The Effects of Alcohol Abuse on Readmission for Trauma

Frederick P. Rivara, Thomas D. Koepsell, Gregory Jurkovich, James G. Gurney, Robert Soderberg

Research output: Contribution to journalArticle

182 Citations (Scopus)

Abstract

To determine the effect of admission for trauma with concurrent acute alcohol intoxication or chronic alcohol abuse on the risk of subsequent recurrence of trauma. —Prospective cohort study. —Level I regional trauma center. —A total of 2578 patients 18 years or older admitted with blunt or penetrating trauma within 24 hours of injury and surviving to discharge. All patients had a blood alcohol concentration (BAC) test, a γ-glutamyltransferase (GGT) test, and the short Michigan Alcohol Screening Test (SMAST) performed on admission. —Readmission to the trauma center for new trauma. Average follow-up was 28 months (range, 16 to 40 months). —The overall rate of readmission for new injuries was 1.3 per 1000 patient-months of follow-up. Patients who were intoxicated on the initial admission (BAC <22 mmol/L [100 mg/dL]) were 2.5-fold as likely to be readmitted than those not intoxicated (95% confidence limits, 1.6, 3.9). The relative risks for patients with positive SMAST scores and abnormal GGT values were 2.2 (95% confidence limits, 1.4, 3.5) and 3.5 (95% confidence limits, 2.2, 5.5), respectively. The increased risks remained significant for intoxication and abnormal GGT values after adjustment for gender, race, Medicaid status, and mechanism of injury. —Alcohol abuse is associated with an increased risk of readmission for new trauma. Trauma patients should be screened for alcohol problems; referral of problem drinkers for appropriate care may decrease their risk of admission for subsequent trauma. (JAMA. 1993;270:1962-1964).

Original languageEnglish (US)
Pages (from-to)1962-1964
Number of pages3
JournalJAMA: The Journal of the American Medical Association
Volume270
Issue number16
DOIs
StatePublished - Oct 27 1993
Externally publishedYes

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Alcoholism
Wounds and Injuries
Trauma Centers
Alcohols
Alcoholic Intoxication
Medicaid
Cohort Studies
Referral and Consultation
Prospective Studies
Recurrence

ASJC Scopus subject areas

  • Medicine(all)

Cite this

The Effects of Alcohol Abuse on Readmission for Trauma. / Rivara, Frederick P.; Koepsell, Thomas D.; Jurkovich, Gregory; Gurney, James G.; Soderberg, Robert.

In: JAMA: The Journal of the American Medical Association, Vol. 270, No. 16, 27.10.1993, p. 1962-1964.

Research output: Contribution to journalArticle

Rivara, Frederick P. ; Koepsell, Thomas D. ; Jurkovich, Gregory ; Gurney, James G. ; Soderberg, Robert. / The Effects of Alcohol Abuse on Readmission for Trauma. In: JAMA: The Journal of the American Medical Association. 1993 ; Vol. 270, No. 16. pp. 1962-1964.
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