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J Korean Soc Emerg Med > Volume 28(6); 2017 > Article
Journal of The Korean Society of Emergency Medicine 2017;28(6): 587-594.
Analysis of Prognostic Factors Affecting Admission in Acute Alcohol-intoxicated Patients with Traumatic Brain Injury Visiting Emergency Room
Dae Chan Kim1, Gu Hyun Kang1*, Wonhee Kim1, Yong Soo Jang1, Hyun Young Choi1, Jin Keun Ha1, Ihn Geun Choi2, Byung Kook Lee3, Oh Hyun Kim4, Ji Ho Ryu5, Gyu Chong Cho6, Young Suk Cho6, Boseung Kang7, Ho Jung Kim8, Jeong Hun Lee9, Han Joo Choi10, Seok Ran Yeom11
1Department of Emergency Medicine, Hallym University Kangnam Sacred Heart Hospital, Seoul, Korea
2Department of Neuropsychiatry, Hallym University Kangnam Sacred Heart Hospital, Seoul, Korea
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
Correspondence  Gu Hyun Kang ,Tel: 02-829-5187, Fax: 02-829-5444, Email: ihngeun@naver.com,
Received: July 4, 2017; Revised: July 5, 2017   Accepted: September 25, 2017.  Published online: December 31, 2017.
ABSTRACT
Purpose:
This study analyzed the prognostic factors affecting admission in acute alcohol-intoxicated traumatic brain injury (TBI) patients visiting the emergency room.
Method:
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.
Key words: Alcohol drinking, Brain injuries, Prognosis, Patient admission
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