tailieunhanh - Báo cáo y học: " Alcohol consumption, blood alcohol concentration level and guideline compliance in hospital referred patients with minimal, mild and moderate head injuries"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: "Alcohol consumption, blood alcohol concentration level and guideline compliance in hospital referred patients with minimal, mild and moderate head injuries | Harr et al. Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2011 19 25 http content 19 1 25 SCANDINAVIAN JOURNAL OF Et emergency medicine ORIGINAL RESEARCH Open Access Alcohol consumption blood alcohol concentration level and guideline compliance in hospital referred patients with minimal mild and moderate head injuries Marianne Efskind Harr1 2 Ben Heskestad1 2 3 Tor Ingebrigtsen4 Bertil Romner4 5 Pal Ronning 1 and Eirik Helseth1 2 Abstract Background In 2000 the Scandinavian Neurotrauma Committee published guidelines for safe and cost-effective management of minimal mild and moderate head injured patients. The aims of this study were to investigate to what extent the head injury population is under the influence of alcohol and to evaluate whether the physicians compliance to the guidelines is affected when patients are influenced by alcohol. Methods This study included adult patients 15 years referred to a Norwegian University Hospital with minimal mild and moderate head injuries classified according to the Head Injury Severity Scale HISS . Information on alcohol consumption was recorded and in most of these patients blood alcohol concentration BAC was measured. Compliance with the abovementioned guidelines was registered. Results The study includes 860 patients. of the patients had consumed alcohol and of these patients had a BAC o. Young age male gender trauma occurring during the weekends mild and moderate head injuries were independent factors significantly associated with being under the influence of alcohol. Guideline compliance was and over-triage was the main violation. The guideline compliance showed no significant correlation to alcohol consumption or to BAC-level. Conclusions This study confirms that alcohol consumption is common among patients with head injuries. The physicians guideline compliance was not affected by the patients alcohol consumption and alcohol influence could therefore not .