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conferenceseries.com
Volume 6, Issue 3 (Suppl) J Nurs Care
ISSN: 2167-1168 JNC, an open access journal Nursing Edu 2017
May 22- 24, 2017
May 22- 24, 2017 Osaka, Japan
20th World Nursing
Education Conference
The association of alcohol intoxication and trauma injury severity and medical expenditure in adults
Shu-Hui Peng1,2
1Chang Gung University, Taiwan
2Kaohsiung Chang Gung Memorial Hospital, Taiwan
Alcohol-related trauma, which include drunk driving, fighting or a fall after drinking alcohol, is the main reason for sustaining
trauma injury. To provide objective evidences and more complete therapeutic algorithm, this study was designed to investigate
the relationship of alcohol-related trauma and the injury severity as well as medical expenses in adults. A retrospective study of the
medical records and registered data in Trauma Registry System from 2009 to 2014 was performed at a medical center in southern
Taiwan. The patients whose Blood Alcohol Concentration (BAC) level≧50 mg/dl was considered as alcohol intoxication group while
those whose BAC level less than 50 mg/dl and those who were not required for an alcohol test were deemed as patients without
alcohol intoxication group. Of the total 11,033 adult patients, 929 patients with BAC (+) and 10,104 patients with BAC (–) were
enrolled in this study. Patients with alcohol intoxication had significantly higher rates of head/neck injury, face injury, thoracic injury,
and abdomen injury, lower Glasgow Coma Scale (GCS) score (12.6±3.7 vs. 14.5±1.9, p<0.001), higher injury severity score (30.8±17.8
vs. 7.7±6.5, p<0.001), higher short-termmortality (3.6% vs. 1.2%, p<0.001), longer hospital stay (11.4 days vs. 9.1 days, p<0.001), and
higher proportion of admission to the intensive care unit (ICU) (35.4% vs. 15.0%, p<0.001) than those without alcohol intoxication.
Alcohol-related trauma is associated to a higher injury severity and increase the cost of medical expenses.
Biography
Shu-Hui Peng has completed her MD from Mei Ho University in Taiwan and is studying her Master’s degree in I-Shou University in Taiwan. She has been a Nursing
Staff in Kaohsiung Chang Gung Memorial Hospital for 25 years.
Shu-Hui Peng, J Nurs Care 2017, 6:3 (Suppl)