Substance abuse, violence, and outcome after traumatic spinal cord injury

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Study examines admission toxicology (drug and alcohol) screens from 87 consecutive rehabilitation medicine patients diagnosed with acute traumatic spinal cord injury (SCI). Forty-six patients (53%) presented with positive toxicology screens (alcohol-44%, drug-30%, both-26%). Of patients with positive alcohol screens, 75% met state criteria for intoxication (blood alcohol level 0.08 mg/dl or greater). Compared to those with negative screens, patients with positive screens were significantly younger or unmarried (p

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