The effects of alcohol on recovery from musculoskeletal trauma and injuries
Introduction: This study aimed to investigate the association between alcohol misuse (abuse and dependence) and clinical outcomes including infection, length of stay (LOS), and in-hospital mortality (IHM) among patients with musculoskeletal injuries. Methods: A retrospective analysis was conducted u...
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| Format: | Article |
| Language: | English |
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Tabriz: Hamid Allahverdipour, 2024-
2024-07-01
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| Series: | BioSocial Health Journal |
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| Online Access: | https://biosocialhealthjournal.com/PDF/bshj-1-90.pdf |
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| author | Shahrzad Bazargan-Hejazi Vincent Arriola Daniel Arriola Deyu Pan Kaveh Dehghan Emad Alamoutifard Elby Washington |
| author_facet | Shahrzad Bazargan-Hejazi Vincent Arriola Daniel Arriola Deyu Pan Kaveh Dehghan Emad Alamoutifard Elby Washington |
| author_sort | Shahrzad Bazargan-Hejazi |
| collection | DOAJ |
| description | Introduction: This study aimed to investigate the association between alcohol misuse (abuse and dependence) and clinical outcomes including infection, length of stay (LOS), and in-hospital mortality (IHM) among patients with musculoskeletal injuries. Methods: A retrospective analysis was conducted using California Hospital Discharge Data for 2018. The study included patients aged 18 years or older with musculoskeletal injuries categorized by injury sites (head/neck, trunk, and extremities) and alcohol misuse (abuse or dependence). Multivariate logistic regression analysis was used to assess the independent association of alcohol misuse with the outcome variables, controlling for age, gender, ethnicity, and insurance status. Results: Among 3.7 million discharges, 207623 (40.2%) had alcohol abuse, and 58.8% had alcohol dependence. The findings revealed that among musculoskeletal injury discharges, those with alcohol abuse, compared to alcohol dependence, had higher odds of infection (OR=1.25; CI=1.07-1.45). However, they had lower odds of LOS of≥4 days (OR=0.78; CI=0.77-0.79), and lower odds of IHM (OR=0.91; CI=0.86-0.96). Extremity injuries were associated with higher odds of infection, longer hospital stays, and lower IHM compared to head/neck and trunk injuries. Males compared to females and patients aged 67 or older compared to their 18-34 age group encounters were more likely to experience infection, LOS of≥4 days, and IHM. Hispanic and Asian patients experienced less infection and fewer days in the hospital but presented with higher odds of IHM. Conclusion: Our results reveal the burden of alcohol misuse in treatment outcomes among patients undergoing hospitalization for treatment of musculoskeletal injuries as they related to infection, length of hospital stay, and IHM. These findings also highlight the potential economic implications of alcohol-related musculoskeletal injuries. Our findings emphasize the necessity for an approach that goes beyond treating immediate physical injury, but considering a patient’s history of alcohol abuse and providing appropriate support and interventions to improve treatment outcomes for individuals affected by musculoskeletal injuries and alcohol misuse. |
| format | Article |
| id | doaj-art-c50f7f38419e481ab1d1fcd15b25106d |
| institution | Kabale University |
| issn | 3060-6268 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | Tabriz: Hamid Allahverdipour, 2024- |
| record_format | Article |
| series | BioSocial Health Journal |
