md-medicaldata


Go to content

POVEZANOST VRSTE TRAUME SA ALKOHOLEMIJOM/
THE CORRELATION BETWEEN TYPE OF TRAUMA AND BLOOD ALCOHOL CONTENT

Authors

 

Nikolina Marić1,2 , Igor Nosek1,3 , Goran Knezović1,4 , Radomir Ilić 5 , Nemanja Gvozdenović 6 , Arsen Uvelin7 , Vesna Mijatović Jovin8

1Medicinski fakultet, Univerzitet u Novom Sadu, Novi Sad, Srbija
2Zavod za hitnu medicinsku pomoć Novi Sad, Novi Sad, Srbija
3Centar za imidžing dijagnostiku, Institut za onkologiju Vojvodine, Sremska Kamenica, Srbija
4Klinika za neurologiju, Klinički centar Vojvodine, Novi Sad, Srbija
5Odeljenje urgentne hirurgije, Urgentni centar Vojvodine, Novi Sad, Srbija
6Univerzitet u Novom Sadu, Medicinski fakultet, Katedra za urgentnu medicinu, Novi Sad, Srbija
7Univerzitet u Novom Sadu, Medicinski fakultet, Katedra za anesteziju i perioperativnu medicine, Novi Sad, Srbija
8Univerzitet u Novom Sadu, Medicinski fakultet, Katedra za farmakologiju, toksikologiju i kliničku farmakologiju, Novi Sad, Srbija

 

UDK: 613.81:616-001


The paper was received / Rad primljen: 07.12.2018.

Accepted / Rad prihvaćen: 11.12.2018

 


Correspondence to:


Vesna Mijatović Jovin
Department of Pharmacology, Toxicology and Clinical Pharmacology
Faculty of Medicine, University of Novi Sad
Hajduk Veljkova 3, 21 000 Novi Sad
e-mail: vesna.mijatovic-jovin@mf.uns.ac.rs

 

 

Sažetak

 

Uvod: Trauma predstavlja značajan globalni problem, posebno među mladima. Vodeći je uzrok smrti ljudi starosti do 44 godine. Etanol je zbog dostupnosti, cene i tradicije konzumiranja alkoholnih pića najčešće zloupotrebljavana psihoaktivna supstanca, čija je upotreba povezana sa brojnim fatalnih i nefatalnih trauma. Cilj: Ispitati povezanost vrste traume sa alkoholemijom kod pacijenata zbrinutih zbog traume, u čijoj je krvi dokazan etanol u koncentraciji ≥ 0,5‰. Materijal i metode: Podaci su retrospektivno prikupljeni iz medicinske dokumentacije pacijenata koji su hospitalizovani u Urgentnom centru Vojvodine tokom 2016. godine sa dijagnozom traume, u čijoj je krvi dokazan etanol u koncentraciji ≥ 0,5‰.Rezultati: Tokom posmatranog perioda usled traume zbrinuto je 358 pacijenata. Kod 11% je utvrđena alkoholemija u koncentraciji ≥ 0,5‰. Najviše pacijenata je zbrinuto u julu. Saobraćajna nesreća je bila najčešći mehanizam trauma (47% pacijenata). Najveći broj pacijenata je zbrinut zbog izolovane kraniocerebralne povrede (60%). Najčešće su to bili muškarci (96%), prosečne starosti 46 (±27) godina. Najveći broj pacijenata sa izolovanom kraniocerebralnom traumom je imao koncentraciju etanola u krvi između 1,5-3,0‰. U toj grupi je utvrđena najveća smrtnost (11%), najniže vrednosti GCS (6,28 ± 4,76), kao i GAP bodovnog sistema (13,71 ± 4,87). Najveći broj pacijenata, njih 11 (79%), imalo je GCS ≤ 8.Zaključak: Trauma je značajan zdravstveni problem u starosnoj dobi do 44 godina i u kombinaciji sa alkoholom povezana je sa većom stopom smrtnosti. Posebnu pažnju treba usmeriti na mere prevencije i edukacije, kako bi uticali na svest populacije.

 

 

Ključne reči:

alkohol, trauma, urgentni centar, kraniocerebralne povrede, GCS, GAP.

 

 

Abstract

 

Introduction: Trauma is a significant global problem, especially among the young. It is the leading cause of death in those younger than 44. Ethanol is the most commonly abused psychoactive substance due to its availability, price, and tradition, and is a known contributing factor in both fatal and nonfatal trauma.
Goal: Assess the relationship between the type of trauma and blood alcohol content (BAC) in patients treated for trauma, who had  ≥ 0,5‰ BAC. Material and methods: The data was retrospectively collected from medical documentation of patients treated for trauma at the Emergency center of Vojvodina during 2016, who had  ≥ 0,5‰ BAC. Results: During the observed time period 358 patients were hospitalized due to trauma. 11% of those patients had more than ≥ 0,5‰ BAC. Most of them were treated in July. Traffic accidents were the most common cause of trauma (47%). Most were hospitalized due to isolated craniocerebral injury (60%). Most were men (96%), whose average age was 46 (±27). Most patients with isolated craniocerebral injury had between 1,5-3,0‰ BAC. That group was found to have the highest mortality (11%), the lowest GCS (6 ,28 ± 4,76), and GAP scoring system (13,71 ± 4,87). Conclusion: Trauma is a significant healthcare problem in people under the age of 44, and when combined with alcohol it is linked to higher mortality rates. Attention should be given to education and prevention, in order to influence the public opinion.

