Alcohol consumption independently linked to elevated risk of bladder damage after Motor accidents

Written By : Jacinthlyn Sylvia |Medically Reviewed By : Dr. Kamal Kant Kohli Published On 2022-08-31T20:00:04+05:30 | Updated On 31 Aug 2022 8:00 PM IST

Following motor vehicle incidents, alcohol consumption is independently linked to an elevated risk of bladder damage and subsequent bladder surgery repair, says an article published in The Journal of Urology.

Alcohol use is an established risk factor for car accidents. In order to test the theory that ethanol intoxication increases the likelihood of bladder damage and surgical repair, particularly at higher blood alcohol content levels, Jason L. Lui and colleagues undertook this study.

From 2017 to 2019, all patients involved in auto accidents were located by researchers using the National Trauma Data Bank. Patients were divided into two groups: those who were intoxicated and those who weren't. Age, sex, blood alcohol level, driving status, usage of seat belt restraints, nonalcoholic drunkenness, pelvic fracture, and Injury Severity Scale were among the variables gathered. Primary outcome measures of bladder damage and surgical bladder repair were evaluated, together with interactions with pelvic fracture and restraint usage.

The key findings of this study were:

1. A total of 594,484 patients were found, and 97,831 (16.5%) of them tested positive for alcohol.

2. Patients in the intoxication group had higher rates of bladder injuries (1% vs .4%, P.001), other drug intoxication (32.8% vs 14.6%, P.001), and bladder surgery (.7% vs 15%, P .001).

3. A pelvic fracture and the Damage Severity Scale were statistically significant predictors of bladder injury.

4. A greater blood alcohol level was linked to both outcomes in the adjusted analysis.

5. Alcohol use over the legal limit was more likely to predict bladder surgery than pelvic fracture.

6. Even while pelvic fracture did not affect the relationship between alcohol consumption and either outcome, it did strengthen when a seat belt was used and at greater intoxication levels.

In conclusion, trauma professionals should be on the lookout for bladder injuries in alcohol-impaired patients, especially those who are being restrained by seat belts.

Reference:

Lui, J. L., Hakam, N., Shaw, N. M., Cuschieri, J., Abbasi, B., & Breyer, B. N. (2022). Alcohol Intoxication Is Associated with Bladder Injury and Bladder Surgical Repair in Patients Sustaining Motor Vehicle Collisions. In Journal of Urology. Ovid Technologies (Wolters Kluwer Health). https://doi.org/10.1097/ju.0000000000002831

The Journal of Urologyalcohol consumptionbladder injury

Source : American Urology Association

Jacinthlyn Sylvia

Neuroscience Masters graduate

Jacinthlyn Sylvia, a Neuroscience Master's graduate from Chennai has worked extensively in deciphering the neurobiology of cognition and motor control in aging. She also has spread-out exposure to Neurosurgery from her Bachelor’s. She is currently involved in active Neuro-Oncology research. She is an upcoming neuroscientist with a fiery passion for writing. Her news cover at Medical Dialogues feature recent discoveries and updates from the healthcare and biomedical research fields. She can be reached at editorial@medicaldialogues.in

Dr. Kamal Kant Kohli

Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751