Vitreous alcohol is of limited value in predicting blood alcohol

Forensic Sci Int. 1994 Mar 25;65(2):73-80. doi: 10.1016/0379-0738(94)90262-3.

Abstract

Vitreous humour alcohol concentration (VHAC) and blood alcohol concentration (BAC) measured by gas chromatography were available from 345 medico-legal autopsies. Simple linear regression with BAC as outcome variable and VHAC as predictor variable (range 1-705 mg%) gave the regression equation BAC = 3.03 + 0.852 VHAC with 95% prediction interval +/- 0.019 square root of [7157272 + (VHAC - 189.7)2] and 99% prediction interval +/- 0.025 square root of [7157272 + (VHAC - 189.7)2]. The residual standard deviation of VHAC was 26 mg%, the standard error of the slope 0.0098 and the 95% confidence interval for the slope 0.833-0.871. In practice a BAC of 80 mg% is predicted with 95% certainty by a VHAC of 150 mg% and similarly a BAC of 150 mg% by a VHAC of 232 mg%. The prediction interval is too wide to be of real practical use. Previous authors have provided various formulae, including a simple conversion factor, to predict BAC from VHAC without taking into account the uncertainty of the prediction for an individual subject. A re-analysis of the raw data from previous publications gave in most instances regression equations significantly different from the authors' own.

MeSH terms

  • Alcoholic Intoxication / blood
  • Alcoholic Intoxication / diagnosis
  • Autopsy
  • Chromatography, Gas
  • Drug Overdose / blood
  • Ethanol / analysis*
  • Ethanol / blood
  • Forensic Medicine / methods*
  • Humans
  • Multiple Trauma / blood
  • Postmortem Changes
  • Predictive Value of Tests
  • Regression Analysis
  • Retrospective Studies
  • Suicide
  • Vitreous Body / chemistry*

Substances

  • Ethanol