ArticleScientific reports2020
Alcohol use in severely injured trauma patients.
Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed, 47 citations in OpenAlex.
- Association Between Substance Use and Trauma Outcomes in Adolescents.The western journal of emergency medicine · 2026Article
- The influence of alcohol on prehospital diagnostics and therapy of injured patients.Alcohol, clinical & experimental research · 2026Article
- The enzymatic analysis of alcohol (ethanol) in serum and plasma with the alcohol dehydrogenase reagent: focus on intra-analytical and post-analytical aspects.Biochemia medica · 2025Review
- Correlating Various Clinical Outcomes and Associated Dispositions in Patients with Severe Traumatic Brain Injury (TBI).Life (Basel, Switzerland) · 2025Article
- Impact of seat position on survival outcomes and anatomically specific severe injury patterns in four-wheeled motor vehicle accidents: a retrospective cohort study at a community emergency department in Japan.BMC emergency medicine · 2025Article
- Validation of the Oklahoma predictor model for discharge destination in patients with major traumatic injury: a cross-sectional study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Chronic heavy alcohol consumption impairs the ability of demineralized allogenic bone matrix to support osteoinduction in alcohol-naïve rats.Bone reports · 2025Article
- Risk of Epilepsy Following a First Posttraumatic Seizure: A Register-Based Study.Neurology. Clinical practice · 2025Article
- Impact of alcohol consumption on outcomes and potential of immune biomarkers for postoperative complications in trauma patients.Frontiers in immunology · 2025Article
- Article
- Evaluating predictors of mortality in octogenarians undergoing urgent or emergent trauma laparotomy.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Lactic acid levels are associated with morbidity, length of stay, and total treatment costs in urban trauma patients with lower extremity long bone fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Assessing the utility of night-time presentations as a proxy for alcohol-related harm among young emergency department trauma patients.Emergency medicine Australasia : EMA · 2024Article
- Attempted Suicide Is Independently Associated with Increased In-Hospital Mortality and Hospital Length of Stay among Injured Patients at Community Tertiary Hospital in Japan: A Retrospective Study with Propensity Score Matching Analysis.International journal of environmental research and public health · 2024Article
- Effect of acute alcohol consumption on blunt bowel mesenteric injury: a retrospective analysis.BMC emergency medicine · 2024Article
- Social determinants of alcohol-related traumatic injury in young adults: a scoping review protocol.BMJ open · 2023Article
- Incidence of fracture hospitalization and surgery during pregnancy in Finland-1998-2017: a retrospective register-based cohort study.Archives of orthopaedic and trauma surgery · 2023Article
- Likelihood of Craniofacial Injury and Hospitalization with Alcohol Use While Skateboarding and Scootering.Craniomaxillofacial trauma & reconstruction · 2023Article
- Incidence of Fracture Hospitalization and Surgery in Women Increases Steadily During the Puerperal and Lactation Period: A Retrospective Register-Based Cohort Study in Finland From 1999 to 2018.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2022Article
- Analysis of Patients with Alcohol Dependence Treated in Silesian Intensive Care Units.International journal of environmental research and public health · 2022Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Alcohol is a major risk factor for several types of injuries, and it is associated with almost all types and mechanisms of injury. The focus of the study was to evaluate alcohol use in severely injured trauma patients with New Injury Severity Score (NISS) of 16 or over, and to compare mortality, injury severity scores and mechanisms and patterns of injury between patients with positive and negative blood alcohol levels (BAL). Medical histories of all severely injured trauma patients (n = 347 patients) enrolled prospectively in Trauma Register of Tampere University Hospital (TAUH) between January 2016 to December 2017 were evaluated for alcohol/substance use, injury mechanism, mortality and length of stay in Intensive Care Unit (ICU). A total of 252 of 347 patients (72.6%) were tested for alcohol with either direct blood test (50.1%, 174/347), breathalyser (11.2%, 39/347), or both (11.2%, 39/347). After untested patients were excluded, 53.5% of adult patients (18-64 years), 20.5% of elderly patients (above 65 years) and 13.3% of paediatric patients (0-17 years) tested BAL positive. The mean measured BAL for the study population was 1.9 g/L. The incidence of injuries was elevated in the early evenings and the relative proportion of BAL positive patients was highest (67.7%) during the night. Injury severity scores (ISS or NISS) and length of stay in ICU were not adversely affected by alcohol use. Mortality was higher in patients with negative BAL (18.2% vs. 7.7%, p = 0.0019). Falls from stairs, and assaults were more common in patients with positive BAL (15.4% vs. 5.4% and 8.7% vs. 2.7%, p < 0.006, respectively). There were no notable differences in injury patterns between the two groups. Alcohol use among severely injured trauma patients is common. Injury mechanisms between patients with positive and negative BAL have differences, but alcohol use will not increase mortality or prolong length of stay in ICU. This study supports the previously reported findings that BAL is not a suitable marker to assess patient mortality in trauma setting.
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