ArticleBMJ open2014
Alcohol-related hospitalisations of trauma patients in Southern Taiwan: a cross-sectional study based on a trauma registry system.
Article in BMJ open, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Effect of acute alcohol consumption on blunt bowel mesenteric injury: a retrospective analysis.BMC emergency medicine · 2024Article
- Unhelmeted Riding, Drunk Riding, and Unlicensed Riding among Motorcyclists: A Population Study in Taiwan during 2011-2016.International journal of environmental research and public health · 2023Article
- Trauma center risk conditions for blood alcohol-positive and alcohol misuse patients: a retrospective study.International journal of burns and trauma · 2022Article
- The epidemiology of pediatric traumatic brain injury presenting at a referral center in Moshi, Tanzania.PloS one · 2022Article
- The alcohol-intoxicated trauma patient: impact on imaging and radiation exposure.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2019Article
- Retrospective analysis of alcohol testing in trauma team activation patients at a Canadian tertiary trauma centre.BMJ open · 2018Observational
- The protective effect of helmet use in motorcycle and bicycle accidents: a propensity score-matched study based on a trauma registry system.BMC public health · 2017Article
- Association between the Osteoporosis Self-Assessment Tool for Asians Score and Mortality in Patients with Isolated Moderate and Severe Traumatic Brain Injury: A Propensity Score-Matched Analysis.International journal of environmental research and public health · 2016Article
- Influence of alcohol use on mortality and expenditure during hospital admission: a cross-sectional study.BMJ open · 2016Article
- Bicycle-related hospitalizations at a Taiwanese level I Trauma Center.BMC public health · 2015Article
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Authors and funding
5 authors.
Funding
Abstract
objectivesTo provide an overview of the demographic characteristics of patients with positive blood alcohol concentration (BAC) and to investigate the performance of brain CT scans in these patients.
designCross-sectional study.
settingTaiwan.
participants2192 patients who had undergone a test for blood alcohol of 13,233 patients registered in the Trauma Registry System between 1 January 2009 and 31 December 2012. A BAC level of 50 mg/dL was defined as the cut-off value. Detailed information was retrieved from the patients with positive BAC (n=793) and was compared with information from those with a negative BAC (n=1399).
main outcome measuresGlasgow Coma Scale (GCS) and Injury Severity Score (ISS) as well as the performance and findings of obtained brain CT scans.
resultsPatients with positive BAC had a higher rate of face injury, but a lower GCS score, a lower rate of head and neck injury, a lower ISS and New Injury Severity Score. Alcohol use was associated with a shorter length of hospital stay (8.6 vs 11.4 days, p=0.000) in patients with an ISS of <16. Of 496 patients with positive BAC who underwent brain CT, 164 (33.1%) showed positive findings on CT scan. In contrast, of 891 patients with negative BAC who underwent brain CT, 389 (43.7%) had positive findings on CT scan. The lower percentage of positive CT scan findings in patients with positive BAC was particularly evident in patients with an ISS <16 (18.0% vs 28.8%, p=0.001).
conclusionsPatients who consumed alcohol tended to have a low GCS score and injuries that were less severe. However, given the significantly low percentage of positive findings, brain CT might be overused in these patients with less severe injuries.
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