1. Alcohol withdrawal syndrome in admitted trauma patients.
- Author
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Jawa RS, Stothert JC, Shostrom VK, Yetter DL, Templin HR, Cemaj SK, Lander L, Forse AR, and Young DH
- Subjects
- Adolescent, Adult, Aged, Aged, 80 and over, Alcoholism blood, Alcoholism complications, Alcoholism diagnosis, Biomarkers blood, Ethanol blood, Female, Hospitalization, Humans, Logistic Models, Male, Middle Aged, Registries, Retrospective Studies, Substance Withdrawal Syndrome blood, Substance Withdrawal Syndrome diagnosis, Substance Withdrawal Syndrome epidemiology, Young Adult, Ethanol adverse effects, Substance Withdrawal Syndrome etiology, Wounds and Injuries complications
- Abstract
Background: As alcohol use is highly prevalent in trauma patients, we hypothesized that a significant proportion of hospitalized trauma patients would demonstrate alcohol withdrawal (AW)., Methods: The trauma registries at a joint trauma center system from 1999 to 2008 were evaluated for patients aged at least 16 years., Results: Of 19,369 trauma admissions, 159 patients had AW. Blood alcohol concentration (BAC) testing was performed in 31.5% of the patients. BAC was significantly higher in AW patients versus other traumas (205.7 ± 130.1 vs 102.9 ± 121.7 mg/dL). BAC was 0 in 14.4% of AW patients. As compared with other trauma patients, patients with AW had a significantly greater age (50.2 vs 42.1 years), hospital length of stay (10 vs 3 days), intensive care unit length of stay (2 vs 0 days), need for mechanical ventilation (34% vs 12.7%), and pneumonia (12% vs 2.3%). AW patients were less frequently discharged to home (59.8% vs 69.9%). Mortality was not different., Conclusions: AW was diagnosed in few patients. Of note, it occurred in patients with an initial BAC of 0. AW is associated with adverse outcomes., (Published by Elsevier Inc.)
- Published
- 2014
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