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KMID : 0385920170280060587
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Journal of the Korean Society of Emergency Medicine
2017 Volume.28 No. 6 p.587 ~ p.594
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Analysis of Prognostic Factors Affecting Admission in Acute Alcohol-intoxicated Patients with Traumatic Brain Injury Visiting Emergency Room
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Kim Dae-Chan
Kang Gu-Hyun
Kim Won-Hee
Jang Yong-Soo
Choi Hyun-Young
Ha Jin-Keun
Choi Ihn-Geun
Lee Byung-Kook
Kim Oh-Hyun
Ryu Ji-Ho
Cho Gyu-Chong
Cho Young-Suk
Kang Bo-Seung
Kim Ho-Jung
Lee Jeong-Hun
Choi Han-Joo
Yeom Seok-Ran
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Abstract
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Purpose: This study analyzed the prognostic factors affecting admission in acute alcohol-intoxicated traumatic brain injury (TBI) patients visiting the emergency room.
Method: 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.
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KEYWORD
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Alcohol drinking, Brain injuries, Prognosis, Patient admission
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