To the Editor.—Dr Hemmelgarn and colleagues1studied injury rates associated with motor vehicle
crashes and benzodiazepine use. Tobacco use is also associated with automobile
crashes, as well as industrial accidents, poisonings, burns, occupational
injuries, fire deaths, suicides, and violence.2,3
While the causal mechanism of these relationships is not currently well understood,
several plausible mechanisms have been postulated by us and others.2- 4This risk may
stem from the cognitive or neuromuscular effects of carbon monoxide, nicotine
or nicotine withdrawal, or an association with risk-taking behavior. Tobacco
use could also increase the risk of cumulative trauma disorders resulting
from impaired tissue-repair processes. While the mechanism is unknown, smoking
is a potentially important confounder in injury research, and one that would
have been helpful to assess in this study.
Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more
Subscribe for full-text access to content from 1998 forward and a host of useful features
Activate your current subscription (AMA members and current subscribers)
Purchase Online Access to this article for 24 hours
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 4
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
and access these and other features:
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.