36
Journal of Clinical Healthcare 3/2015
ARTYKUŁY ORYGINALNE (ORIGINAL PAPERS)
Pacjenci znajdujący się pod wpływem alkoholu w
pracy Szpitalnego Oddziału Ratunkowego
(Patients under the influence of alcohol in the work of Hospital Emer-
gency Rooms)
M Olczak
1,A,B,D
, Z Kopański
1,2, C,F
, G Sianos
3,C
1. Collegium Masoviense – Wyższa Szkoła Nauk o Zdrowiu
2. Wydziału Nauk o Zdrowiu Collegium Medicum Uniwersytet Jagielloński
3. Glasgow Royal Infirmary Trauma and Orthopaedic Department Glasgow
Abstract—
Introduction. Alcohol is a substance that causes a similar kind of addiction to that to drugs or other
stimulants, as it affects people’s behaviour and thinking. Continuous use of alcohol is related to negative
consequences in every aspect of the addicted person’s life. The whole organism is affected, with all its tissues and
organs.
Aim of the study. The aim of the study was to present the issue of patients under the influence of alcohol admitted to
Hospital Emergency Rooms, taking into account their: sex, age, extent of alcohol intoxication (blood alcohol level), the
type of diagnostic tests undergone, nosological classification, and fate after leaving the ER.
Materials and methods. The documentation of the Emergency Room at the M. Kacprzak Regional Hospital in Płock has
been retrospectively analysed. The focus has been on 2014 and a randomly selected month (November) has been
designated for detailed analysis. The study was conducted on 50 drunk people who were treated at the Hospital
Emergency Room. The group included 11 women and 39 men, aged between 18 and 78. The study was conducte d
between 15
th
December 2014 and 18
th
January, 2015. The first phase of the study consisted in analysing the
documentation of 447 patients treated at the Emergency Room at the M. Kacprzak Regional Hospital in Płock in
November 2014. Out of this pool, the patients who were found to be under the influence of alcohol in lab tests were
selected. During the second phase, the selected documentation was analysed taking into consideration the patients’
sex, age, extent of alcohol intoxication (blood alcohol level), the type of diagnostic tests undergone, nosological
classification, and fate after leaving the ER.
Results and conclusions. The results obtained indicate that the group of drunk patients treated at ER is dominated by
men, who constitute 78% of all patients. The most numerous age group was that between 36-45. It was followed by the
group of patients aged 46-55, which constituted 26% of all. As far as the patients up to 35 years old are concerned,
most of those were men. In the age group of 36-55, a clear dominance of female patients could be observed. In the age
group over 55, men were the majority again. The intoxicated patients analysed frequently required both laboratory and
image diagnostics. Those tests were run in 88% of the cases analysed. 50% of the patients had head injuries classified
as S09 (unspecified head injuries and others). Other diseases and ailments were significantly less frequent. Only 6% of
the intoxicated patients at ER required to be hospitalised further. They were predominantly (in 58% of the cases)
handed over to the police and directed to detoxification centres. It might be considered characteristic that while no
male patient required hospitalisation, as many as 28% of the drunk women were referred for further treatment in
hospital.
Key words —
ER, patients under the influence of alcohol, the analysis of selected factors .
Streszczenie—
Wstęp. Alkohol jest substancją powodującą podobne uzależnienie jak narkotyk i czy inne używki, wpływa
na nasze zachowanie, na tok myślenia. Ciągłe picie alkoholu wiąże się z negatywnymi konsekwencjami w każdej sferze
życiowej osoby uzależnionej. Działa szkodliwie na cały organizm, wszystkie tkanki i narządy.
Cel badań. Celem pracy było przedstawienie problematyki pacjentów znajdujących się pod wpływem alkoholu,
trafiających do leczenia do Szpitalnego Oddziału Ratunkowego pod kątem: płci, wieku, stopnia zatrucia alkoholowego
(stężenia alkoholu we krwi), rodzaju wykonanych badań diagnostycznych, diagnostyki nozologicznej, losów pacjenta po
opuszczeniu SOR-u.
Materiał i metody. Analizie retrospektywnej poddano dokumentację Szpitalnego Oddziału Ratunkowego Wojewódzkiego
Szpitala Zespolonego w Płocku im. M. Kacprzaka. Skupiono się na roku 2014, wybierając do szczegółowej analizy
jeden z losowo wybranych miesięcy. Analiza dotyczy miesiąca listopada. Badaniami objęto 50 pijanych, którzy trafili do
leczenia w Szpitalnym Oddziale Ratunkowym, w tym 11 kobiet i 39 mężczyzn w wieku 18 -78 lat. Badania
przeprowadzono w okresie 15 grudnia 2014 -18.stycznia 2015 r. I etap badań-wstępnym przedmiotem analizy była
dokumentacja 447 pacjentów leczonych w miesiącu listopadzie 2014 r w Szpitalnym Oddziale Ratunkowym
Wojewódzkiego Szpitala Zespolonego w
36-43
