The impact of alcohol intoxication on injury severity and outcomes of adult patients with different trauma type
Background: This study was designed to investigate the impact of alcohol intoxication on injury severity and outcomes of adult patients who experienced different modes of trauma. Materials and Methods: This retrospective study collected data of hospitalized patients who experienced trauma at age ≥20...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Health/LWW
2020-01-01
|
| Series: | Formosan Journal of Surgery |
| Subjects: | |
| Online Access: | http://www.e-fjs.org/article.asp?issn=1682-606X;year=2020;volume=53;issue=1;spage=8;epage=13;aulast=Lee |
| _version_ | 1797703860915011584 |
|---|---|
| author | Yee-San Lee Chih-Fang Huang Pei-Ming Wang Shu-Hui Peng Hang-Tsung Liu Ching-Hua Hsieh |
| author_facet | Yee-San Lee Chih-Fang Huang Pei-Ming Wang Shu-Hui Peng Hang-Tsung Liu Ching-Hua Hsieh |
| author_sort | Yee-San Lee |
| collection | DOAJ |
| description | Background: This study was designed to investigate the impact of alcohol intoxication on injury severity and outcomes of adult patients who experienced different modes of trauma.
Materials and Methods: This retrospective study collected data of hospitalized patients who experienced trauma at age ≥20 years between January 1, 2009 and December 21, 2015, from the Trauma Registry System of a Level I trauma center. Patients were categorized into two groups according to their blood alcohol concentrations (BACs): alcohol intoxication (BAC of ≥50 mg/dL at the time of arrival to the emergency room) and nonalcohol intoxication (BAC of <50 mg/dL). The Abbreviated Injury Scale (AIS) score of each injured body region, Injury Severity Score, length of stay (LOS) in the hospital, and in-hospital mortality of these trauma patients according to different modes of trauma were compared between patients with or without alcohol intoxication.
Results: Among 20,513 patients included in this study, 1206 had alcohol intoxication and 19,307 did not. Patients with alcohol intoxication were predominantly males and younger than those without alcohol intoxication. Among patients who had a motorcycle accident, bicycle accident, fall accident, and hit by/against an object, AIS of ≥3 head/neck injuries more commonly occurred in patients with alcohol intoxication than in those without. In addition, compared to those without alcohol intoxication, patients with alcohol intoxication who experienced motorcycle accidents and hit by/against an object had longer hospital LOS, whereas those who experienced motor vehicle and motorcycle accidents had significantly higher mortality rates.
Conclusions: This study revealed that alcohol intoxication had impacted the injury severity and outcomes in adult patients who experienced different modes of trauma. |
| first_indexed | 2024-03-12T05:11:44Z |
| format | Article |
| id | doaj.art-7998089ea46b49f18a611bd34fede8ba |
| institution | Directory Open Access Journal |
| issn | 1682-606X |
| language | English |
| last_indexed | 2024-03-12T05:11:44Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Health/LWW |
| record_format | Article |
| series | Formosan Journal of Surgery |
| spelling | doaj.art-7998089ea46b49f18a611bd34fede8ba2023-09-03T08:38:30ZengWolters Kluwer Health/LWWFormosan Journal of Surgery1682-606X2020-01-0153181310.4103/fjs.fjs_44_19The impact of alcohol intoxication on injury severity and outcomes of adult patients with different trauma typeYee-San LeeChih-Fang HuangPei-Ming WangShu-Hui PengHang-Tsung LiuChing-Hua HsiehBackground: This study was designed to investigate the impact of alcohol intoxication on injury severity and outcomes of adult patients who experienced different modes of trauma. Materials and Methods: This retrospective study collected data of hospitalized patients who experienced trauma at age ≥20 years between January 1, 2009 and December 21, 2015, from the Trauma Registry System of a Level I trauma center. Patients were categorized into two groups according to their blood alcohol concentrations (BACs): alcohol intoxication (BAC of ≥50 mg/dL at the time of arrival