Abstract
to evaluate the influence of alcohol intoxication in the time to perform head computed tomography and tomographic findings in traumatic brain injury patients. a retrospective study of 183 traumatic brain injury patients, divided into two groups: 90 alcoholics and 93 non-alcoholics. Time interval from patient's arrival at emergency room to tomography was calculated for comparison between the groups, and tomographic findings were analyzed. in the alcoholic group, the percentage of male patients was higher, the predominant age was between 31 and 40 years, aggression was the most frequent trauma mechanism, and these patients showed lower values on the Glasgow coma scale. It was observed that there was no statistical difference between the two groups regarding the time interval for tomography execution, as well as regarding the tomographic findings. In addition, in the alcoholic patients, when the Glasgow coma scale values were correlated with the time interval, there was no difference from scores 13 to 15 (mild traumatic brain injury) and those equal to or inferior than 12 (moderate and severe traumatic brain injury). signs of alcoholic intoxication did not influence the time interval for tomography execution. Patients under alcohol influence showed lower scores on the Glasgow coma scale due to the direct effect of alcohol and not due to a higher prevalence of tomographic findings.
Highlights
Studies show an average alcohol per-capita consumption of 7.8 liters per year in the population over 15 years of age
The objective of this study was to evaluate whether the presence of signs of alcohol intoxication may have influenced the time of Cranial computed tomography (CCT) performance in alcoholic patients with traumatic brain injury (TBI) compared to non-alcoholic patients, correlating with the presence of tomographic findings
In order to optimize data collection, we searched exams performed on Fridays, weekends, and holidays, in addition to holiday eves and days after holidays, as it was found, through an initial pilot test, that these were the days with the highest prevalence of alcoholic patients at emergency room
Summary
Studies show an average alcohol per-capita consumption of 7.8 liters per year in the population over 15 years of age. Considering only alcohol consumers, this amount becomes 19.3 liters per person[1]. This alcohol consumption has been related to the decrease of innumerable cognitive abilities, which in turn may increase the risk of injuries. Self-harm, interpersonal violence, and falls caused the most common lesions[1,2,3]. In this context, it is observed that cranial trauma occurs in a large number of cases and is considered a public health problem, as it generally affects the most active and productive population
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