J Korean Soc Traumatol.  2014 Dec;27(4):108-114. 10.0000/jti.2014.27.4.108.

The Study of the Severity and Prognosis in Severe Traumatic Patients according to Alcohol Ingestion

• Jung HH
• Han SK
• Lee SW
• Park SW
• Park SC
• Yeom SR
• Min MG
• Kim YI
• Ryu JH

• KMID: 2297759
• DOI: http://doi.org/10.0000/jti.2014.27.4.108

Abstract

PURPOSE
Alcohol ingestion is a significant risk factor for injuries. However, the influence of high blood alcohol concentration about the severe traumatic injury is controversial. The aim of study was to analyze the injury severity, prognosis in severe traumatic patients according to alcohol ingestion.
METHODS
This study was performed retrospectively with severe traumatic patients (Injury Severity Score> or =16) who visited the emergency department at Pusan National University Hospital from January 2013 to December 2013.
RESULTS
In total 98 severe traumatic patients, blood alcohol concentration (BAC) positive group (BAC>30 mg/dl) is 42 (42.90%) patients and BAC negative group (BAC< or =30 mg/dl) is 56 (57.10%)patients. Head and neck injury is significantly high in BAC positive group (35 patients, 83.3%) compared to BAC negative group (33 patients, 58.9%). Comparison of injury severity, outcome and mortality is not significantly different between two groups.
CONCLUSION
In severe traumatic patients, head and neck injury occurred high in BAC positive group. Alcohol ingestion did not influence injury severity, outcome in severe traumatic patients. However, effort to decreasing injury related to alcohol ingestion and prospective multi-center study is needed.

Keyword

Alcohols; Injuries; Prognosis; Injury severity score

MeSH Terms

Alcohols
Busan
Eating*
Emergency Service, Hospital
Head
Humans
Injury Severity Score
Mortality
Neck Injuries
Prognosis*
Retrospective Studies
Risk Factors
Alcohols