@article{ref1,
title="Alcohol is not associated with increased mortality in adolescent traumatic brain injury patients",
journal="Pediatric surgery international",
year="2021",
author="Lu, Zachary N. and Yeates, Eric O. and Grigorian, Areg and Algeo, Russell G. and Kuza, Catherine M. and Chin, Theresa L. and Donnelly, Megan and Kong, Allen and Nahmias, Jeffry",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="PURPOSE: Compared to adults, there is a paucity of data regarding the association of a positive alcohol screen (PAS) and outcomes in adolescent patients with traumatic brain injury (TBI). We hypothesize adolescent TBI patients with a PAS on admission to have increased mortality compared to patients with a negative alcohol screen. <br><br>METHODS: The 2017 Trauma Quality Improvement Program database was queried for patients aged 13-17 years presenting with a TBI and serum alcohol screen. Patients with missing information regarding midline shift on imaging and Glasgow Coma Scale (GCS) score were excluded. A multivariable logistic regression analysis for mortality was performed. <br><br>RESULTS: From 2553 adolescent TBI patients with an alcohol screen, 220 (8.6%) had a PAS. Median injury severity scores and rates of penetrating trauma (all p > 0.05) were similar between alcohol positive and negative patients. Patients with a PAS had a similar mortality rate (13.2% vs. 12.1%, p = 0.64) compared to patients with a negative screen. Multivariate logistic regression controlling for risk factors associated with mortality revealed a PAS to confer a similar risk of mortality compared to alcohol negative patients (p = 0.40). <br><br>CONCLUSION: Adolescent TBI patients with a PAS had similar associated risk of mortality compared to patients with a negative alcohol screen.<p /> <p>Language: en</p>",
language="en",
issn="0179-0358",
doi="10.1007/s00383-021-05057-z",
url="http://dx.doi.org/10.1007/s00383-021-05057-z"
}