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[Alcohol and head injuries].

O Johansen, J Kjaeve, P Maehlumshagen

    Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
    |March 30, 1989
    PubMed
    Summary
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    Alcohol intoxication is linked to nighttime epidural hematoma injuries and delayed hospital arrival. Sober patients with epidural hematoma were more likely to arrive within four hours.

    Area of Science:

    • Neurosurgery
    • Trauma Surgery
    • Toxicology

    Background:

    • Epidural hematoma is a serious condition often requiring surgical intervention.
    • Alcohol intoxication is a common factor in trauma cases, potentially influencing injury mechanisms and patient outcomes.

    Purpose of the Study:

    • To investigate the relationship between alcohol intoxication and the characteristics of epidural hematoma cases.
    • To analyze differences in injury circumstances and pre-hospital delay between intoxicated and sober patients with epidural hematoma.

    Main Methods:

    • Retrospective analysis of 42 patients surgically treated for epidural hematoma between 1967 and 1985.
    • Clinical evaluation including assessment of alcohol intoxication at the time of trauma.
    • Comparison of injury timing (day/night), mechanism (fall/violence), and time from accident to hospital arrival between intoxicated and sober groups.

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    Main Results:

    • 40.5% of patients with epidural hematoma were intoxicated with alcohol.
    • Intoxicated patients were more likely to sustain injuries during evening/night hours and due to falls or violence.
    • Sober patients demonstrated a significantly shorter time lag between accident and hospital arrival compared to intoxicated patients.

    Conclusions:

    • Alcohol intoxication is associated with specific patterns of epidural hematoma injury, including nighttime incidents and delayed presentation.
    • Prompt medical evaluation and treatment for epidural hematoma may be hindered by alcohol intoxication, emphasizing the need for timely intervention in trauma patients.