Citation

Golan JD, Marcoux J, Golan E, Schapiro R, Johnston KM, Maleki M, Khetarpal S, Jacques L. J. Trauma 2007; 63(2): 365-369.

Affiliation

Department of Neurosurgery, Montreal Neurological Hospital and the Montreal General Hospital, McGill University, Montreal, Canada. jeffgolan@hotmail.com

Copyright

(Copyright © 2007, Lippincott Williams and Wilkins)

DOI

10.1097/TA.0b013e31811ec178

PMID

17693837

Abstract

BACKGROUND: We sought to evaluate the effect alcohol intoxication may have had in nonsurgically treated patients with severe traumatic brain injury. METHODS: The Montreal General Hospital Traumatic Brain Injury Registry was used to identify all adult patients with a Glasgow Coma Scale score < or =8 at admission, within a 15-month period. All charts were retrospectively reviewed. RESULTS: Twenty-three patients had toxic blood alcohol levels (BAL > or =21.7 mmol/L), 24 were alcohol negative (BAL <3 mmol/L), and 10 were alcohol-influenced or had unknown BAL. Patients were more likely to have intracranial pressure monitoring if they had multiple intracranial hemorrhages, sustained multiple injuries, or had a post-resuscitative Glasgow Coma Scale score < or =8. Intoxicated patients had a mean delay of 151 minutes more in the insertion time of an intracranial pressure monitoring device, compared with alcohol-negative patients. CONCLUSIONS: Alcohol was a confounding factor in the treatment of some of our patients.

Language: en