Analysis of Prognostic Factors Affecting Admission in Acute Alcohol-intoxicated Patients with Traumatic Brain Injury Visiting Emergency Room
Journal of the Korean Society of Emergency Medicine
;
: 587-594, 2017.
Artículo
en Inglés
| WPRIM
| ID: wpr-53389
ABSTRACT
PURPOSE:
This study analyzed the prognostic factors affecting admission in acute alcohol-intoxicated traumatic brain injury (TBI) patients visiting the emergency room.METHODS:
A multicenter, retrospective observational study was conducted on 821 acute alcohol-intoxicated adult trauma patients, who visited 10 university hospital emergency centers from April to November 2016. The primary outcome was hospital admission. The secondary outcome was in-hospital mortality.RESULTS:
One hundred sixty-eight patients diagnosed with acute alcohol-intoxicated TBI were analyzed. The increase in blood alcohol concentration was associated significantly with a mild decrease in admission (adjusted odds ratio, 0.993; 95% confidence interval, 0.989 to 0.998; p=0.01). Moderate to severe TBI patients showed a significant increase in admission compared to mild TBI patients (adjusted odds ratio, 12.449; 95% confidence interval, 3.316 to 46.743; p < 0.001).CONCLUSION:
This study showed that the admission was inversely correlated with the blood alcohol concentration and is correlated directly with the increase in the severity in TBI. Therefore, emergency physicians may be required to identify the severity of TBI rapidly and accurately in acute alcohol-intoxicated trauma patients visiting the emergency room.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Admisión del Paciente
/
Pronóstico
/
Lesiones Encefálicas
/
Consumo de Bebidas Alcohólicas
/
Oportunidad Relativa
/
Estudios Retrospectivos
/
Mortalidad Hospitalaria
/
Urgencias Médicas
/
Servicio de Urgencia en Hospital
/
Estudio Observacional
Tipo de estudio:
Estudio de etiología
/
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Adulto
/
Humanos
Idioma:
Inglés
Revista:
Journal of the Korean Society of Emergency Medicine
Año:
2017
Tipo del documento:
Artículo
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