Ring T, Sattler R W
Abteilung für Allgemein- und Unfallchirurgie, Kreiskrankenhaus Soltau.
Zentralbl Chir. 1994;119(8):533-7.
The effect of alcoholism on the length of stay and costs of hospital treatment is not well documented. The posttraumatic course of treatment of 75 alcohol intoxicated patients was prospectively followed. A shortened MAST-test served to identify chronic alcoholised patients. The obtained data were compared with a control group according to the matched-pair method. The course of treatment of 44 drunken patients without signs of chronic alcoholism was not different from the control group. However 31 chronic alcohol intoxicated patients showed a clearly different course from the control group. The hospital stay was nearly doubled (13.5 days) compared to the control group (7.5 days). There were explicitly more consultations of specialists (26 vs. 9) necessary and the complication rate (9 vs. 1) during the hospital stay was significantly increased. Chronic alcoholism of traumatised patients yields to a cost increase of the hospital treatment. The high complication rate forces an intensive supervision of the affected patients. These results have to be taken into account by calculations of reimbursement rates for the field of trauma surgery.
酒精中毒对住院时间和住院治疗费用的影响尚无充分文献记载。对75例酒精中毒患者的创伤后治疗过程进行了前瞻性跟踪。采用简化的密歇根酒精中毒筛查测试（MAST-test）来识别慢性酒精中毒患者。根据配对法将获得的数据与对照组进行比较。44例无慢性酒精中毒迹象的醉酒患者的治疗过程与对照组无差异。然而，31例慢性酒精中毒患者的治疗过程与对照组明显不同。与对照组（7.5天）相比，住院时间几乎翻倍（13.5天）。需要更多的专科会诊（26次对9次），住院期间的并发症发生率（9次对1次）显著增加。创伤患者的慢性酒精中毒导致住院治疗费用增加。高并发症发生率迫使对受影响患者进行强化监护。创伤外科领域的报销率计算必须考虑这些结果。
