Italy). Secondary analysis of existing data using probability samples of injured patients from 15 studies (N = 9,599) were analyzed for severity of injury as measured by arrival by ambulance and admission to the hospital, using logistic regression models and multilevel hierarchical linear models. Patients drinking greater quantities of alcohol before the injury were more likely to have arrived to the ED by ambulance or admitted to the hospital after the injury event. Country-level detrimental drinking pattern explained some of the study variation for patients arriving by ambulance but not for patients admitted to the ED. Findings support a relationship between acute alcohol consumption to injury severity; however, further examination of the clinical implications related to triage, patient evaluation, and intervention for alcohol-related problems is merited.
- Reducing the legal blood alcohol concentration limit for driving in developing countries: a time for change? Results and implications derived from a time-series analysis (2001-10) conducted in Brazil (vol 106, pg 2124, 2011)(2012) ANDREUCCETTI, Gabriel; CARVALHO, Heraclito B.; CHERPITEL, Cheryl J.; YE, Yu; PONCE, Julio C.; KAHN, Tulio; LEYTON, Vilma
- THE CALL FOR EVIDENCE-BASED DRINK AND DRIVING POLICIES IN BRAZIL(2012) ANDREUCCETTI, Gabriel; CARVALHO, Heraclito Barbosa De; CHERPITEL, Cheryl J.; LEYTON, Vilma
- Introducing a new research method for evaluating alcohol and other drug use among fatally injured victims in Latin America(2017) ANDREUCCETTI, Gabriel; LEYTON, Vilma; MIZIARA, Ivan Dieb; LEMOS, Nikolas P.; MUNOZ, Daniel Romero; CHERPITEL, Cheryl J.; CARVALHO, Heraclito Barbosa
- DRINKING AND DRIVING IN BRAZIL: SAME PROBLEM, SAME LOOPHOLE(2016) ANDREUCCETTI, Gabriel; LEYTON, Vilma; CARVALHO, Heraclito Barbosa De; SINAGAWA, Daniele Mayumi; ALLEN, Katharine A.; HYDER, Adnan A.
- HAIR DRUG TESTING IN THE NEW BRAZILIAN REGULATION TO OBTAIN PROFESSIONAL DRIVER'S LICENCE: NO PARALLEL TO ANY OTHER LAWENFORCEMENT IN THE WORLD(2015) LEYTON, Vilma; ANDREUCCETTI, Gabriel; ALMEIDA, Rafael Menck de; MUNOZ, Daniel Romero; WALLS, H. Chip; GREVE, Juliamaria D'Andrea; MONTAL, Jose Heverardo da Costa; ADURA, Flavio Emir; YONAMINE, Mauricio
- HAIR TESTING: AN INEFFECTIVE DUI STRATEGY IN BRAZIL(2018) LEYTON, Vilma; ANDREUCCETTI, Gabriel; MEIRA JUNIOR, Antonio Edson Souza; SANTOS, Marcelo Filonzi Dos; BOMBANA, Henrique Silva; WALLS, H. Chip; GREVE, Julia Maria D'Andrea; CARVALHO, Heraclito Barbosa de; MONTAL, Jose Heverardo da Costa; ADURA, Flavio Emir; YONAMINE, Mauricio