J Korean Soc Emerg Med.
2017 Dec;28(6):587-594. 10.0000/jksem.2017.28.6.587.
Analysis of Prognostic Factors Affecting Admission in Acute Alcohol-intoxicated Patients with Traumatic Brain Injury Visiting Emergency Room
- Affiliations
-
- 1Department of Emergency Medicine, Hallym University Kangnam Sacred Heart Hospital, Seoul, Korea. drkang9@hanmail.net
- 2Department of Neuropsychiatry, Hallym University Kangnam Sacred Heart Hospital, Seoul, Korea. ihngeun@naver.com
- 3Department of Emergency Medicine, Chonnam National University Hospital, Gwangju, Korea.
- 4Department of Emergency Medicine, Wonju Severance Christian Hospital, Wonju, Korea.
- 5Department of Emergency Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea.
- 6Department of Emergency Medicine, Hallym University Kangdong Sacred Heart Hospital, Seoul, Korea.
- 7Department of Emergency Medicine, Hanyang University Guri Hospital, Guri, Korea.
- 8Department of Emergency Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.
- 9Department of Emergency Medicine, Dongguk University Ilsan Hospital, Ilsan, Korea.
- 10Department of Emergency Medicine, Dankook University Hospital, Cheonan, Korea.
- 11Department of Emergency Medicine, Pusan National University Hospital, Busan, Korea.
- KMID: 2403277
- DOI: http://doi.org/10.0000/jksem.2017.28.6.587
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.
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