Analyzing the effects of alcohol on adolescent trauma using the National Trauma Data Bank

Hassan Aziz, Juan A. Siordia, Peter Rhee, Viraj Pandit, Terence OKeeffe, Narong Kulvatunyou, Bellal Joseph

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

BACKGROUND Alcohol misuse is an important source of preventable injuries in the adolescent population. The aim of our study was to assess the effect of alcohol in adolescent trauma outcomes. METHODS We performed a retrospective analysis of the National Trauma Data Bank (NTDB). Adolescent patients (12-18 years) who were tested for alcohol were included in the analysis. Outcome measures were difference in complications and mortality between the two groups. RESULTS A total of 31,923 adolescent trauma patients were tested for alcohol; 21% (n = 6,704) of whom tested positive for alcohol. Propensity-matched analysis revealed that adolescent patients with alcohol use were more likely to have adult respiratory distress syndrome (10% vs. 6%, p = 0.001), pneumonia (31% vs. 24%, p = 0.01), and thromboembolic complications (30% vs. 20%, p = 0.001) during their hospitalization. The mortality rate was higher in adolescent trauma patients who tested positive for alcohol (15% vs. 9%, p = 0.04). CONCLUSION Alcohol use is associated with significant consequences in adolescent population. Our study highlights the increasing use of alcohol in adolescent trauma patients. Strict screening criteria in adolescent trauma patients are warranted.

Original languageEnglish (US)
Pages (from-to)463-467
Number of pages5
JournalJournal of Trauma and Acute Care Surgery
Volume79
Issue number3
DOIs
StatePublished - Sep 5 2015
Externally publishedYes

Keywords

  • Adolescent trauma
  • alcohol
  • mortality

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

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