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J Korean Soc Emerg Med > Volume 17(3); 2006 > Article
Journal of The Korean Society of Emergency Medicine 2006;17(3): 231-237.
Effect of Alcohol Ingestion on the Severity and Outcome in Trauma Patients
Yoon Hee Choi, Gi Beom Kim, Dong Hoon Lee, Eun Kyung Eo, Koo Young Jung, Jun Sig Kim, Dong Wun Shin, Sung Eun Kim, Mi Jin Lee
1Department of Emergency Medicine, College of Medicine, Ewha Womans University, Korea. liz0803@ewha.ac.kr
2Department of Emergency Medicine, College of Medicine, Inha University, Korea.
3Department of Emergency Medicine, College of Medicine, Inje University, Korea.
4Department of Emergency Medicine, College of Medicine, Catholic University, Seoul, Korea.
ABSTRACT
PURPOSE:
Although alcohol is frequently present in injury patients, whether it exacerbates injury and whether tolerance to alcohol changes such a relationship is less clear. We investigated alcohol's role in injury and the effect of alcohol on the severity of injury.
METHODS:
This prospective study was performed from July 20, 2004, to October 20, 2004, at five university hospital emergency departments (ED). We studied trauma patients, excluding pediatric patients (15 year old and under), alcohol consumption over the 6 hours prior to visiting the ED and continuous drinking after injury. Patients were screened by blood tests for the presence of alcohol and were classified into two groups by alcohol consumption. The injury severity was measured by using the Abbreviated Injury Scale (AIS) and the Injury Severity Score (ISS).
RESULTS:
The study enrolled 361 injured patients, of whom 105 were intoxicated and 256 were not intoxicated. Alcohol consumption was significantly larger in males than in females and in cases involving violence. The injury severities were not correlated with alcohol consumption significantly between intoxicated patients and not intoxicated patients. were not significantly different. However, the number of days in the intensive care unit and the mortality correlated with alcohol consumption. In patients with severe injuries (ISS> or =15, AIS> or =3), alcohol consumption was correlated with severity of the injury.
CONCLUSION:
Alcohol intoxication is not associated with injury severity. But in patients with severe injuries (ISS> or =15, head AIS> or =3), alcohol consumption was correlated with injury severity.
Key words: Alcohol, Abbreviated Injury Scale (AIS), Injury Severity Score (ISS)
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