to the emergency room) and nonalcohol intoxication (BAC of <50 mg/dL). The Abbreviated Injury Scale (AIS) score of each injured body region, Injury Severity Score, length of stay (LOS) in the hospital, and in-hospital mortality of these trauma patients according to different modes of trauma were compared between patients with or without alcohol intoxication. Results: Among 20,513 patients included in this study, 1206 had alcohol intoxication and 19,307 did not. Patients with alcohol intoxication were predominantly males and younger than those without alcohol intoxication. Among patients who had a motorcycle accident, bicycle accident, fall accident, and hit by/against an object, AIS of ≥3 head/neck injuries more commonly occurred in patients with alcohol intoxication than in those without. In addition, compared to those without alcohol intoxication, patients with alcohol intoxication who experienced motorcycle accidents and hit by/against an object had longer hospital LOS, whereas those who experienced motor vehicle and motorcycle accidents had significantly higher mortality rates. Conclusions: This study revealed that alcohol intoxication had impacted the injury severity and outcomes in adult patients who experienced different modes of trauma.http://www.e-fjs.org/article.asp?issn=1682-606X;year=2020;volume=53;issue=1;spage=8;epage=13;aulast=Leeabbreviated injury scalealcohol intoxicationinjury severity scoremortalitytrauma mechanism |
| spellingShingle | Yee-San Lee Chih-Fang Huang Pei-Ming Wang Shu-Hui Peng Hang-Tsung Liu Ching-Hua Hsieh The impact of alcohol intoxication on injury severity and outcomes of adult patients with different trauma type Formosan Journal of Surgery abbreviated injury scale alcohol intoxication injury severity score mortality trauma mechanism |
| title | The impact of alcohol intoxication on injury severity and outcomes of adult patients with different trauma type |
| title_full | The impact of alcohol intoxication on injury severity and outcomes of adult patients with different trauma type |
| title_fullStr | The impact of alcohol intoxication on injury severity and outcomes of adult patients with different trauma type |
| title_full_unstemmed | The impact of alcohol intoxication on injury severity and outcomes of adult patients with different trauma type |
| title_short | The impact of alcohol intoxication on injury severity and outcomes of adult patients with different trauma type |
| title_sort | impact of alcohol intoxication on injury severity and outcomes of adult patients with different trauma type |
| topic | abbreviated injury scale alcohol intoxication injury severity score mortality trauma mechanism |
| url | http://www.e-fjs.org/article.asp?issn=1682-606X;year=2020;volume=53;issue=1;spage=8;epage=13;aulast=Lee |
| work_keys_str_mv | AT yeesanlee theimpactofalcoholintoxicationoninjuryseverityandoutcomesofadultpatientswithdifferenttraumatype AT chihfanghuang theimpactofalcoholintoxicationoninjuryseverityandoutcomesofadultpatientswithdifferenttraumatype AT peimingwang theimpactofalcoholintoxicationoninjuryseverityandoutcomesofadultpatientswithdifferenttraumatype AT shuhuipeng theimpactofalcoholintoxicationoninjuryseverityandoutcomesofadultpatientswithdifferenttraumatype AT hangtsungliu theimpactofalcoholintoxicationoninjuryseverityandoutcomesofadultpatientswithdifferenttraumatype AT chinghuahsieh theimpactofalcoholintoxicationoninjuryseverityandoutcomesofadultpatientswithdifferenttraumatype AT yeesanlee impactofalcoholintoxicationoninjuryseverityandoutcomesofadultpatientswithdifferenttraumatype AT chihfanghuang impactofalcoholintoxicationoninjuryseverityandoutcomesofadultpatientswithdifferenttraumatype AT peimingwang impactofalcoholintoxicationoninjuryseverityandoutcomesofadultpatientswithdifferenttraumatype AT shuhuipeng impactofalcoholintoxicationoninjuryseverityandoutcomesofadultpatientswithdifferenttraumatype AT hangtsungliu impactofalcoholintoxicationoninjuryseverityandoutcomesofadultpatientswithdifferenttraumatype AT chinghuahsieh impactofalcoholintoxicationoninjuryseverityandoutcomesofadultpatientswithdifferenttraumatype |