TY  - JOUR
PY  - 2007//
TI  - Traumatic brain injury in intoxicated patients
JO  - Journal of trauma
A1  - Golan, Jeff Dror
A1  - Marcoux, Judith
A1  - Golan, E.
A1  - Schapiro, Robert
A1  - Johnston, K. M.
A1  - Maleki, Mohammad
A1  - Khetarpal, Suneel
A1  - Jacques, Line
SP  - 365
EP  - 369
VL  - 63
IS  - 2
N2  - 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>
LA  - en
SN  - 0022-5282
UR  - http://dx.doi.org/10.1097/TA.0b013e31811ec178
ID  - ref1
ER  -