Advertisement
Paper| Volume 26, ISSUE 5, P311-314, June 1995

Download started.

Ok

The relationship between alcohol intoxication, injury severity and Glasgow Coma Score in assault patients

  • M.R. Brickley
    Affiliations
    Department of Oral and Maxillofacial Surgery, University of Wales College of Medicine, Cardiff, UK
    Search for articles by this author
  • J.P. Shepherd
    Correspondence
    Requests for reprints should be addressed to: Professor Jonathan P. Shepherd, Department of Oral and Maxillofacial Surgery, University of Wales College of Medicine, Cardiff CF4 4XY, UK.
    Affiliations
    Department of Oral and Maxillofacial Surgery, University of Wales College of Medicine, Cardiff, UK
    Search for articles by this author
      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      To assess the effect of alcohol intoxication on injury severity and head injury assessment, blood alcohol concentrations (BAC) were related to the severity of injuries (Injury Severity Score and Assault Trauma Score) and Glasgow Coma Scores (GCS) in 242 consecutive victims of weekend, night-time assault, none of whom had head injuries. No correlation was found between degree of intoxication and severity of injury. There was a highly significant correlation between BAC and GCS. However, high BACs (greater than 240 mg/100 ml) were associated with only a 2–3 point reduction in GCS. The median BAC in patients with a normal GCS was 115 mg/100 ml. Neurological assessments need to take account of the highly variable, depressive effects of alcohol.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Injury
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Shepherd JP
        • Ali MA
        • Hughes AO
        • Levers BGH
        Trends in urban violence: a comparison of accident department and police records.
        J R Soc Med. 1993; 86: 87
        • Shepherd JP
        Alcohol and violence.
        Lancet. 1990; 336 (Editorial): 1223
        • Smith EJ
        • Ward AJ
        • Smith D
        Trauma scoring methods.
        Br J Hosp Med. 1990; 44: 114
        • Teasdale G
        • Jennet B
        Assessment of coma and impaired consciousness: a practical scale.
        Lancet. 1974; ii: 81
        • Shepherd JP
        • Irish M
        • Scully C
        • Leslie I
        Alcohol intoxication and severity of injury in victims of assault.
        Br Med J. 1988; 296: 1299
        • Cherpital CJ
        Timing of the breath analyzer: does it make a difference?.
        J Stud Alcohol. 1993; 54: 517
        • Shepherd JP
        • Robinson L
        • Levers BGH
        The roots of urban violence.
        Injury. 1990; 21: 139
        • Galbraith S
        • Murray WR
        • Patel AR
        • Knill-Jones R
        The relationship between alcohol and head injury and its effect on the conscious level.
        Br J Surg. 1976; 63: 128
        • Guerney JG
        • Rivara FP
        • Mueller BA
        • Newell DA
        • Copass MK
        • Jurkovich GJ
        The effects of alcohol intoxication on the initial treatment and hospital course of patients with acute brain injury.
        J Trauma. 1992; 33: 709
        • Nath FP
        • Beastal G
        • Teasdale GM
        Alcohol and traumatic brain damage.
        Injury. 1986; 17: 150