Head trauma sustained under the influence of alcohol is a predictor for future traumatic brain injury: a long‐term follow‐up study

Vaaramo, Kalle; Puljula, Jussi; Tetri, Sami; Juvela, Seppo; Hillbom, Matti

doi:10.1111/ene.12302

Cited by 41 publications

(36 citation statements)

References 16 publications

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“…25 Alcohol increases the mortality after trauma especially in patients over the age of 40. 26 Alcohol-related TBIs are associated with poorer outcomes with increasing age. 27 Falls at ground level after alcohol consumption are associated with more casualties than nonalcohol-related falls.…”

Section: Alcohol Intoxicationmentioning

confidence: 99%

Geriatric Trauma Patients and Altered Mental Status

Marco¹,

Edgell²,

Eggers³

et al. 2016

Emerg Med

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CaseA 76-year-old woman presented to the ED with right rib pain after tripping on a rug and sustaining a fall down the stairs in her home. The patient's chart review showed a history of multiple falls over the past year, with injuries including left rib fracture, right distal radius fracture, ankle sprain, forehead contusion, and left hip contusion. Regarding her social history, the patient denied any alcohol or drug use. She was not on any prescription medications and had no known medication or food allergies.The physical examination was notable for a thin, white female in no apparent distress. The patient's vital signs at presentation were: temperature, 97.2°F; blood pressure, 110/78 mm Hg; heart rate, 110 beats/minute; respiratory rate, 24 breaths/ minute. She was somnolent but arousable and oriented to person, place, and time. The right chest wall was tender, and her lungs were clear to auscultation. The cardiac and neurological examinations were within normal limits. The patient had multiple contusions of various stages of healing over all extremities.

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Section: Alcohol Intoxicationmentioning

confidence: 99%

Geriatric Trauma Patients and Altered Mental Status

Marco¹,

Edgell²,

Eggers³

et al. 2016

Emerg Med

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“…A recent assessment of the U.S. national trauma registry revealed alcohol use to be present in as many as 50% of all TBI-related emergency department visits (Chen et al, 2012). Not surprisingly alcohol use in general and binge drinking in particular are powerful risk factors for TBI (Savola et al, 2005; Vaaramo et al, 2014) and contribute substantially to mortality of TBI patients (see reference Opreanu et al, 2010 for a review). Critically, the use of alcohol in patients recovering from TBI is highly deleterious and there is significant evidence that patients that drink after TBI have poorer cognitive, neuropsychiatric and occupational outcomes than those that do not (Corrigan, 1995; Weil et al, 2016a; Unsworth and Mathias, 2017).…”

Section: Introductionmentioning

confidence: 99%

Traumatic Brain Injuries during Development: Implications for Alcohol Abuse

Weil

Karelina

2017

Front. Behav. Neurosci.

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Traumatic brain injuries are strongly related to alcohol intoxication as by some estimates half or more of all brain injuries involve at least one intoxicated individual. Additionally, there is mounting evidence that traumatic brain injuries can themselves serve as independent risk factors for the development of alcohol use disorders, particularly when injury occurs during juvenile or adolescent development. Here, we will review the epidemiological and experimental evidence for this phenomenon and discuss potential psychosocial mediators including attenuation of negative affect and impaired decision making as well as neurochemical mediators including disruption in the glutamatergic, GABAergic, and dopaminergic signaling pathways and increases in inflammation.

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“…An incidence of TBI under the influence of alcohol remains an important predictor of recurrent TBI in the future due to the continuation of alcohol abuse in these patients [7,8]. Thus, prevention and treatment of alcohol abuse disorders is an important factor in influencing the eventual prognosis and quality of life in these patients, benefitting long-term health.…”

Section: Introductionmentioning

confidence: 99%

Changes in Alcohol-Related Behavior Following an Incident of Traumatic Brain Injury

Shiwalkar¹,

Gregor²,

Fu³

et al. 2017

J Trauma Treat

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Pre-existing alcohol related complications are a common occurrence amongst individuals admitted for Traumatic Brain Injury (TBI) and is estimated to be about 44% to 66% in TBI patients. In fact, alcohol intoxication is a major cause of TBI. The contribution of alcohol abuse as a cause of TBI and its influence over the pathophysiology of TBI is well studied and well known. However, the influence of TBI on alcohol consumption is still in its preliminary stages. The underlying reasons for it may be the complex interaction between the pathological changes induced by TBI itself and changes in environmental factors following an episode of TBI. The resulting alteration in alcohol-related behaviors post-TBI can affect cognitive and neurological functions and thus can influence the overall recovery of the patient.Hence, understanding changes in alcohol behavior after TBI, with respect to the timing and causes responsible for the change, is important from the perspective of long-term outcome in these patients. In this review article, we discuss a number of studies to determine changes in alcohol drinking behavior following TBI and summarize the findings with respect to the timing of significant change in behavior, as well as the factors influencing this change. Overall it can provide an important piece of information regarding the preventive measures in a major subset of the population at risk of alcohol-use disorders and utilizing them at a time when the prevention can have a maximal impact.

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Head trauma sustained under the influence of alcohol is a predictor for future traumatic brain injury: a long‐term follow‐up study

Abstract: Even head trauma without TBI under the influence of alcohol implies an elevated risk of subsequent TBI. A brief intervention to reduce hazardous drinking is needed to prevent TBI.

Cited by 41 publications

References 16 publications

Geriatric Trauma Patients and Altered Mental Status

Geriatric Trauma Patients and Altered Mental Status

Traumatic Brain Injuries during Development: Implications for Alcohol Abuse

Changes in Alcohol-Related Behavior Following an Incident of Traumatic Brain Injury

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