背景：喝酒造成的健康危害已成為全球重要的問題，其中飲酒造成的事故傷害風險最為明顯，已不容忽視。目的：追蹤2005年酒精使用疾患病人3年內之傷害率。方法：本研究屬前瞻性世代研究，使用全民健保2005年百萬抽樣歸人檔（longitudinal national health insurance research database [LHID], 2005），選取酒精使用疾患個案（N Code為303.x及305.0x）為暴露組，以1:4選取非酒精使用疾患（排除藥物使用者）為非暴露組，追蹤兩組病患往後3年的傷害情形。結果：2005年酒精使用疾患計有1,842人，男性佔78.6%，患者平均年齡為42.4歲（男43.9歲；女36.7歲），其中25－44歲比例最高（53.3%）。兩組個案往後3年（2006－2008年）門急診傷害率高於非酒精使用疾患（71.6% vs. 58.0%），平均就醫次數以酒精使用疾患者較高（7.63次 vs. 5.41次），傷害類型前三名為「皮膚表面挫傷（35.1%）」、「關節肌肉扭、拉傷（29.9%）」及「頭、頸及軀幹開放性傷口（17.4%）」；而酒精使用疾患病人傷害住院高於非酒精使用疾患病人（16.3% vs. 4.1%）；住院原因以「交通事故」比例最高（4.45%），其次為「跌倒墜落」（3.85%）。結論：酒精使用疾患傷害之發生率及住院率皆高於非酒精使用疾患者。未來護理人員可結合社福單位，提供酒癮患者相關戒治資源，預防飲酒相關傷害發生。

Alcohol-related health hazards are an important issue worldwide; alcohol-related injuries are the most prevalent problem related to alcohol abuse.Purpose: This study analyzed alcohol-use disorder injury rates over a three-year period between 2005 and 2008.Methods: The study was a prospective cohort study and used the 2005 longitudinal national health insurance research database (LHID2005). Alcohol use disorders were defined as ICD-9-CM N-Code 303.x and 305.0x case. The control group included non alcohol use disorder patients and excluded those with other substance-use disorders. The case: control ratio was 1:4. We tracked occurrences of injury in the two groups within the 3-year follow-up time.Results: Alcohol-use related inpatient, outpatient, and emergency department visits totaled 1,842 in 2005. Men accounted for 78.6% (1,447); average patient age was 42.4 years (male: 43.9 years; female: 36.7 years); half (53.3%) were in the 25-44 age group; patients with alcohol use disorders had a higher prevalence of injuries than their non-alcohol use disorder peers; the most prevalent injury type among alcohol-use disorder patients during the 2006-2008 follow-up period was "superficial skin damage / scrapes" (35.1%) followed by "twisted / strained joints or muscles" (29.9%) and "open wounds to the head, neck or trunk" (17.4%). The hospitalization rate for alcohol-use disorder patients was higher than for non-alcohol use disorder patients. "Traffic accident" was the most prevalent cause of admission followed by "unintentional fall."Conclusion: Incidence and severity of injuries for patients with alcohol-use disorders were higher than those in non-alcohol use disorder patients. The role of nursing staff should be strengthened to prevent alcohol-related injury.