2.50
Hdl Handle:
http://hdl.handle.net/10755/182327
Category:
Abstract
Type:
Presentation
Title:
Alcohol Use and Injury-Related Outcomes in Older Rural Trauma Patients
Author(s):
Rohr, Karen
Author Details:
Karen Rohr, PhD, FNP-BC, NEA-BC, Medcenter One, Inc., Bismarck, North Dakota, USA, email: krohr@mohs.org
Abstract:
As the older population increases, the risk for injury also increases. Although alcohol use is a major contributing risk factor for unintentional injury and death, most trauma centers do not routinely screen patients for alcohol problems and provide intervention when needed. The purpose of this descriptive correlational study was to identify and compare the characteristics and hospital outcomes of alcohol positive (AP) trauma patients to alcohol negative (AN) trauma patients who present to the emergency department. The convenience sample included 883 patients age 65 years and over. Data analysis consisted of existing trauma registry data for calendar year 2004 from six level II trauma centers located in a rural Upper Great Plains state. Variables investigated were alcohol status, age, gender, ethnicity, injury mechanism, injury severity, length of stay, and discharge disposition. The findings identified 4.2% were tested for alcohol; 45.9% were AP and 54.1% were AN. Alcohol prevalence was 1.9%. Blood alcohol levels ranged from 10 to 400 mg/dl; 76.5% were greater than 80 mg/dl. Statistical analysis demonstrated no sociodemographic differences between the alcohol groups and alcohol use had no effect on the injury-related outcomes of AP patients. A significant correlation was found between injury severity and discharge disposition in the AN group. The results indicate that health care providers do not routinely screen older trauma patients. This study provides compelling evidence that nursing practice should include routine alcohol screening on all older trauma patients at the time of admission and provide appropriate patient education and referral. References: Babor, T., & Kadden, R. (2005). Screening and interventions for alcohol and drug problems in medical settings: What works? The Journal of Trauma, Injury, Infection, and Critical Care, 59(3), S80-S87.; Benshoff, J., Harrawood, L., & Koch, D. (2003). Substance abuse and the elderly: Unique issues and concerns. Journal of Rehabilitation, 69(2), 43-48.; Blondell, R., Looney, S., Hottman, L., & Boaz, P. (2002). Characteristics of intoxicated trauma patients. Journal of Addictive Diseases, 2(4), 1-12.; Clark, D. (2001). Motor vehicle crash fatalities in the elderly rural versus urban. The Journal of Trauma, 51(5), 896-900.; Ferrera, P., Bartfield, J., & D'Andrea, C. (2000). Outcomes of admitted geriatric trauma victims. American Journal of Emergency Medicine, 18(5), 575-580.; Hungerford, D. (2005). Recommendations for trauma centers to improve screening, brief intervention, and referral to treatment for substance use disorders. The Journal of Trauma, Injury, Infection, and Critical Care, 59(3), S37-S42.; Lugen, A. (2006). Alcohol and the older adult. Advance for Nurse Practitioners, 14(1), 47-52.; Zautcke, J. Coker, B., Morris, R., & Stein-Spencer, L. (2002). Geriatric trauma in the state of Illinois: substance use and injury patterns. The American Journal of Emergency Medicine, 20(1), 1-8.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Louisville, Kentucky, USA
Description:
"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleAlcohol Use and Injury-Related Outcomes in Older Rural Trauma Patientsen_GB
dc.contributor.authorRohr, Karenen_US
dc.author.detailsKaren Rohr, PhD, FNP-BC, NEA-BC, Medcenter One, Inc., Bismarck, North Dakota, USA, email: krohr@mohs.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182327-
dc.description.abstractAs the older population increases, the risk for injury also increases. Although alcohol use is a major contributing risk factor for unintentional injury and death, most trauma centers do not routinely screen patients for alcohol problems and provide intervention when needed. The purpose of this descriptive correlational study was to identify and compare the characteristics and hospital outcomes of alcohol positive (AP) trauma patients to alcohol negative (AN) trauma patients who present to the emergency department. The convenience sample included 883 patients age 65 years and over. Data analysis consisted of existing trauma registry data for calendar year 2004 from six level II trauma centers located in a rural Upper Great Plains state. Variables investigated were alcohol status, age, gender, ethnicity, injury mechanism, injury severity, length of stay, and discharge disposition. The findings identified 4.2% were tested for alcohol; 45.9% were AP and 54.1% were AN. Alcohol prevalence was 1.9%. Blood alcohol levels ranged from 10 to 400 mg/dl; 76.5% were greater than 80 mg/dl. Statistical analysis demonstrated no sociodemographic differences between the alcohol groups and alcohol use had no effect on the injury-related outcomes of AP patients. A significant correlation was found between injury severity and discharge disposition in the AN group. The results indicate that health care providers do not routinely screen older trauma patients. This study provides compelling evidence that nursing practice should include routine alcohol screening on all older trauma patients at the time of admission and provide appropriate patient education and referral. References: Babor, T., & Kadden, R. (2005). Screening and interventions for alcohol and drug problems in medical settings: What works? The Journal of Trauma, Injury, Infection, and Critical Care, 59(3), S80-S87.; Benshoff, J., Harrawood, L., & Koch, D. (2003). Substance abuse and the elderly: Unique issues and concerns. Journal of Rehabilitation, 69(2), 43-48.; Blondell, R., Looney, S., Hottman, L., & Boaz, P. (2002). Characteristics of intoxicated trauma patients. Journal of Addictive Diseases, 2(4), 1-12.; Clark, D. (2001). Motor vehicle crash fatalities in the elderly rural versus urban. The Journal of Trauma, 51(5), 896-900.; Ferrera, P., Bartfield, J., & D'Andrea, C. (2000). Outcomes of admitted geriatric trauma victims. American Journal of Emergency Medicine, 18(5), 575-580.; Hungerford, D. (2005). Recommendations for trauma centers to improve screening, brief intervention, and referral to treatment for substance use disorders. The Journal of Trauma, Injury, Infection, and Critical Care, 59(3), S37-S42.; Lugen, A. (2006). Alcohol and the older adult. Advance for Nurse Practitioners, 14(1), 47-52.; Zautcke, J. Coker, B., Morris, R., & Stein-Spencer, L. (2002). Geriatric trauma in the state of Illinois: substance use and injury patterns. The American Journal of Emergency Medicine, 20(1), 1-8.en_GB
dc.date.available2011-10-28T15:19:21Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:19:21Z-
dc.conference.date2009en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationLouisville, Kentucky, USAen_US
dc.description"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.