@article{ref1,
title="Traumatic brain injury in intoxicated patients",
journal="Journal of trauma",
year="2007",
author="Golan, Jeff Dror and Marcoux, Judith and Golan, E. and Schapiro, Robert and Johnston, K. M. and Maleki, Mohammad and Khetarpal, Suneel and Jacques, Line",
volume="63",
number="2",
pages="365-369",
abstract="BACKGROUND: We sought to evaluate the effect alcohol intoxication may have had in nonsurgically treated patients with severe traumatic brain injury. METHODS: The Montreal General Hospital Traumatic Brain Injury Registry was used to identify all adult patients with a Glasgow Coma Scale score < or =8 at admission, within a 15-month period. All charts were retrospectively reviewed. RESULTS: Twenty-three patients had toxic blood alcohol levels (BAL > or =21.7 mmol/L), 24 were alcohol negative (BAL <3 mmol/L), and 10 were alcohol-influenced or had unknown BAL. Patients were more likely to have intracranial pressure monitoring if they had multiple intracranial hemorrhages, sustained multiple injuries, or had a post-resuscitative Glasgow Coma Scale score < or =8. Intoxicated patients had a mean delay of 151 minutes more in the insertion time of an intracranial pressure monitoring device, compared with alcohol-negative patients. CONCLUSIONS: Alcohol was a confounding factor in the treatment of some of our patients.   <p>Language: en</p>",
language="en",
issn="0022-5282",
doi="10.1097/TA.0b013e31811ec178",
url="http://dx.doi.org/10.1097/TA.0b013e31811ec178"
}