Citation

Ernst AA, Jones K, Nick TG, Sanchez J. Acad. Emerg. Med. 1996; 3(1): 46-49.

Affiliation

Department of Medicine, Louisiana State University, New Orleans, USA.

Copyright

(Copyright © 1996, Society for Academic Emergency Medicine, Publisher John Wiley and Sons)

DOI

unavailable

PMID

8749967

Abstract

OBJECTIVE: To estimate the frequency of associated hypoglycemia in an ethanol-ingesting pediatric and adolescent population. METHODS: The study was a retrospective review of nondiabetic pediatric and adolescent patients with measurable ethanol levels (i.e., > or = 2 mmol/L) who had an ED serum glucose level determined. RESULTS: Over the four-and-a-half-year study period, there were 254,234 pediatric visits. One hundred eleven had ethanol levels determined (0.044% of patients) due to suspected ingestion. Of these 111, 88 had glucose levels determined. The mean age of the 88 patients was 14 years, with a mean glucose level of 5.6 mmol/L 101 mg/dL; interquartile range (IQR) 4.7-6.3 mmol/L and a mean ethanol level of 30 mmol/L (IQR 15-43 mmol/L). Glucose levels were < 67 mg/dL (hypoglycemia) in three of the 88 (3.4%) ethanol-positive patients; all the hypoglycemic patients had significant behavioral changes. CONCLUSION: In this large retrospective series, the number of patients for whom the clinical suspicion of ethanol ingestion was confirmed was quite small. Hypoglycemia occurred in only 3.4% of these selected patients; all had altered behavior. Pediatric patients with presentations suggesting ethanol intoxication with altered behavior should be assessed for concurrent hypoglycemia.

Language: en