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
Related Articles
- EP ID EP79525
- DOI 10.5604/20834543.1198722
- Views 172
- Downloads 1
Comparison of effectiveness of treatment of arterial hypertension in patients with concomitant type 2 diabetes and without diabetes
Introduction: Arterial Hypertension (AH) occurs twice as frequently among patients with diabetes than in the total population. Pharmacological treatment of patients with type 2 diabetes usually requires the application o...
Quality of life of children with nocturnal enuresis and their families
Introduction. Nocturnal enuresis (NE), commonly called bedwetting, is involuntary urination while asleep occurring in children who have completed toilet training or are over 5 years old. The prevalence of bedwetting decr...
Analysis of factors determining the level of self-care efficiency of patients in a neurological ward
Introduction. Neurological diseases are among the factors lowering self-care efficiency by causing difficulties in performing basic activities of daily living. the objective of the study. Analysis of health and socio-d...
Cooperation of school nurses and Physical Education teachers within the scope of heath promotion and health education
The cooperation between school nurses and Physical Education teachers constitutes one of the basic elements conditioning an efficient realization of health promotion and health education among children and teenagers. Acc...
Ecology farming and quality of water
In ecology farming, human interference is limited to the necessary minimum.This method of management is an alternative to conventional farming, and its primary goal is the production of high nutritive quality food, so-ca...