ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2025
Adolescent trauma and alcohol: increased risk for severe head injury and organ dysfunction-insights from the TraumaRegister DGU
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Motivations and triggers for non-suicidal self-injury among adolescents with alcohol use disorder in China: a qualitative descriptive study.Child and adolescent psychiatry and mental health · 2026Article
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Abstract
purposeAlcohol consumption is common among young individuals and is a significant, yet preventable, risk factor for injuries and fatalities. In adults, it influences injury patterns, severity, and potentially outcomes via immunomodulatory effects. However, data in adolescents are scarce. This study seeks to address this deficiency by analyzing data from the TraumaRegister DGU
methodsThis retrospective TR-DGU analysis included trauma patients aged 10-20 years admitted between 2015 and 2019. Patients were stratified by blood alcohol level (BAL positive vs. negative) and analyzed for demographics, injury patterns, prehospital characteristics, and in-hospital outcomes, including ICU length of stay (LOS), organ failure, and mortality.
resultsOf 1,823 patients, 1,481 were BAL- and 324 BAL+. Alcohol-positive incidence increased over the study period, particularly in older adolescents, and was more frequent in winter, on weekends, and at night. BAL + patients were more often involved in violent and penetrating trauma and sustained more severe head injuries (43.6% vs. 36.5%, p = 0.016) but were intubated less often (30.8% vs. 34.5%, p = 0.099), significantly so in the 18-20-year group. BAL + adolescents had higher rates of respiratory organ failure (15.2% vs. 8.3%, p = 0.014) and sepsis (5.9% vs. 2.8%, p = 0.03), with no significant differences in ICU LOS or mortality.
conclusionAlcohol use remains a significant factor among adolescent trauma patients in German-speaking countries. As trauma mechanisms vary by age, targeted prevention strategies are crucial. Intoxicated adolescent trauma patients form a high-risk group requiring special attention. Further research into alcohol's immunomodulatory effects in this population is essential to improve trauma care strategies.
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