Munich Oktoberfest experience: remarkable impact of sex and age in ethanol intoxication
| Autor: | Matthias Hermes, Essam Bedawy, Claudia Rudolph, Klaus Golka, H. Trauer, Rüdiger Lessig, Marc Brulport, Dirk Hasenclever, M. J. Barysch, C. Binner, Alexander Bauer, Wiebke Schormann, Markus Schug, Jan G. Hengstler, C. Pölcher, H. M. Bolt, Silvia Selinski, Katja Ickstadt |
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| Rok vydání: | 2008 |
| Předmět: |
Adult
Blood Glucose Male Alcohol Drinking Health Toxicology and Mutagenesis Diastole Blood sugar Blood Pressure Neurological disorder Toxicology Body Temperature Cohort Studies Young Adult Alcohol intoxication Age Distribution Heart Rate Risk Factors Germany Heart rate medicine Confidence Intervals Odds Ratio Humans Glasgow Coma Scale Retrospective Studies Coma Ethanol business.industry Age Factors General Medicine Length of Stay medicine.disease Hospitalization Blood pressure Logistic Models Anesthesia Emergency Medicine Female Sex medicine.symptom business Alcoholic Intoxication |
| Zdroj: | Archives of toxicology. 82(12) |
| ISSN: | 1432-0738 |
| Popis: | Approximately 5,000 of 6 million annual visitors of the Oktoberfest in Munich have to undergo medical treatment. Patients with alcohol intoxication without trauma or further complications are all treated in a specialized medical camp. We studied these patients in order to identify risk factors and to assess the relevance of the Glasgow Coma Score (GCS) and of ethanol blood concentrations for patient management. In 2004 totally 405 patients suffering from ethanol intoxication without trauma were treated in the medical camp. A complete set of the following data was obtained from all 405 patients: GCS, ethanol blood concentration, age, sex, blood pressure (mean, systolic and diastolic), body temperature, heart rate, blood sugar, GOT, γ-GT, and CK. A multivariate logistic regression model was applied to identify risk factors predicting patients at increased risk of hospitalization. Low GCS (≤8 vs. >8, OR: 4.18, CI: 1.96–8.65) low age (20–29 vs. ≥30 years, OR: 2.35, CI: 1.05–5.65) and male gender (male vs. female, OR: 3.58, CI: 1.36–9.34) independently predicted patients that had to be hospitalized. All other parameters including ethanol blood concentrations were not explanatory. Patients with GCS ≤ 8 (n = 66) had a lower median blood pressure (P = 0.0312) and showed a smaller increase in blood pressure during the observation period compared to patients with GCS > 8 (P |
| Databáze: | OpenAIRE |
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