Risk Factors for Delirium Tremens in Trauma Patients

James K. Lukan, Donald N. Reed, Stephen Warwick Looney, David A. Spain, Richard D. Blondell

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

Background The development of delirium tremens (DT) is associated with significant morbidity and mortality. This study identifies characteristics in trauma patients that are predictive of DT. Methods Data from 1,856 trauma patients who either developed DT (n = 105) or had a positive blood alcohol concentration but did not develop DT (n = 1,751) were collected from the trauma registry of a Level I trauma center. Odds ratios were used to measure the association between predictors and DT as an outcome and between DT and length of stay as an outcome. Results Of seven significant (p < 0.05) predictors of DT, four were retained after stepwise logistic regression: age >40, white race, burn as a mechanism of injury and, as a negative predictor, motor vehicle collision as a mechanism of injury. The DT group stayed an average of 6.5 and 5.2 days longer in the hospital and the intensive care unit, respectively, than those in the control group. Conclusion It is possible to determine which intoxicated trauma patients are at increased risk for DT using the above predictors. Patients who develop DT have worse outcomes than those who do not. Whether routine DT prophylaxis would improve outcomes among those at increased risk for DT is unknown, but deserves further study.

Original languageEnglish (US)
Pages (from-to)901-906
Number of pages6
JournalJournal of Trauma
Volume53
Issue number5
DOIs
StatePublished - Jan 1 2002
Externally publishedYes

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Alcohol Withdrawal Delirium
Wounds and Injuries
Trauma Centers
Motor Vehicles
Intensive Care Units
Registries
Length of Stay

Keywords

  • Alcohol abuse
  • Delirium tremens
  • Trauma

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

Cite this

Risk Factors for Delirium Tremens in Trauma Patients. / Lukan, James K.; Reed, Donald N.; Looney, Stephen Warwick; Spain, David A.; Blondell, Richard D.

In: Journal of Trauma, Vol. 53, No. 5, 01.01.2002, p. 901-906.

Research output: Contribution to journalArticle

Lukan, JK, Reed, DN, Looney, SW, Spain, DA & Blondell, RD 2002, 'Risk Factors for Delirium Tremens in Trauma Patients', Journal of Trauma, vol. 53, no. 5, pp. 901-906. https://doi.org/10.1097/00005373-200211000-00015
Lukan, James K. ; Reed, Donald N. ; Looney, Stephen Warwick ; Spain, David A. ; Blondell, Richard D. / Risk Factors for Delirium Tremens in Trauma Patients. In: Journal of Trauma. 2002 ; Vol. 53, No. 5. pp. 901-906.
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