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Aim: The aim of our study is to establish the point at which a high blood alcohol concentration (BAC) in patients admitted to a hospital’s emergency department (ED) after an automobile accident can increase the severity of the injury and influence the survival and death rates. Materials and Methods: Our study is a prospective performed on patients ≥18 years of age admitted to the ED for in-car road accidents (ICRA) between September 15, 2011 and September 14, 201214-09-2012. Information such as demographic features, trauma score systems, BACs, hospital charges, discharge, hospitalization, and death of the patients was recorded. Results: The BACs of 52 out of a total of 324 patients were determined to be above normal limits (50 mg/dL). The clinical condition of patients with a BAC above normal limits was relatively worse (42.9%) than those with a BAC within normal limits (p<0.05). The BAC was above normal limits for 30.0% of the hospitalized patients, for 50% of surgical patients, and for 45.5% of deceased patients. Conclusion: This study determined that there is a relationship between a high BAC and injury severity for patients admitted to the ED for ICRA and that a high BAC negatively affects the survival rate and increases the death rate in emergency medicine.

eurasian journal of emergency medicine

The Relationship Between Blood Alcohol Concentration and Injury Severity in Patients Admitted to The Hospital Emergency Department After a Motor Vehicle Accident