Alcohol-related hospitalisations of trauma patients in Southern Taiwan: a cross-sectional study based on a trauma registry system

Objectives To provide an overview of the demographic characteristics of patients with positive blood alcohol concentration (BAC) and to investigate the performance of brain CT scans in these patients. Design Cross-sectional study. Setting Taiwan. Participants 2192 patients who had undergone a test f...

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Bibliographic Details
Published in:BMJ open 2014-10, Vol.4 (10), p.e005947
Main Authors: Rau, Cheng-Shyuan, Liu, Hang-Tsung, Hsu, Shiun-Yuan, Cho, Tzu-Yu, Hsieh, Ching-Hua
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Alcohol Drinking - blood
Alcohol Drinking - epidemiology
Alcohol use
Alcoholic Intoxication - blood
Alcoholic Intoxication - epidemiology
Bias
Brain Injuries - diagnostic imaging
Brain Injuries - epidemiology
Child
Child, Preschool
Coma
Consciousness
Cross-Sectional Studies
Emergency Medicine
Ethanol - blood
Facial Injuries - epidemiology
Female
Glasgow Coma Scale
Head injuries
Hospitalization - statistics & numerical data
Humans
Infant
Infant, Newborn
Injury Severity Score
Length of Stay - statistics & numerical data
Male
Middle Aged
Mortality
Physicians
Registries
Retrospective Studies
Studies
Taiwan - epidemiology
Tomography, X-Ray Computed
Trauma
Traumatic brain injury
Wounds and Injuries - epidemiology
Young Adult
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Summary:Objectives To provide an overview of the demographic characteristics of patients with positive blood alcohol concentration (BAC) and to investigate the performance of brain CT scans in these patients. Design Cross-sectional study. Setting Taiwan. Participants 2192 patients who had undergone a test for blood alcohol of 13 233 patients registered in the Trauma Registry System between 1 January 2009 and 31 December 2012. A BAC level of 50 mg/dL was defined as the cut-off value. Detailed information was retrieved from the patients with positive BAC (n=793) and was compared with information from those with a negative BAC (n=1399). Main outcome measures Glasgow Coma Scale (GCS) and Injury Severity Score (ISS) as well as the performance and findings of obtained brain CT scans. Results Patients with positive BAC had a higher rate of face injury, but a lower GCS score, a lower rate of head and neck injury, a lower ISS and New Injury Severity Score. Alcohol use was associated with a shorter length of hospital stay (8.6 vs 11.4 days, p=0.000) in patients with an ISS of
ISSN:2044-6055
2044-6055
DOI:10.1136/bmjopen-2014-005947