A review of suspected cases of driving under the influence of drugs (DUID) involved in traffic accidents in Istanbul (Turkey)

dc.contributor.authorAcar F.
dc.contributor.authorAsirdizer M.
dc.contributor.authorAker R.G.
dc.contributor.authorKucukibrahimoglu E.E.
dc.contributor.authorAtes I.
dc.contributor.authorErol Y.
dc.contributor.authorSahin A.
dc.date.accessioned2024-07-22T08:18:44Z
dc.date.available2024-07-22T08:18:44Z
dc.date.issued2013
dc.description.abstractNowadays traffic accidents, which have high mortality and morbidity, are an important public health problem. The association between the use of alcohol and/or drugs by drivers and the increased risk of traffic accidents with a high risk of death and injury has been well described in the literature. This study aimed to review the incidence of cases of driving under the influence of drugs (DUID) among all cases of driving under the influence (DUI) of alcohol and/or other drugs involved in traffic accidents and to evaluate the type of the psychoactive drugs (with or without alcohol) detected in blood samples in Istanbul and its surrounding area. This study is the first investigation on the subject of DUID cases in Turkey. The reports of the Istanbul Toxicology Department of the Council of Forensic Medicine (Turkey) on suspected DUID cases involved in traffic accidents between 1 July 2010 and 30 June 2011 were retrospectively reviewed for alcohol and/or drug use. Alcohol analysis was requested in 4274 suspected DUI cases, whereas drug along with alcohol analysis was requested in only 91. The rate of suspected DUID cases (n = 91) among the suspected DUI cases (n = 4274) was only 2.1% and in this study, we evaluated only the DUID cases in detail. Alcohol was present in 44% of suspected DUID cases. Psychoactive drugs were present in 15.4% of cases. The incidence among 46 confirmed DUID cases was found to be 17.4% for cannabis, 8.7% for benzodiazepines, 4.3% for barbiturates, 4.3% for antidepressants, 2.2% for cocaine and 2.2% for amphetamines. Although there is a zero-tolerance approach for DUID in the Turkish regulations, it is not well recognised and not inspected by police and legal authorities who are responsible for taking measures in traffic accidents and for routine traffic controls in Turkey. It is concluded that psychoactive drugs should be checked as well as alcohol in all traffic accident cases and roadside controls. © 2013 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.
dc.identifier.DOI-ID10.1016/j.jflm.2013.03.028
dc.identifier.issn1752928X
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/17406
dc.language.isoEnglish
dc.publisherChurchill Livingstone
dc.subjectAccidents, Traffic
dc.subjectAdolescent
dc.subjectAdult
dc.subjectAmphetamines
dc.subjectAntidepressive Agents
dc.subjectAutomobile Driving
dc.subjectBarbiturates
dc.subjectBenzodiazepines
dc.subjectCannabinoids
dc.subjectCentral Nervous System Depressants
dc.subjectChromatography, Gas
dc.subjectChromatography, Liquid
dc.subjectCocaine
dc.subjectEthanol
dc.subjectFemale
dc.subjectForensic Toxicology
dc.subjectHumans
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectRetrospective Studies
dc.subjectSubstance-Related Disorders
dc.subjectTandem Mass Spectrometry
dc.subjectTurkey
dc.subjectYoung Adult
dc.subjectAlcohol
dc.subjectDrugs
dc.subjectRoadside tests
dc.subjectTraffic accidents
dc.subjectTurkish traffic regulations
dc.subjectZero tolerance
dc.subjectalcohol
dc.subjectamphetamine derivative
dc.subjectantidepressant agent
dc.subjectbarbituric acid derivative
dc.subjectbenzodiazepine derivative
dc.subjectcannabinoid
dc.subjectcannabis
dc.subjectcocaine
dc.subjectopiate
dc.subjectpentobarbital
dc.subjectpsychotropic agent
dc.subjectthiopental
dc.subjectadolescent
dc.subjectadult
dc.subjectalcohol blood level
dc.subjectalcohol consumption
dc.subjectarticle
dc.subjectblood sampling
dc.subjectdriving ability
dc.subjectdriving under the influence of drug
dc.subjectdrug use
dc.subjectdrunken driving
dc.subjectfemale
dc.subjectforensic medicine
dc.subjecthuman
dc.subjectincidence
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectmiddle aged
dc.subjectretrospective study
dc.subjecttraffic accident
dc.subjectTurkey (republic)
dc.titleA review of suspected cases of driving under the influence of drugs (DUID) involved in traffic accidents in Istanbul (Turkey)
dc.typeArticle

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