Evidence map›Paper›PMID 39086794›Full record

ArticleJournal of the American College of Emergency Physicians open2024

Alcohol use is associated with intracranial hemorrhage in older emergency department head trauma patients.

Alexander Zirulnik, Shan Liu, Mike Wells, Scott M Alter, Gabriella Engstrom, Joshua J Solano, Lisa M Clayton, Mark Reiter, Patrick G Hughes, Lara Goldstein and 1 more

Abstract read
In one paragraph

Article in Journal of the American College of Emergency Physicians open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Alexander ZirulnikHarvard Medical School Boston Massachusetts USA.
Shan LiuHarvard Medical School Boston Massachusetts USA.
Mike WellsDepartment of Emergency Medicine Florida Atlantic University Charles E. Schmidt College of Medicine Boca Raton Florida USA.
Scott M AlterDepartment of Emergency Medicine Florida Atlantic University Charles E. Schmidt College of Medicine Boca Raton Florida USA.
Gabriella EngstromDepartment of Emergency Medicine Florida Atlantic University Charles E. Schmidt College of Medicine Boca Raton Florida USA.ORCID https://orcid.org/0000-0002-2729-995X
Joshua J SolanoDepartment of Emergency Medicine Florida Atlantic University Charles E. Schmidt College of Medicine Boca Raton Florida USA.
Lisa M ClaytonDepartment of Emergency Medicine Florida Atlantic University Charles E. Schmidt College of Medicine Boca Raton Florida USA.
Mark ReiterUniversity of Tennessee Health Science Center Nashville Tennessee USA.
Patrick G HughesDepartment of Emergency Medicine Florida Atlantic University Charles E. Schmidt College of Medicine Boca Raton Florida USA.
Lara GoldsteinDepartment of Emergency Medicine Memorial Healthcare System Hollywood Florida USA.
Richard D ShihDepartment of Emergency Medicine Florida Atlantic University Charles E. Schmidt College of Medicine Boca Raton Florida USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Falls are common in adults aged 65 years and older and are the leading cause of traumatic brain injuries in this age group. Alcohol use may increase the risk of falls as well as the severity of resultant injuries. The aim of this study was to examine the association between self-reported alcohol use and the prevalence of intracranial hemorrhage (ICH) in this patient group. Methods: This was a secondary analysis of the Geriatric Head Trauma Short Term Outcomes Project (GREAT STOP), a study of older adults with blunt head trauma from a fall. We determined the characteristics of every fall event, including patient demographics and medical history, and clinical signs and symptoms related to head trauma. Self-reported alcohol use was categorized as none, occasionally, weekly, or daily. We defined ICH as any acute ICH detected by computed tomography scan. We evaluated the association between alcohol use frequency and ICH, adjusted for patient factors and head injury risk factors. Results: Of 3128 study participants, 18.2% ( Conclusions: Alcohol use in older adult emergency department patients with head trauma is relatively common. Self-reported alcohol use appears to be associated with a higher risk of ICH in a dose-dependent fashion. Fall prevention strategies may need to consider alcohol mitigation as a modifiable risk factor.

Identifiers

PMID39086794
PMCPMC11289673

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.