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دسته بندی:
بهداشت و درمان - Healthcare
سال انتشار:
2016
عنوان انگلیسی مقاله:
Injured patients with very high blood alcohol concentrations
ترجمه فارسی عنوان مقاله:
بیماران دارای جراحت با غلظت الکل خون بسیار بالا
منبع:
Sciencedirect - Elsevier - Injury, 47 (2016) 83-88. doi:10.1016/j.injury.2015.10.063
نویسنده:
Majid Afshar, Giora Netzer, Elizabeth Salisbury-Afshar, Sarah Murthi, Gordon S. Smith
چکیده انگلیسی:
Objective: Most data regarding high blood alcohol concentrations (BAC) 400 mg/dL have been from
alcohol poisoning deaths. Few studies have described this group and reported their alcohol consumption
patterns or outcomes compared to other trauma patients. We hypothesised trauma patients with very
high BACs arrived to the trauma centre with less severe injuries than their sober counterparts.
Method: Historical cohort of 46,222 patients admitted to a major trauma centre between January 1,
2002 and October 31, 2011. BAC was categorised into ordinal groups by 100 mg/dL intervals. Alcohol
questionnaire data on frequency and quantity was captured in the BAC 400 mg/dL group. The primary
analysis was for BAC 400 mg/dL.
Results: BAC was recorded in 44,502 (96.3%) patients. Those with a BAC 400 mg/dL accounted for 1.1%
(147) of BAC positive cases. These patients had the lowest proportion of severe trauma and in-hospital
death in comparison with the other alcohol groups (p < 0.001). In adjusted analysis, the risk for severe
injury increased with the BAC groups between 1 and 199 mg/dL and was not different or decreased for
groups above 200 mg/dL in reference to the BAC negative group (test for trend p = 0.001). BAC 400
group encountered more injuries caused by blunt trauma in comparison with the other alcohol groups
(p < 0.001), and the group comprised mainly of falls. Admission Glasgow Coma Scale was a poor
predictor for traumatic brain injury in the high BAC group. Readmission occurred in 22.4% (33) of
patients the BAC 400 group. The majority of these patients reported drinking alcohol 4 or more days
per week (81, 67.5%) and five or more drinks per day (79, 65.8%), evident of risky alcohol use.
Conclusions: Most traumas admitted with BAC 400 mg/dL survived and their injuries were less severe
than their less intoxicated and sober counterparts. They also had evidence for risky alcohol use and
nearly one-quarter returned to the trauma centre with another injury over the study period. Recognition
of this highest BAC group presents an opportunity to provide focused care for their risky alcohol use.
Keywords: Injury | Injury prevention | Blood alcohol level | Ethanol | Trauma recidivism | Alcohol consumption | Alcohol use disorder | Blunt trauma | Forensic toxicology | Alcohol poisoning
قیمت: رایگان
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