Alcohol withdrawal syndrome in admitted trauma patients

Randeep S. Jawa, Joseph Clarke Stothert Jr, Valerie K. Shostrom, Diane L. Yetter, Heather R. Templin, Samuel K. Cemaj, Lina Lander, Armour R. Forse, David H. Young

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background As alcohol use is highly prevalent in trauma patients, we hypothesized that a significant proportion of hospitalized trauma patients would demonstrate alcohol withdrawal (AW).

Methods The trauma registries at a joint trauma center system from 1999 to 2008 were evaluated for patients aged at least 16 years.

Results Of 19,369 trauma admissions, 159 patients had AW. Blood alcohol concentration (BAC) testing was performed in 31.5% of the patients. BAC was significantly higher in AW patients versus other traumas (205.7 ± 130.1 vs 102.9 ± 121.7 mg/dL). BAC was 0 in 14.4% of AW patients. As compared with other trauma patients, patients with AW had a significantly greater age (50.2 vs 42.1 years), hospital length of stay (10 vs 3 days), intensive care unit length of stay (2 vs 0 days), need for mechanical ventilation (34% vs 12.7%), and pneumonia (12% vs 2.3%). AW patients were less frequently discharged to home (59.8% vs 69.9%). Mortality was not different.

Conclusions AW was diagnosed in few patients. Of note, it occurred in patients with an initial BAC of 0. AW is associated with adverse outcomes.

Original languageEnglish (US)
Pages (from-to)781-787
Number of pages7
JournalAmerican journal of surgery
Volume208
Issue number5
DOIs
StatePublished - Nov 1 2014

Fingerprint

Alcohols
Wounds and Injuries
Length of Stay
Trauma Centers
Patient Admission
Artificial Respiration
Intensive Care Units
Registries
Pneumonia
Joints
Mortality
Blood Alcohol Content

Keywords

  • Alcohol
  • Alcohol withdrawal
  • Trauma

ASJC Scopus subject areas

  • Surgery

Cite this

Jawa, R. S., Stothert Jr, J. C., Shostrom, V. K., Yetter, D. L., Templin, H. R., Cemaj, S. K., ... Young, D. H. (2014). Alcohol withdrawal syndrome in admitted trauma patients. American journal of surgery, 208(5), 781-787. https://doi.org/10.1016/j.amjsurg.2014.04.007

Alcohol withdrawal syndrome in admitted trauma patients. / Jawa, Randeep S.; Stothert Jr, Joseph Clarke; Shostrom, Valerie K.; Yetter, Diane L.; Templin, Heather R.; Cemaj, Samuel K.; Lander, Lina; Forse, Armour R.; Young, David H.

In: American journal of surgery, Vol. 208, No. 5, 01.11.2014, p. 781-787.

Research output: Contribution to journalArticle

Jawa, RS, Stothert Jr, JC, Shostrom, VK, Yetter, DL, Templin, HR, Cemaj, SK, Lander, L, Forse, AR & Young, DH 2014, 'Alcohol withdrawal syndrome in admitted trauma patients', American journal of surgery, vol. 208, no. 5, pp. 781-787. https://doi.org/10.1016/j.amjsurg.2014.04.007
Jawa, Randeep S. ; Stothert Jr, Joseph Clarke ; Shostrom, Valerie K. ; Yetter, Diane L. ; Templin, Heather R. ; Cemaj, Samuel K. ; Lander, Lina ; Forse, Armour R. ; Young, David H. / Alcohol withdrawal syndrome in admitted trauma patients. In: American journal of surgery. 2014 ; Vol. 208, No. 5. pp. 781-787.
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