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- Alcohol Intoxication and Glasgow Coma Scale Scores in Patients with Head Trauma
- Jisoo Park, Taejin Park, Jung-In Ko, Woonhyung Yeo
- J Trauma Inj. 2020;33(4):227-235. Published online December 31, 2020
- DOI: https://doi.org/10.20408/jti.2020.0041
- 8,731 View
- 166 Download
- 1 Citations
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Abstract
PDF Purpose Alcohol intoxication is commonly associated with traumatic brain injury (TBI), but the influence of alcohol on the Glasgow Coma Scale (GCS) score remains unclear. This study investigates the effects of blood alcohol concentration (BAC) on the GCS score in head trauma patients with alcohol intoxication.
Methods In total, 369 head trauma patients with alcohol intoxication in a 1-year period were retrospectively analyzed. The patients underwent head computed tomography and had a BAC ≥80 mg/dL. Patients were divided into TBI and non-TBI groups. Brain injury severity was further classified using the head Abbreviated Injury Score (AIS). The effects according to 5 BAC groups were examined.
Results The TBI group consisted of 64 patients (16.2%). The mean BAC was significantly higher in the non-TBI group (293.4±87.3 mg/dL) than in the TBI group (242.8±89.9 mg/dL). The mean GCS score was significantly lower in the TBI group (10.3±4.6) than in the non-TBI group (13.0±2.5). A higher BAC showed a significant association with a lower mean GCS score in the TBI group, but not in the non-TBI group. Above ≥150 mg/dL, higher BACs showed significant odds ratios for a lower GCS score.
Conclusions The influence of alcohol in patients with head trauma depended on the presence of a brain injury. An association between a higher BAC and a lower GCS score was only observed in patients with TBI. Therefore, if a severe brain injury is suspected based on a GCS evaluation in patients with alcohol intoxication, prompt diagnosis and intensive care should be performed without delay.
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Summary
Citations
Citations to this article as recorded by
- Intoxication and Glasgow coma scale scores in patients with head trauma
Callie Pina, Catherine A. Marco
The American Journal of Emergency Medicine.2024; 80: 8. CrossRef
- Comparison Prehospital RTS (Revised trauma score) with Hospital RTS in Trauma Severity Assessment
- Seung Yeop Lee, Young Jin Cheon, Chul Han
- J Trauma Inj. 2015;28(3):177-181. Published online September 30, 2015
- DOI: https://doi.org/10.20408/jti.2015.28.3.177
- 2,385 View
- 25 Download
- 2 Citations
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Abstract
PDF
- PURPOSE
Assessment of the trauma severity associated with the prognosis of trauma patients. But we are having a lot of difficulties in assess the severity because of scarcity of current first-aid records resources.
METHODS
We presumed that Applying the Revised trauma score which consist of vital signs and GCS score will be helpful to assess the sevirity.This study covers the 10069 patient of Ewah womans hospital (2011.1.1.-2014.12.31) who are able to verify the GCS score from fist-aid records.
RESULTS
There is no distinctions between prehospital RTS and hospital RTS. And shows high level of correlation between prehospital RTS and ISS.
CONCLUSION
Therefore we conclude that checking the GCS and RTS at prehospital state will be help to assess the severity of trauma patients. -
Summary
Citations
Citations to this article as recorded by- Comparative Evaluation of Emergency Medical Service Trauma Patient Transportation Patterns Before and After Level 1 Regional Trauma Center Establishment: A Retrospective Single-Center Study
Hyeong Seok Lee, Won Young Sung, Jang Young Lee, Won Suk Lee, Sang Won Seo
Journal of Trauma and Injury.2021; 34(2): 87. CrossRef - Real-Time Monitoring Electronic Triage Tag System for Improving Survival Rate in Disaster-Induced Mass Casualty Incidents
Ju Young Park
Healthcare.2021; 9(7): 877. CrossRef
- Value of Repeat Brain Computed Tomography in Children with Traumatic Brain Injury
- Ho Jun Jo, Yong Su Lim, Jin Joo Kim, Jin Seong Cho, Sung Youl Hyun, Hyuk Jun Yang, Gun Lee
- J Trauma Inj. 2015;28(3):149-157. Published online September 30, 2015
- DOI: https://doi.org/10.20408/jti.2015.28.3.149
- 1,989 View
- 8 Download
- 1 Citations
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Abstract
PDF
- PURPOSE
Traumatic brain injury (TBI) is the most common cause of pediatric trauma patients came to the emergency department. Without guidelines, many of these children underwent repeat brain computed tomography (CT). The purpose of this study was to evaluate the value of repeat brain CT in children with TBI.
METHODS
We conducted a retrospective study of TBI in children younger than 19 years of age who visited the emergency department (ED) from January 2011 to December 2012. According to the Glasgow Coma Scale (GCS) and Pediatric Glasgow Coma Scale score of the patients, study population divided in three groups. Clinical data collected included age, mechanism of injury, type of TBI, and outcome.
RESULTS
A Total 83 children with TBI received repeat brain CT. There were no need for neurosurgical intervention in mild TBI (GCS score 13-15) group who underwent routine repeat CT. 4 patients of mild TBI group, received repeat brain CT due to neurological deterioration, and one patient underwent neurosurgical intervention. Routine repeat CT identified 12 patients with radiographic progression. One patient underwent neurosurgical intervention based on the second brain CT finding, who belonged to the moderate TBI (GCS score 9-12) group.
CONCLUSION
Our study showed that children with mild TBI can be observed without repeat brain CT when there is no evidence of neurologic deterioration. Further study is needed for establish indication for repetition of CT scan in order to avoid unnecessary radiation exposure of children. -
Summary
Citations
Citations to this article as recorded by- Mortality and Epidemiology in 256 Cases of Pediatric Traumatic Brain Injury : Korean Neuro-Trauma Data Bank System (KNTDBS) 2010–2014
Hee-Won Jeong, Seung-Won Choi, Jin-Young Youm, Jeong-Wook Lim, Hyon-Jo Kwon, Shi-Hun Song
Journal of Korean Neurosurgical Society.2017; 60(6): 710. CrossRef
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