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Journal of Trauma and Injury 2014;27(4):108-114.
The Study of the Severity and Prognosis in Severe Traumatic Patients according to Alcohol Ingestion
Ho Hyung Jung, Sang Kyoon Han, Sung Wha Lee, Sung Wook Park, Soon Chang Park, Seok Ran Yeom, Moon Gi Min, Yong In Kim, Ji Ho Ryu
1Department of Emergency Medicine, Pusan National University Hospital, Busan, Korea. 98hansoft@hanmail.net
2Department of Emergency Medicine, Pusan National University Yangsan Hospital, Korea.
중증외상환자에서 알코올 섭취에 따른 중증도와 예후에 대한 연구
정호형, 한상균, 이성화, 박성욱, 박순창, 염석란, 민문기1, 김용인1, 류지호1
부산대학교병원 응급의학과, 1양산부산대학교병원 응급의학과
Received: 24 June 2014   • Revised: 12 August 2014   • Accepted: 12 September 2014
Abstract
PURPOSE
Alcohol ingestion is a significant risk factor for injuries. However, the influence of high blood alcohol concentration about the severe traumatic injury is controversial. The aim of study was to analyze the injury severity, prognosis in severe traumatic patients according to alcohol ingestion.
METHODS
This study was performed retrospectively with severe traumatic patients (Injury Severity Score> or =16) who visited the emergency department at Pusan National University Hospital from January 2013 to December 2013.
RESULTS
In total 98 severe traumatic patients, blood alcohol concentration (BAC) positive group (BAC>30 mg/dl) is 42 (42.90%) patients and BAC negative group (BAC< or =30 mg/dl) is 56 (57.10%)patients. Head and neck injury is significantly high in BAC positive group (35 patients, 83.3%) compared to BAC negative group (33 patients, 58.9%). Comparison of injury severity, outcome and mortality is not significantly different between two groups.
CONCLUSION
In severe traumatic patients, head and neck injury occurred high in BAC positive group. Alcohol ingestion did not influence injury severity, outcome in severe traumatic patients. However, effort to decreasing injury related to alcohol ingestion and prospective multi-center study is needed.
Key Words: Alcohols; Injuries; Prognosis; Injury severity score


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