Craniocerebral injuries in patients under the influence of alcohol admitted to hospital emergency department in an urgent mode
Journal Title: Medycyna Ogólna i Nauki o Zdrowiu - Year 2016, Vol 22, Issue 1
Abstract
[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. 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. [b]Material and methods.[/b] 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. [b]Results.[/b] 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. [b]Conclusions.[/b] 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]Key words:[/b] alcohol, head injury, craniocerebral injuries, hospital emergency ward
Authors and Affiliations
Małgorzata Kołpa, Aneta Grochowska, Agnieszka Gniadek, Beata Jurkiewicz
Keywords
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- EP ID EP79525
- DOI 10.5604/20834543.1198722
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