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Effect of alcohol intake on the severity of injuries caused by slipping down

Clinical and Experimental Emergency Medicine 2020년 7권 3호 p.170 ~ 175
조시온, 조진성, 임용수, 장재호, 양혁준, 최우성,
소속 상세정보
조시온 ( Jo Si-On ) - Gachon University Gil Hospital Department of Emergency Medicine
조진성 ( Cho Jin-Seong ) - Gachon University College of Medicine Gil Medical Center Department of Emergency Medicine
임용수 ( Lim Yong-Su ) - Gachon University College of Medicine Gil Medical Center Department of Emergency Medicine
장재호 ( Jang Jae-Ho ) - Gachon University College of Medicine Gil Medical Center Department of Emergency Medicine
양혁준 ( Yang Hyuk-Jun ) - Gachon University College of Medicine Gil Medical Center Department of Emergency Medicine
최우성 ( Choi Woo-Sung ) - Gachon University Gil Hospital Department of Emergency Medicine

Abstract


Objective: Alcohol consumption is associated with an increased risk of injuries. However, its effects on injury severity and mortality remain unclear. Specifically, the effects of alcohol intake on the severity of slip injuries have not been thoroughly investigated. Therefore, our study aimed to investigate the effects of alcohol intake on injury patterns and severity in patients experiencing slip injuries.

Methods: Emergency department surveillance data collected from 2011 to 2016 were analyzed for this study. Among patients aged 15 and older who were admitted for slip injuries, we compared the type and severity of injuries between the alcohol-intake group and the no-alcohol-intake group. Injury severity was classified as non-severe and severe based on the excess mortality ratio-adjusted injury severity score.

Results: In total, 227,548 (alcohol-intake, n=48,581; no-alcohol-intake, n=178,967) patients were included. After adjusting for age, time of injury, use of public ambulance, and season, multivariate logistic regression analysis showed that injuries were more likely to be severe in the alcohol-intake group than in the no-alcohol-intake group (odds ratio, 1.60; 95% confidence interval, 1.47?1.75). In addition, male gender and alcohol consumption had a greater synergistic effect on injury severity than the mere sum of each effect of these factors (odds ratio, 2.65; 95% confidence interval, 2.53?2.78).

Conclusion: Assessment of the patients influenced by alcohol was a challenge in the emergency department due to altered mental status. We suggest a considerate approach in testing and assessing male patients who slipped after alcohol-intake in the emergency department.

키워드

Alcohol drinking; Accidental falls; Trauma severity indices

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