Document Detail


The effects of alcohol abuse on readmission for trauma.
MedLine Citation:
PMID:  8105114     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine the effect of admission for trauma with concurrent acute alcohol intoxication or chronic alcohol abuse on the risk of subsequent recurrence of trauma.
DESIGN: Prospective cohort study.
SETTING: Level I regional trauma center.
PATIENTS: A total of 2578 patients 18 years or older admitted with blunt or penetrating trauma within 24 hours of injury and surviving to discharge. All patients had a blood alcohol concentration (BAC) test, a gamma-glutamyltransferase (GGT) test, and the short Michigan Alcohol Screening Test (SMAST) performed on admission.
MAIN OUTCOME MEASUREMENT: Readmission to the trauma center for new trauma. Average follow-up was 28 months (range, 16 to 40 months).
RESULTS: The overall rate of readmission for new injuries was 1.3 per 1000 patient-months of follow-up. Patients who were intoxicated on the initial admission (BAC > 22 mmol/L [100 mg/dL]) were 2.5-fold as likely to be readmitted than those not intoxicated (95% confidence limits, 1.6, 3.9). The relative risks for patients with positive SMAST scores and abnormal GGT values were 2.2 (95% confidence limits, 1.4, 3.5) and 3.5 (95% confidence limits, 2.2, 5.5), respectively. The increased risks remained significant for intoxication and abnormal GGT values after adjustment for gender, race, Medicaid status, and mechanism of injury.
CONCLUSION: Alcohol abuse is associated with an increased risk of readmission for new trauma. Trauma patients should be screened for alcohol problems; referral of problem drinkers for appropriate care may decrease their risk of admission for subsequent trauma.
Authors:
F P Rivara; T D Koepsell; G J Jurkovich; J G Gurney; R Soderberg
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  JAMA     Volume:  270     ISSN:  0098-7484     ISO Abbreviation:  JAMA     Publication Date:  1993 Oct 
Date Detail:
Created Date:  1993-11-09     Completed Date:  1993-11-09     Revised Date:  2014-09-17    
Medline Journal Info:
Nlm Unique ID:  7501160     Medline TA:  JAMA     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1962-4     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Alcoholic Intoxication / complications*,  diagnosis,  epidemiology
Alcoholism / complications*,  diagnosis,  epidemiology
Ethanol / blood
Female
Humans
Male
Middle Aged
Patient Readmission / statistics & numerical data*
Proportional Hazards Models
Prospective Studies
Recurrence
Risk
Trauma Centers / statistics & numerical data,  utilization*
Washington
Wounds and Injuries / complications*,  epidemiology,  etiology
gamma-Glutamyltransferase / blood
Chemical
Reg. No./Substance:
3K9958V90M/Ethanol; EC 2.3.2.2/gamma-Glutamyltransferase

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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