| spelling | doaj-art-c50f7f38419e481ab1d1fcd15b25106d2025-02-06T10:33:12ZengTabriz: Hamid Allahverdipour, 2024-BioSocial Health Journal3060-62682024-07-0112909710.34172/bshj.24bshj-24The effects of alcohol on recovery from musculoskeletal trauma and injuriesShahrzad Bazargan-Hejazi0Vincent Arriola1Daniel Arriola2Deyu Pan3Kaveh Dehghan4Emad Alamoutifard5Elby Washington6Department of Psychiatry, College of Medicine, Charles R. Drew University of Medicine and Science and UCLA David Geffen School of Medicine, Los Angeles, CA, USACollege of Medicine, Charles R. Drew University of Medicine and Science and UCLA David Geffen School of Medicine, Los Angeles, CA, USACollege of Medicine, Charles R. Drew University of Medicine and Science and UCLA David Geffen School of Medicine, Los Angeles, CA, USACollege of Medicine, Charles R. Drew University of Medicine and Science, Los Angeles, CA, USACollege of Medicine, Charles R. Drew University of Medicine and Science, Los Angeles, CA, USAIslamic Azad University, Tehran Faculty of Medicine, IranDepartment of Surgery and Orthopedic Surgery, College of Medicine, Charles R. Drew University of Medicine and Science and UCLA David Geffen School of Medicine, Los Angeles, CA, USAIntroduction: This study aimed to investigate the association between alcohol misuse (abuse and dependence) and clinical outcomes including infection, length of stay (LOS), and in-hospital mortality (IHM) among patients with musculoskeletal injuries. Methods: A retrospective analysis was conducted using California Hospital Discharge Data for 2018. The study included patients aged 18 years or older with musculoskeletal injuries categorized by injury sites (head/neck, trunk, and extremities) and alcohol misuse (abuse or dependence). Multivariate logistic regression analysis was used to assess the independent association of alcohol misuse with the outcome variables, controlling for age, gender, ethnicity, and insurance status. Results: Among 3.7 million discharges, 207623 (40.2%) had alcohol abuse, and 58.8% had alcohol dependence. The findings revealed that among musculoskeletal injury discharges, those with alcohol abuse, compared to alcohol dependence, had higher odds of infection (OR=1.25; CI=1.07-1.45). However, they had lower odds of LOS of≥4 days (OR=0.78; CI=0.77-0.79), and lower odds of IHM (OR=0.91; CI=0.86-0.96). Extremity injuries were associated with higher odds of infection, longer hospital stays, and lower IHM compared to head/neck and trunk injuries. Males compared to females and patients aged 67 or older compared to their 18-34 age group encounters were more likely to experience infection, LOS of≥4 days, and IHM. Hispanic and Asian patients experienced less infection and fewer days in the hospital but presented with higher odds of IHM. Conclusion: Our results reveal the burden of alcohol misuse in treatment outcomes among patients undergoing hospitalization for treatment of musculoskeletal injuries as they related to infection, length of hospital stay, and IHM. These findings also highlight the potential economic implications of alcohol-related musculoskeletal injuries. Our findings emphasize the necessity for an approach that goes beyond treating immediate physical injury, but considering a patient’s history of alcohol abuse and providing appropriate support and interventions to improve treatment outcomes for individuals affected by musculoskeletal injuries and alcohol misuse.https://biosocialhealthjournal.com/PDF/bshj-1-90.pdfalcohol drinkingfracturesbonemusculoskeletal systemwounds and injurieshospitalizationlength of stayinfections |
| spellingShingle | Shahrzad Bazargan-Hejazi Vincent Arriola Daniel Arriola Deyu Pan Kaveh Dehghan Emad Alamoutifard Elby Washington The effects of alcohol on recovery from musculoskeletal trauma and injuries BioSocial Health Journal alcohol drinking fractures bone musculoskeletal system wounds and injuries hospitalization length of stay infections |
| title | The effects of alcohol on recovery from musculoskeletal trauma and injuries |
| title_full | The effects of alcohol on recovery from musculoskeletal trauma and injuries |
| title_fullStr | The effects of alcohol on recovery from musculoskeletal trauma and injuries |
| title_full_unstemmed | The effects of alcohol on recovery from musculoskeletal trauma and injuries |
| title_short | The effects of alcohol on recovery from musculoskeletal trauma and injuries |
| title_sort | effects of alcohol on recovery from musculoskeletal trauma and injuries |
| topic | alcohol drinking fractures bone musculoskeletal system wounds and injuries hospitalization length of stay infections |
| url | https://biosocialhealthjournal.com/PDF/bshj-1-90.pdf |
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