دورية أكاديمية
Outcomes of elevated blood alcohol concentrations in elderly patients following a ground level fall: A matched analysis from the national trauma quality program.
| العنوان: | Outcomes of elevated blood alcohol concentrations in elderly patients following a ground level fall: A matched analysis from the national trauma quality program. |
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| المؤلفون: | Ahmed N; Division of Trauma & Surgical Critical Care, Jersey Shore University Medical Center, Neptune, NJ, United States; Hackensack Meridian School of Medicine, Nutley, NJ, United States. Electronic address: Nasim.Ahmed@hmhn.org., Kuo YH; Office of Research Administration, Hackensack Meridian Health Research Institute, Nutley, NJ, United States; Hackensack Meridian School of Medicine, Nutley, NJ, United States. |
| المصدر: | Alcohol (Fayetteville, N.Y.) [Alcohol] 2024 Sep; Vol. 119, pp. 83-88. Date of Electronic Publication: 2023 Nov 13. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Science Country of Publication: United States NLM ID: 8502311 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-6823 (Electronic) Linking ISSN: 07418329 NLM ISO Abbreviation: Alcohol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: New York Ny : Elsevier Science Original Publication: Fayetteville, N.Y. : Ankho International, c1984- |
| مواضيع طبية MeSH: | Hospital Mortality* , Accidental Falls* , Blood Alcohol Content* , Length of Stay*/statistics & numerical data, Humans ; Male ; Female ; Aged ; Aged, 80 and over ; Retrospective Studies ; Patient Discharge ; Wounds and Injuries/blood ; Wounds and Injuries/epidemiology ; Wounds and Injuries/mortality |
| مستخلص: | Background: The rising elderly population and the concomitant increase in alcohol consumption can result in a ground level fall (GLF). The purpose of this study is to evaluate the in-hospital mortality, hospital length of stay, and discharge disposition of elderly patients who sustained a ground level fall (GLF) and tested positive for an elevated blood alcohol concentration (BAC). Methods: The data of patients who were 65 years and older, had an injury after a GLF, and tested for BAC were accessed from the American College of Surgeon - Trauma Quality Improvement Program (ACS-TQIP) from the calendar years of 2011-2016. Patients' demography, injury, comorbidities, and outcomes were compared between the groups who tested positive (>0.08 g/dL) and negative (0 mg/dL) for BAC. Univariate, followed by matched analyses were performed. All p values are two-sided, and a p value < 0.05 is considered statistically significant. Results: Out of 20,163 patients who satisfied the inclusion criteria, 2398 patients (∼12%) tested positive for an elevated BAC. There were significant differences found between the two groups, BAC-positive vs. BAC-negative, in univariate analysis for age and sex with p values < 0.001. Propensity score matching balanced demographic characteristics; however, differences remained in certain comorbidities. Exact matching balanced patient demography, injury, and comorbidities. The paired-matched analysis showed no significant differences between the two groups for in-hospital mortality (2.1% vs. 2.1%, p = 1) and median hospital length of stay (5[4-5] vs. 5[5-5], p = 0.307). A higher proportion of patients in the BAC group suffered from alcohol withdrawal syndrome (AWS) and deep vein thrombosis (DVT) complications (9.5% vs. 1.4%, p < 0.001 and 1.5% vs. 0.5%, p = 0.018) compared to BAC-negative patients. A slightly higher percentage of patients in the BAC-positive group were discharged home without any additional services (39.6% vs. 36.9%, p = 0.009). Conclusion: Of the elderly patients who sustained a GLF and tested for BAC, approximately 12% tested positive for BAC. The overall in-hospital mortality was 2.1%. The BAC-positive group suffered from higher complications of AWS and DVT, and more than 60% of patients required additional services at the time of discharge. Competing Interests: Declaration of competing interest Neither of the contributing authors have a conflict of interest to disclose, financial or otherwise. All authors declare no conflict of interest. (Copyright © 2023 Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: accidental fall; alcoholism; geriatric |
| المشرفين على المادة: | 0 (Blood Alcohol Content) |
| تواريخ الأحداث: | Date Created: 20231115 Date Completed: 20240801 Latest Revision: 20240801 |
| رمز التحديث: | 20240802 |
| DOI: | 10.1016/j.alcohol.2023.11.004 |
| PMID: | 37967774 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1873-6823 |
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| DOI: | 10.1016/j.alcohol.2023.11.004 |