TY  - JOUR
PY  - 2019//
TI  - Traumatic brain injury in patients screened for blood alcohol concentration based on the mechanism of injury
JO  - Brain injury
A1  - El-Menyar, Ayman
A1  - Consunji, Rafael
A1  - Asim, Mohammed
A1  - Mekkodathil, Ahammed
A1  - Latifi, Rifat
A1  - Smith, Gordon
A1  - Parchani, Ashok
A1  - Al-Thani, Hassan
SP  - 419
EP  - 426
VL  - 33
IS  - 4
N2  - INTRODUCTION: We aimed to investigate in-hospital outcomes of traumatic brain injury (TBI) based on blood alcohol concentration (BAC) and mechanism of injury (MOI). <br><br>METHODS: We conducted a retrospective study for patients admitted with TBI between 2010 and 2014. Based on BAC, patients were classified into [negative (-BAC) and positive (+BAC) group]. Data were analyzed and compared according to the MOI. <br><br>RESULTS: Out of 8141 trauma patients, 946 (11.6%) were diagnosed with TBI and 681 (72%) were subjected to BAC screening. One out of seven TBI was related to alcohol consumption with a mean age of 32 years. Gender, age, and Injury Severity Scores (ISS) were comparable in the two groups. However, the proportion of patients with polytrauma was significantly higher in -BAC than +BAC group regardless of the MOI except for the fall-related TBI. The median BAC was higher in fall-related followed by pedestrians and MVC victims [55 mmol/L (10-101), 49(9-71), and 31(1-69), respectively], p = 0.001. Overall hospital mortality was comparable between the two groups except for the pedestrian-related TBIs in which (+BAC) had significantly fewer mortality. <br><br>CONCLUSIONS: Screening for BAC among patients with TBI increases substantially regardless of the MOI. The high BAC value in Fall-related TBI needs more attention to set appropriate preventive measures.<p />  <p>Language: en</p>
LA  - en
SN  - 0269-9052
UR  - http://dx.doi.org/10.1080/02699052.2018.1553065
ID  - ref1
ER  -