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Citation
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Kim DC, Kang GH, Kim W, Jang YS, Choi HY, Ha JK, Choi IG, Lee BK, Kim OH, Ryu JH, Cho GC, Cho YS, Kang B, Kim HJ, Lee JH, Choi HJ, Yeom SR. J. Korean Soc. Emerg. Med. 2017; 28(6): 587-594. |
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Abstract
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PURPOSE:
This study analyzed the prognostic factors affecting admission in acute alcohol-intoxicated traumatic brain injury (TBI) patients visiting the emergency room.
Method:
A multicenter, retrospective observational study was conducted on 821 acute alcohol-intoxicated adult trauma patients, who visited 10 university hospital emergency centers from April to November 2016. The primary outcome was hospital admission. The secondary outcome was in-hospital mortality.
Results:
One hundred sixty-eight patients diagnosed with acute alcohol-intoxicated TBI were analyzed. The increase in blood alcohol concentration was associated significantly with a mild decrease in admission (adjusted odds ratio, 0.993; 95% confidence interval, 0.989 to 0.998; p=0.01). Moderate to severe TBI patients showed a significant increase in admission compared to mild TBI patients (adjusted odds ratio, 12.449; 95% confidence interval, 3.316 to 46.743; p<0.001).
Conclusion:
This study showed that the admission was inversely correlated with the blood alcohol concentration and is correlated directly with the increase in the severity in TBI. Therefore, emergency physicians may be required to identify the severity of TBI rapidly and accurately in acute alcohol-intoxicated trauma patients visiting the emergency room.
Language: en |