Pattern of alcohol use among patients with traumatic brain injury in Malaysia's urban hospital / Lim Sze Huei
Objective: To date, there is limited literature on the alcohol use among the patients with Traumatic Brain Injury (TBI) in Malaysia. Hence, the primary objective of the study is to determine the pattern of alcohol use among patients with traumatic brain injury in an urban hospital in Malaysia. T...
Saved in:
| Main Author: | |
|---|---|
| Format: | Thesis |
| Published: |
2018
|
| Subjects: | |
| Online Access: | http://studentsrepo.um.edu.my/11559/4/sze_huei.pdf http://studentsrepo.um.edu.my/11559/ |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | Objective:
To date, there is limited literature on the alcohol use among the patients with Traumatic
Brain Injury (TBI) in Malaysia. Hence, the primary objective of the study is to determine
the pattern of alcohol use among patients with traumatic brain injury in an urban hospital
in Malaysia. The secondary objective is to investigate the association of alcohol use in
the traumatic brain injured subjects with socio-demographic characteristics, duration of
head injury and severity of head injury, history of alcohol use/substance use,
psychological wellbeing, and cognitive function.
Method:
This is a cross sectional study conducted in the UMMC Rehabilitation Clinic,
Neurosurgical clinic and ward, HKL Neurosurgical clinic and ward, the observation ward,
Emergency Department. Data collection occurred from November 2017 till January 2018.
A convenient sampling method was used. The patients were selected based on the
selection criteria. The socio-demographic and clinical information were gathered after
obtaining the informed consent from the patients or their guardians. The participants were
each given a booklet of questionnaires to be filled which include their demographic
particulars, alcohol use pre-or post TBI particulars, head injury particulars, AUDIT form,
GHQ-12 form and MOCA form. All the questions were mainly in the Malay language
and the researcher assisted the patients if the subjects had difficulties to understand the
questions.
6
Results:
Out of the 60 patients approached, only 47 patients were included in the study. The mean
age of the participants was 36.8 years- (SD±14.8). In 83% of the patients were male
(n=39) and females constituted 17% (n=8). The majority of the patients were Malays
(63.8%) followed by Indian (23.4%) and Chinese (10.6%). In 51.1% of the participants
were married and 48.9% were single or divorced. About two third of patients attained at
least secondary education. Almost half of the patients (44.7%) were unemployed. Their
average salary was RM 1429.79 (SD± 2340.28)
A quarter of the subjects had used alcohol prior to their injury. There were
significant associations between post-TBI alcohol use, an AUDIT score of 8 or more (OR
30, 95%CI 3.06-294.56) and alcohol use history (OR 1.31, 95%CI 1.03-1.67). A
significant relationship was also noted between pre-TBI alcohol use and safety measure
taken (OR 9.6, 95% CI 1.27-72.53). However, no significant associations were found
between pre-TBI alcohol use with Modified Rankin Scale (mRS), neurosurgical
intervention and GCS severity. Similarly, there was no significant associations were
found between post-TBI alcohol use with age group, gender, marital status, educational
status, occupation status, head injury duration, family history of alcohol use, pre TBI
nicotine use, GHQ-12 score and MoCA score.
Conclusion:
The association with alcohol use and occurrence TBI is a complicated yet significant
situation. Alcohol use affect incidence and subsequent recuperation from a TBI episode.
The findings from the study, support the associations found in numerous literature; that
the patients’ alcohol use pre-injury may contribute to their recovery and post-TBI usage.
The findings of the study add evidence to the need to monitor alcohol level in all patients
presenting with traumatic head injury. |
|---|