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Incidence of moderate-to-severe traumatic brain injuries after reduction in alcohol prices.
Acta Neurol Scand. 2013 Mar; 127(3):192-7.AN

Abstract

OBJECTIVE

Alcohol may be involved in 40-50% of traumatic brain injuries (TBI). In Finland, the cutting of alcohol taxes by one third in 2004 resulted in a marked increase in per capita alcohol consumption. We investigated the consequences of increased alcohol consumption on the incidence of moderate-to-severe traumatic brain injury among a defined population.

MATERIAL AND METHODS

We identified all residents of Northern Ostrobothia with acute moderate-to-severe TBI admitted to Oulu University Hospital in 1999 and in 2007 as well as those who died on the scene without being admitted to the hospital. Alcohol involvement was recorded by similar methods and equally often during both years. Incidence rates were calculated as number of subjects per 100,000 population. Logistic regression was performed to determine which factors predicted fatal TBI and associated with alcohol-related TBI.

RESULTS

No significant increase from 1999 to 2007 occurred in the incidence of alcohol-related moderate-to-severe TBIs among the population of Northern Ostrobothnia. The total number of alcohol-related TBIs were 61/135 (45.2%) in 2007 and 52/126 (41.3%) 1999. Fall-related TBIs were more frequent in 2007 than in 1999. Alcohol and older age predicted fatal outcome. Alcohol was significantly (P < 0.001) more often present in fatal TBIs (83/156, 53.2%) than in non-fatal TBIs (30/105, 28.6%). Male sex, fall, suicide, and assault significantly associated with alcohol-related TBI.

CONCLUSIONS

The reduction in alcohol prices and the concomitant increase in alcohol consumption did not increase the incidence of alcohol-related moderate-to-severe TBI.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Puljula J
Department of Neurology, University of Oulu and Oulu University Hospital, Oulu, Finland. jpuljula@paju.oulu.fi
Mäkinen E
No affiliation info available
Cygnel H
No affiliation info available
Kortelainen ML
No affiliation info available
Hillbom M
No affiliation info available

MeSH

AdolescentAdultAlcohol DrinkingBrain InjuriesCommerceFemaleFinlandHumansIncidenceMaleMiddle AgedYoung Adult

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22712513

Citation

Puljula, J, et al. "Incidence of Moderate-to-severe Traumatic Brain Injuries After Reduction in Alcohol Prices." Acta Neurologica Scandinavica, vol. 127, no. 3, 2013, pp. 192-7.
Puljula J, Mäkinen E, Cygnel H, et al. Incidence of moderate-to-severe traumatic brain injuries after reduction in alcohol prices. Acta Neurol Scand. 2013;127(3):192-7.
Puljula, J., Mäkinen, E., Cygnel, H., Kortelainen, M. L., & Hillbom, M. (2013). Incidence of moderate-to-severe traumatic brain injuries after reduction in alcohol prices. Acta Neurologica Scandinavica, 127(3), 192-7. https://doi.org/10.1111/j.1600-0404.2012.01697.x
Puljula J, et al. Incidence of Moderate-to-severe Traumatic Brain Injuries After Reduction in Alcohol Prices. Acta Neurol Scand. 2013;127(3):192-7. PubMed PMID: 22712513.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Incidence of moderate-to-severe traumatic brain injuries after reduction in alcohol prices. AU - Puljula,J, AU - Mäkinen,E, AU - Cygnel,H, AU - Kortelainen,M-L, AU - Hillbom,M, Y1 - 2012/06/19/ PY - 2012/05/24/accepted PY - 2012/6/21/entrez PY - 2012/6/21/pubmed PY - 2013/8/10/medline SP - 192 EP - 7 JF - Acta neurologica Scandinavica JO - Acta Neurol Scand VL - 127 IS - 3 N2 - OBJECTIVE: Alcohol may be involved in 40-50% of traumatic brain injuries (TBI). In Finland, the cutting of alcohol taxes by one third in 2004 resulted in a marked increase in per capita alcohol consumption. We investigated the consequences of increased alcohol consumption on the incidence of moderate-to-severe traumatic brain injury among a defined population. MATERIAL AND METHODS: We identified all residents of Northern Ostrobothia with acute moderate-to-severe TBI admitted to Oulu University Hospital in 1999 and in 2007 as well as those who died on the scene without being admitted to the hospital. Alcohol involvement was recorded by similar methods and equally often during both years. Incidence rates were calculated as number of subjects per 100,000 population. Logistic regression was performed to determine which factors predicted fatal TBI and associated with alcohol-related TBI. RESULTS: No significant increase from 1999 to 2007 occurred in the incidence of alcohol-related moderate-to-severe TBIs among the population of Northern Ostrobothnia. The total number of alcohol-related TBIs were 61/135 (45.2%) in 2007 and 52/126 (41.3%) 1999. Fall-related TBIs were more frequent in 2007 than in 1999. Alcohol and older age predicted fatal outcome. Alcohol was significantly (P < 0.001) more often present in fatal TBIs (83/156, 53.2%) than in non-fatal TBIs (30/105, 28.6%). Male sex, fall, suicide, and assault significantly associated with alcohol-related TBI. CONCLUSIONS: The reduction in alcohol prices and the concomitant increase in alcohol consumption did not increase the incidence of alcohol-related moderate-to-severe TBI. SN - 1600-0404 UR - https://www.unboundmedicine.com/medline/citation/22712513/Incidence_of_moderate_to_severe_traumatic_brain_injuries_after_reduction_in_alcohol_prices_ DB - PRIME DP - Unbound Medicine ER -