Waiting for the Patient to “Sober Up”: Effect of Alcohol Intoxication on Glasgow Coma Scale Score of Brain Injured Patients. Jason L. Sperry, MD, Larry M. Gentilello, MD, Joseph P. Minei, MD, Ramon R. Diaz-Arrastia, MD, PhD, Randall S. Friese, MD, and Shahid Shafi, MD, MPH
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Jason L. Sperry, MD, Larry M. Gentilello, MD, Joseph P. Minei, MD, Ramon R. Diaz-Arrastia, MD, PhD,
Randall S. Friese, MD, and Shahid Shafi, MD, MPH
J Trauma. 2006;61:1305–1311.
Nonintoxicated TBI patients are conflicting.
(≥legal limit for driving, 80mg/dL)
Nonintoxicated patients were more often injured because of MVC whereas intoxicated patients were more likely injured by assault.
nonintoxicated patients sustaining more severe head injuries
(Spearman correlation coefficient =0.033, p= 0.275)
(nonintoxicated 10.1± 4.8, intoxicated 10.3± 4.7, p =0.500)
Endotracheal intubation mean GCS score between the two groups was less than a single point in all grades of TBI, except in those with head AIS 5, where the difference was 1.4 GCS points.
Hypotension (SBP<90 mmHg)
Severe injury (ISS>18)
differencein mean GCS score was 1.5
differencein mean GCS score was 1.4
(nontoxicated 12.8 ±0.08 versus intoxicated 13.2 ±0.06, p >0.001)