RESEARCH PAPER
Craniocerebral injuries in patients under the influence of alcohol admitted to hospital emergency department in an urgent mode
1
Państwowa Wyższa Szkoła Zawodowa, Tarnów
2
Collegium Medicum Uniwersytetu Jagiellońskiego, Kraków
Corresponding author
Med Og Nauk Zdr. 2016;22(1):40-45
KEYWORDS
ABSTRACT
Introduction:
[b]Introduction. [/b]Ethyl alcohol is described as the most significant risk factor of craniocerebral injuries. Among the patients admitted to a Hospital Emergency Department (ED) the patients under the influence of alcohol who sustained head injuries as a result of falls, beatings and assaults constitute a considerable group.
Objective:
The objective of the thesis was to determine prevalence of intracerebral and osseous post-traumatic changes in the patients under the influence of alcohol admitted to a Hospital Emergency Department in an urgent mode.
Material and Methods:
The studied group consisted of 210 patients in the Hospital Emergency Department of the University Hospital in Cracow (167 men and 43 women) who sustained head injuries during the period 1 May 2011–1 May 2012. Retrospective analysis covered the medical documentation where the following were registered: gender, age, blood alcohol level, sustained head injuries on the basis of the result of the CT examination, and selected co-existing post-traumatic disorders.
Results:
Craniocerebral injuries occurred much more frequently in men than in women. Fracture of the base of the skull, cerebral edema and focal cerebral contusion were related to lower blood alcohol level. Post-traumatic intracranial changes (excluding focal cerebral contusion) depended on the mechanism of injury. Dizziness and headache, confusion, condition of unconsciousness, nausea/vomiting and epileptic seizure were related to lower blood alcohol level.
Conclusions:
Relationship between the head injuries in people under the influence of alcohol and male respondents was proved. Relationship between the level of intoxication and fracture of the skull base, cerebral edema and focal cerebral contusion was confirmed. The majority of intracerebral post-traumatic changes depended on the mechanism of injury. The occurrence of the symptoms that co-exist with the head injury depended on the blood alcohol level and mechanism of injury.
[b]Introduction. [/b]Ethyl alcohol is described as the most significant risk factor of craniocerebral injuries. Among the patients admitted to a Hospital Emergency Department (ED) the patients under the influence of alcohol who sustained head injuries as a result of falls, beatings and assaults constitute a considerable group.
Objective:
The objective of the thesis was to determine prevalence of intracerebral and osseous post-traumatic changes in the patients under the influence of alcohol admitted to a Hospital Emergency Department in an urgent mode.
Material and Methods:
The studied group consisted of 210 patients in the Hospital Emergency Department of the University Hospital in Cracow (167 men and 43 women) who sustained head injuries during the period 1 May 2011–1 May 2012. Retrospective analysis covered the medical documentation where the following were registered: gender, age, blood alcohol level, sustained head injuries on the basis of the result of the CT examination, and selected co-existing post-traumatic disorders.
Results:
Craniocerebral injuries occurred much more frequently in men than in women. Fracture of the base of the skull, cerebral edema and focal cerebral contusion were related to lower blood alcohol level. Post-traumatic intracranial changes (excluding focal cerebral contusion) depended on the mechanism of injury. Dizziness and headache, confusion, condition of unconsciousness, nausea/vomiting and epileptic seizure were related to lower blood alcohol level.
Conclusions:
Relationship between the head injuries in people under the influence of alcohol and male respondents was proved. Relationship between the level of intoxication and fracture of the skull base, cerebral edema and focal cerebral contusion was confirmed. The majority of intracerebral post-traumatic changes depended on the mechanism of injury. The occurrence of the symptoms that co-exist with the head injury depended on the blood alcohol level and mechanism of injury.
REFERENCES (16)
1.
Sienkiewicz P. Alkohol etylowy i środki psychoaktywne u pacjentów z urazami głowy i tułowia leczonych na oddziale chirurgii ogólnej Wojewódzkiego Szpitala Specjalistycznego w Siedlcach. Roczniki Pomorskiej Akademii Medycznej w Szczecinie 2011; 57, 1: 96–104.
2.
Hładki W, Trybus M, Lorkowski J, Załustowicz A, Brongel L. Alkohol jako czynnik rokowniczy u chorych z izolowanymi lekkimi obrażeniami głowy. Ostry Dyz. 2010; 3, 4: 132–135.
3.
Sinkiewcz-Jaskólska R, Jaskólski F, Hagnar W, Dejewska J, Grada J, Więcek-Zubrzycka M, Hagner-Derengowska M. Opieka pielęgniarska nad pacjentem po urazie czaszkowo-mózgowym leczonym operacyjnie. Piel Chir Angiol. 2011; 1: 7–12.
4.
Otto W, Cieślak B, Krawczyk M. Urazy czaszkowo-mózgowe- problemy leczenia w oddziale chirurgicznym. Kształcenie Podyplomowe 2008; 1(1): 7–12.
5.
Demyła I, Maciejewski R. Postępowanie przedszpitalne u pacjentów z ciężkimi urazami czaszkowo-mózgowymi według nowych wytycz-nych. Wiad Lek. 2009; 62(3): 179–183.
7.
Guźniczak P, Gmerek Ł, Kałużny A. Współczesna ocena wyników leczenia operacyjnego 103 chorych po operacjach pourazowych krwiaków wewnątrz czaszkowych. Neuroskop. 2006; 8: 126–131.
8.
Wrońska M. Szpitalne Oddziały Ratunkowe a ludzie bezdomni i z problemami alkoholowymi. Med Intens Rat. 2008; 11(2): 118–119.
9.
O’Farrell A, Allwright S, Downey J, Bedford D, Howell F. The burden of alcohol misuse on emergency in-patient hospital admissions among residents from a health board region in Ireland. Addiction. 2004; 99(10): 1279–85.
10.
Real de Asúa D, González-Cajal J. Ethical and legal implications of the determination of blood alcohol content in the emergency department. Cuad Bioet. 2012; 23(79): 622–30.
11.
Draus JM Jr, Santos AP, Franklin GA, Foley DS. Drug and alcohol use among adolescent blunt trauma patients: dying to get high? J Pediatr Surg. 2008; 43: 208–211.
12.
Sharif-Alhoseini M, Khodadadi H, Chardoli M, Rahimi-Movaghar V. Indications for brain computed tomography scan after minor head injury. J Emerg Trauma Shock. 2011; 4(4): 472–6.
13.
Żukiel R, Leibert W, Jankowski R, Nowak S, Tokarz F. Urazy czaszkowo mózgowe izolowane i w obrażeniach wielonarządowych. Now Lek. 1996; 2: 88–96.
14.
Głowacki J, Marek Z. Urazy czaszki i mózgu. Rozpoznanie i opiniowanie. Krakowskie Wydawnictwo Medyczne, Kraków 2000.
15.
Fawcett J. Diagnosis, traits, states, and comorbidity in suicide. Dwivedi Y (ed). The Neurobiological Basis of Suicide. Chapter 1. Frontiers in Neuroscience. Boca Raton (FL): CRC Press 2012.
16.
Johnson FW, Gruenewald PJ, Remer LG. Suicide and alcohol: do outlets play a role? Alcohol Clin Exp Res. 2009; 33(12): 2124–2133.
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