A comparison of alcohol positive and alcohol negative trauma patients requiring an emergency laparotomy

The effect of alcohol exposure on patients undergoing a laparotomy for trauma is unknown. The purpose of this study was to compare outcomes of morbidity and mortality between alcohol positive and alcohol negative trauma patients who required emergent laparotomies using the National Trauma Data Bank...

Full description

Saved in:
Bibliographic Details
Published in:The American journal of emergency medicine 2018-07, Vol.36 (7), p.1139-1144
Main Authors: Benson, Cedric, Weinberg, Janice, Narsule, Chaitan K., Brahmbhatt, Tejal S.
Format: Article
Language:English
Subjects:
Abdomen
Age
Alcohol
Alcohols
Data banks
Emergency laparotomy
Emergency medical care
Emergency medical services
Gender
Hospitals
Infections
Injuries
Morbidity
Mortality
Respiratory distress syndrome
Statistical analysis
Surgeons
Trauma
Trauma centers
Ventilators
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The effect of alcohol exposure on patients undergoing a laparotomy for trauma is unknown. The purpose of this study was to compare outcomes of morbidity and mortality between alcohol positive and alcohol negative trauma patients who required emergent laparotomies using the National Trauma Data Bank (NTDB). A retrospective database analysis was performed using 28,354 NTDB incident trauma cases, from 2007 through 2012, who had been tested for alcohol and who required abdominal operations (using ICD-9-CM procedure codes) within 24h of presentation. Variables used: age, gender, admission year, alcohol presence, ISS, GCS, injury type & mechanism, discharge status, hospital LOS, ICU stay, ventilator use, and hospital complications. In adjusted analyses, there were no statistically significant differences between the alcohol positive and alcohol negative cohorts when evaluating in-hospital mortality (OR, 0.93; 95% CI: 0.84–1.03), likelihood of earlier hospital discharge (HR, 1.02; 95% CI: 0.99–1.05), and the all-inclusive category of in-hospital complications (OR, 1.04; 95% CI: 0.97–1.12). After adjusting for age, gender, admission year, ISS, GCS, and injury mechanism, there were no major differences between the alcohol positive and alcohol negative cohorts when it came to in-hospital mortality, likelihood of earlier hospital discharge, and most of the in-hospital complications measured among adult trauma patients requiring emergency laparotomies.
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2017.11.028