 

 

Key words:

alcohol, BAC, trauma, emergency center, craniocerebral injury, GCS, GAP.

 

 

References:

 

  1. Afshar M, Smith GS, Terrin ML, Barrett M, Lissauer ME, Mansoor S, et al. Blood Alcohol Content, Injury Severity and Acute Respiratory Distress Syndrome. The journal of trauma and acute care surgery. 2014;76(6):1447.
  2. Ahun E, Köksal Ö, Sığırlı D, Torun G, Dönmez SS, Armağan E. Value of the Glasgow coma scale, age, and arterial blood pressure score for predicting the mortality of major trauma patients presenting to the emergency department. Ulus Travma Acil Cerrahi Derg. 2014;20(4):241-7.
  3. Gebhard F, Huber-Lang M. Polytrauma - pathophysiology and management principles. Langenbeck’s archives of surgery. 2008;393(6):825.
  4. Joksović D, Šegrt Z, Vučinić S. Akutna trovanja hemijskim materijama. Centar za kontrolu trovanja, Vojnomedicinska akademija- Beograd: BV Komerc AD- Novi Sad; 2006.
  5. Kerču Z. Akutna trovanja zbrinuta u Urgentnom centru Kliničkog centra Vojvodine tokom 2014. godine. Novi Sad; 2015.
  6. Beydoun H, Teel A, Crowder C, Khanal S, Lo BM. Past blood alcohol concentration and injury in trauma center: propensity scoring. The Journal of emergency medicine. 2014;47(4):387-94.
  7. Rau CS, Liu HT, Hsu SY, Cho TY, Hsieh CH. Alcohol-related hospitalisations of trauma patients in Southern Taiwan: a cross-sectional study based on a trauma registry system. BMJ open. 2014;4(10):e005947.
  8. Pandit V, Patel N, Rhee P, Kulvatunyou N, Aziz H, Green DJ, et al. Effect of alcohol in traumatic brain injury:is it really protective?. journal of surgical research. 2014;190(2):634-9.
  9. Kondo Y, Abe T, Kohshi K, Tokuda Y, Cook EF, Kukita I. Revised trauma scoring system to predict in-hospital mortality in the emergency department: Glasgow Coma Scale, Age, and Systolic Blood Pressure score. Critical care. 2011;15(4): R191.
  10. Kupas DF, Melnychuk EM, Young AJ. Motor component of the glasgow coma scale performs similar to calculated total glasgow coma scale in predicting severe injury in trauma patients. Annals of emergency medicine. 2016.
  11. Tebby J, Lecky F, Edwards A, Jenks T, Bouamra O, Dimitriou R, et al. Outcomes of polytrauma patients with diabetes. Injury Extra. 2012;43(10):72.
  12. Dinh MM, Bein KJ, Roncal S, Martiniuk AL, Boufous S. The impact of alcohol intoxication in patients admitted due to assault at an Australian major trauma centre: a trauma registry study from 1999 to 2009. Emergency medicine journal. 2014;31(5):390-3.
  13. Afshar M, Netzer G, Murthi S, Smith GS. Alcohol exposure, injury, and death in trauma patients. The journal of trauma and acute care surgery. 2015;79(4):643.
  14. Sethi M, Heyer JH, Wall S, DiMaggio C, Shinseki M, Slaughter D, et al. Alcohol use by urban bicyclists is associated with more severe injury, greater hospital resource use, and higher mortality. Alcohol. 2016;53:1-7.
  15. Rundhaug NP, Moen KG, Skandsen T, Schirmer-Mikalsen K, Lund SB, Hara S, et al. Moderate and severe traumatic brain injury: effect of blood alcohol concentration on Glasgow Coma Scale score and relation to computed tomography findings. Journal of neurosurgery. 2015;122(1):211-8.
  16. Raj R, Skrifvars MB, Kivisaari R, Hernesniemi J, Lappalainen J, Siironen J. Acute alcohol intoxication and long-term outcome in patients with traumatic brain injury. Journal of neurotrauma. 2015;32(2):95-100.
  17. Bertholet N, Adam A, Faouzi M, Boulat O, Yersin B, Daeppen JB et al. Admissions of patients with alcohol intoxication in the Emergency Department: a growing phenomenon. Swiss Med Wkly. 2014;144(w13982):1-8.
  18. Goodman MD, Makley AT, Campion EM, Friend LA, Lentsch AB, Pritts TA. Preinjury alcohol exposure attenuates the neuroinflammatory response to traumatic brain injury. Journal of Surgical Research. 2013;184(2):1053-8.
  19. Berry C, Salim A, Alban R, Mirocha J, Margulies DR, Ley EJ. Serum ethanol levels in patients with moderate to severe traumatic brain injury influence outcomes: a surprising finding. The American Surgeon. 2010;76(10):1067-70.
  20. Osler T, Cook A, Glance LG, Lecky F, Bouamra O, Garrett M, et al. The differential mortality of Glasgow Coma Score in patients with and without head injury. Injury. 2016; 47(9):1879-85.


PDF Marić N. et al • MD-Medical Data 2018;10(4): 185-189

 

 

 

Naslovna | Revija | Galerija | Dešavanja | Instrukcije | Redakcija | Izdavač | Prijatelji sajta | Saradnja | Kontakt | Site Map


Back to content | Back to main menu