Patient mortality following alcohol use and trauma: a propensity-matched analysis

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
N Ahmed, P Greenberg

Abstract

To examine the outcomes of trauma patients who tested positive for alcohol at the time of hospital arrival versus those who tested negative. Data were pulled from the National Trauma Data Bank (2007-2010). All injured patients who were ≥14 years of age, sustained a "blunt" or "penetrating" injury, had complete systolic blood pressure (SBP) and heart rate (HR) records, were taken to a level 1 or 2 trauma center, and who received a confirmed blood alcohol test were included in the study. Any blood alcohol concentration (BAC) above the legal limit (≥0.08 g/dL) was considered "positive" for alcohol, and if no alcohol was identified it was considered "negative". Patients' demography and clinical information were compared across groups using Chi-square and Wilcoxon rank sum tests. Logistic regression, propensity score matching, and a follow-up paired analysis were also performed. Of 279,460 total patients, around one-third of the patients (92,960) tested positive for BAC. There were clear demographic differences found between the two groups regarding age, gender, race, and injury type. There was also a significantly higher mortality rate (4.3 vs. 3.1%, P < 0.001) and a longer hospital length of stay (4 vs. 3 days, P < 0.001) found in...Continue Reading

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Citations

Jun 13, 2020·The Journal of Surgical Research·Amanda TeichmanSteven E Ross
Dec 22, 2019·Journal of Safety Research·John CulhaneCarl Freeman
Oct 23, 2020·Scientific Reports·Antti RiuttanenVille M Mattila
Apr 30, 2021·Journal of Emergencies, Trauma, and Shock·Wirachin HoonpongsimanontShahram Lotfipour
May 5, 2021·Emergency Medicine Australasia : EMA·Maria BentleyGrant Christey

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