Jin Seong Cho1, Sang Do Shin2, Eui Jun Lee2, Kyoung Jun Song2, Hyun Noh3, Yu Jin Kim4, Seung Chul Lee5, Ju Ok Park6, Seong Chun Kim7, Seung-Sik Hwang8. 1. Emergency Medicine, Gil Medical Center, Gachon University, Incheon, Korea. 2. Emergency Medicine, Seoul National University Hospital, Seoul, Korea. 3. Emergency Medicine, Inje University College of Medicine and Seoul Paik Hospital, Seoul, Korea. 4. Emergency Medicine, Seoul National University Bundang Hospital, Seongnam, Korea. 5. Emergency Medicine, Dongguk University College of Medicine, Ilsan, Korea. 6. Emergency Medicine, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, Korea. 7. Emergency Medicine, Gyeongsang National University Hospital, Jinju, Korea. 8. Social & Preventive Medicine, Inha University School of Medicine, Incheon, Korea.
Abstract
BACKGROUND: The purpose of our study was to determine whether alcohol intake influences short-term mortality in patients with traumatic brain injury (TBI), using a comprehensive trauma database. METHODS: We collected data from 7 emergency departments (EDs) between June 1, 2008 and May 31, 2010, using the same data form. Cases were included if they met the following criteria: (i) older than 15 and (ii) injuries including TBI. Demographics and outcomes were compared between patients with and without alcohol intake. We present the risk of mortality using hazard ratios and 95% confidence intervals. RESULTS: A total of 76,596 trauma patients visited the EDs during the study period; 12,980 patients were older than 15 and had TBI. There were 4,009 (30.9%) patients in the alcohol-intake group, of whom 3,306 (82.5%) patients were male, 1,450 (36.2%) patients were moved by ambulance, and 1,218 (30.4%) patients' injuries were intentional. The most frequent injury mechanism was falling down with alcohol intake and blunt injury without alcohol intake. Mortality rate was 1.0% with alcohol intake and 2.0% without alcohol intake. After adjusting for all factors related to mortality, the hazard ratio of mortality was 0.72 in the alcohol-intake group. CONCLUSIONS: Mortality rate due to TBI in the alcohol-intake group appears to be lower compared to that in the no-alcohol-intake group after adjusting for main confounding variables.
BACKGROUND: The purpose of our study was to determine whether alcohol intake influences short-term mortality in patients with traumatic brain injury (TBI), using a comprehensive trauma database. METHODS: We collected data from 7 emergency departments (EDs) between June 1, 2008 and May 31, 2010, using the same data form. Cases were included if they met the following criteria: (i) older than 15 and (ii) injuries including TBI. Demographics and outcomes were compared between patients with and without alcohol intake. We present the risk of mortality using hazard ratios and 95% confidence intervals. RESULTS: A total of 76,596 traumapatients visited the EDs during the study period; 12,980 patients were older than 15 and had TBI. There were 4,009 (30.9%) patients in the alcohol-intake group, of whom 3,306 (82.5%) patients were male, 1,450 (36.2%) patients were moved by ambulance, and 1,218 (30.4%) patients' injuries were intentional. The most frequent injury mechanism was falling down with alcohol intake and blunt injury without alcohol intake. Mortality rate was 1.0% with alcohol intake and 2.0% without alcohol intake. After adjusting for all factors related to mortality, the hazard ratio of mortality was 0.72 in the alcohol-intake group. CONCLUSIONS: Mortality rate due to TBI in the alcohol-intake group appears to be lower compared to that in the no-alcohol-intake group after adjusting for main confounding variables.
Authors: Eric O Yeates; Areg Grigorian; Morgan Schellenberg; Natthida Owattanapanich; Galinos Barmparas; Daniel Margulies; Catherine Juillard; Kent Garber; Henry Cryer; Areti Tillou; Sigrid Burruss; Ryan Arthur Figueras; Georgi Mladenov; Megan Brenner; Christopher Firek; Todd Costantini; Jarrett Santorelli; Terry Curry; Diane Wintz; Walter L Biffl; Kathryn B Schaffer; Thomas K Duncan; Casey Barbaro; Graal Diaz; Arianne Johnson; Justine Chinn; Ariana Naaseh; Amanda Leung; Christina Grabar; Jeffry Nahmias Journal: Eur J Trauma Emerg Surg Date: 2021-05-25 Impact factor: 3.693