Risk assessment in patients with acute alcohol intoxication

Aim: Patients with acute alcohol intoxication present a serious and still growing problem for pre- and intra-hospital emergency services. Data on the clinical risk assessment of alcohol-intoxicated patients are sparse. The aim of the present work was, therefore, to collect and assess relevant risk p...

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Hauptverfasser: Grüttner, Joachim (VerfasserIn) , Walter, Thomas (VerfasserIn) , Lang, Siegfried (VerfasserIn) , Reichert, Miriam (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: January-February 2015
In: In vivo
Year: 2015, Jahrgang: 29, Heft: 1, Pages: 123-127
ISSN:1791-7549
Online-Zugang:Verlag, kostenfrei, Volltext: http://iv.iiarjournals.org/content/29/1/123
Volltext
Verfasserangaben:Joachim Gruettner, Thomas Walter, Siegfried Lang, Miriam Reichert and Stephan Haas

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520 |a Aim: Patients with acute alcohol intoxication present a serious and still growing problem for pre- and intra-hospital emergency services. Data on the clinical risk assessment of alcohol-intoxicated patients are sparse. The aim of the present work was, therefore, to collect and assess relevant risk parameters. Materials and Methods: At the Mannheim University Hospital, the medical records of 844 alcohol-intoxicated Emergency Department patients were retrospectively studied and evaluated. Results: The patients with alcohol intoxications were predominantly males with an average age of 45 years. Mean blood alcohol concentration was 0.28%. The rate of haemodynamic, respiratory or metabolic complications in these patients was low. In 43% of cases, there was moderately to severely impaired consciousness. About half of the patients were treated on an outpatient basis. Conclusion: Our data demonstrate a low clinical risk for alcohol-intoxicated patients. Nevertheless, it is necessary to provide a defined monitoring standard in order to also be prepared for the few potential complications of alcohol intoxication and the possible differential diagnoses of impaired consciousness. 
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