Analysis of Prognostic Factors Affecting Admission in Acute Alcohol-intoxicated Patients with Traumatic Brain Injury Visiting Emergency Room.
- Author:
Dae Chan KIM
1
;
Gu Hyun KANG
;
Wonhee KIM
;
Yong Soo JANG
;
Hyun Young CHOI
;
Jin Keun HA
;
Ihn Geun CHOI
;
Byung Kook LEE
;
Oh Hyun KIM
;
Ji Ho RYU
;
Gyu Chong CHO
;
Young Suk CHO
;
Boseung KANG
;
Ho Jung KIM
;
Jeong Hun LEE
;
Han Joo CHOI
;
Seok Ran YEOM
Author Information
1. Department of Emergency Medicine, Hallym University Kangnam Sacred Heart Hospital, Seoul, Korea. drkang9@hanmail.net
- Publication Type:Multicenter Study ; Original Article
- Keywords:
Alcohol drinking;
Brain injuries;
Prognosis;
Patient admission
- MeSH:
Adult;
Alcohol Drinking;
Blood Alcohol Content;
Brain Injuries*;
Emergencies*;
Emergency Service, Hospital*;
Hospital Mortality;
Humans;
Observational Study;
Odds Ratio;
Patient Admission;
Prognosis;
Retrospective Studies
- From:Journal of the Korean Society of Emergency Medicine
2017;28(6):587-594
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: This study analyzed the prognostic factors affecting admission in acute alcohol-intoxicated traumatic brain injury (TBI) patients visiting the emergency room. METHODS: 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.
