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Comparison of injury pattern and clinical outcomes between young adults and elderly patients with alcohol-related injury in South Korea 2011-2016

Title
Comparison of injury pattern and clinical outcomes between young adults and elderly patients with alcohol-related injury in South Korea 2011-2016
Authors
Lee, Jae HeeLee, Duk Hee
Ewha Authors
이덕희이재희
Issue Date
2019
Journal Title
PEERJ
ISSN
2167-8359JCR Link
Citation
PEERJ vol. 7
Keywords
ElderlyAlcoholInjuryMortalityEMR-ISS
Publisher
PEERJ INC
Indexed
SCIE; SCOPUS WOS
Document Type
Article
Abstract
Background. Alcohol is an important factor that contributes to emergency department (ED) visits due to injury. However, the role of alcohol in elderly patients visiting ED due to injury has not been clearly defined. This study aims to examine age and alcohol as risk factors of injury severity and clinical outcomes. Methods. This study included patients who visited EDs between January 2011 and December 2016. Data was obtained from the Emergency Department-Based Injury In-depth Surveillance of the Korea Centers for Disease Control and Prevention, South Korea. Injury patients aged >= 18 years were included, but those who visited the ED more than 48 hours after injury, with unknown clinical outcomes (admission, mortality, and excess mortality ratio-adjusted injury severity score [EMR-ISS]) were excluded. Results. We analyzed 887,712 patients, of whom 131,708 (17.7%) non-elderly and 9,906 (7.0%) elderly had alcohol-related injury. Falls and slips are the most common injury mechanism (37.9%) in patients consuming alcohol (36.3% non-elderly/58.40% elderly). The injury occurred on roads (40.6%), houses (33.8%), and commercial facilities (11.9%) in elderly patients consuming alcohol. Suicide rate was 12.0% in elderly and 9.7% in non-elderly patients. According to the time of day of injury, evening (60.8%) was the most common in elderly and night (62.6%) in non-elderly patients. Admission rate (odds ratio [OR] 2.512 confidence interval [CI] 2.407-2.621), intensive care unit (ICU) care rate (OR 5.507 [CI] 5.178-5.858), mortality rate (OR 4.593 [CI] 4.086-5.162), and EMR-ISS >25 (OR 5.498 [CI] 5.262-5.745) were compared between patients with alcohol-related injury and non-elderly with non-alcohol-related injury patients. Alcohol consumption in elderly patients results in significant impairment and increases EMR-ISS, ICU care rate, and mortality rate. To reduce injury in elderly patients, alcohol screening, appropriate counseling, and intervention are needed.
DOI
10.7717/peerj.7704
Appears in Collections:
의과대학 > 의학과 > Journal papers
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