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The Study of the Severity and Prognosis in Severe Traumatic Patients according to Alcohol Ingestion  

Jung, Ho Hyung (Department of Emergency Medicine, Pusan National University Hospital)
Han, Sang Kyoon (Department of Emergency Medicine, Pusan National University Hospital)
Lee, Sung Wha (Department of Emergency Medicine, Pusan National University Hospital)
Park, Sung Wook (Department of Emergency Medicine, Pusan National University Hospital)
Park, Soon Chang (Department of Emergency Medicine, Pusan National University Hospital)
Yeom, Seok Ran (Department of Emergency Medicine, Pusan National University Hospital)
Min, Moon Gi (Department of Emergency Medicine, Pusan National University Yangsan Hospital)
Kim, Yong In (Department of Emergency Medicine, Pusan National University Yangsan Hospital)
Ryu, Ji Ho (Department of Emergency Medicine, Pusan National University Yangsan Hospital)
Publication Information
Journal of Trauma and Injury / v.27, no.4, 2014 , pp. 108-114 More about this Journal
Abstract
Purpose: Alcohol ingestion is a significant risk factor for injuries. However, the influence of high blood alcohol concentration about the severe traumatic injury is controversial. The aim of study was to analyze the injury severity, prognosis in severe traumatic patients according to alcohol ingestion. Methods: This study was performed retrospectively with severe traumatic patients (Injury Severity $Score{\geq}16$) who visited the emergency department at Pusan National University Hospital from January 2013 to December 2013. Results: In total 98 severe traumatic patients, blood alcohol concentration (BAC) positive group (BAC>30 mg/dl) is 42 (42.90%) patients and BAC negative group ($BAC{\leq}30mg/dl$) is 56 (57.10% )patients. Head and neck injury is significantly high in BAC positive group (35 patients, 83.3%) compared to BAC negative group (33 patients, 58.9%). Comparison of injury severity, outcome and mortality is not significantly different between two groups. Conclusion: In severe traumatic patients, head and neck injury occurred high in BAC positive group. Alcohol ingestion did not influence injury severity, outcome in severe traumatic patients. However, effort to decreasing injury related to alcohol ingestion and prospective multi-center study is needed.
Keywords
Alcohols; Injuries; Prognosis; Injury severity score;
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