[Acute ethanol intoxication among children and adolescents. A retrospective analysis of 173 patients admitted to a university children hospital].
BACKGROUND
In the last time the alcohol consumption among children and adolescents is a big theme in all kind of media. The ethanol consumption among children and adolescents has risen during the last years, but also new hazardous drinking patterns like "binge-drinking" are increasing. These drinking episodes are responsible for many hospital presentations of children and adolescents with acute ethanol intoxication.


METHODS
This study is a retrospective analysis of 173 patients admitted to the university children hospital of Leipzig due to acute ethanol intoxication during the period 1998-2004. Investigated parameters were: socio-demographic factors, clinical presentation and management as well as quantity and type of alcohol.


RESULTS
During the years 1998-2004 the rate of alcohol intoxicated patients in this study increased, from 1998-2003 at about 171.4%. Totally 173 patients with an average age of 14.5 years were admitted to the university children hospital. There were significantly more boys than girls. The mean blood alcohol concentration of these patients was 1.77%. Some of the patients had severe symptoms. 62 were unconscious, 2 were in coma and at least 3 patients had to be ventilated. A difference between socioeconomic groups could be observed by comparing the different school types. 44.8% of the patients went to the middle school. Furthermore 17 patients of this study had mental disorders or psychosocial problems and were therefore in psychological or psychiatric treatment.


CONCLUSIONS
In this study a significant influence of social classes or psychosocial problems on alcohol consumption such as binge-drinking leading to acute ethanol intoxication could not be found. Alarming is the increasing number of ethanol intoxicated patients, the young age, the high measured blood ethanol concentrations and the severe symptoms of these patients. This is the reason why early and intensive prevention strategies are required.
Schöberl
S
S
Universitätsklinik und Poliklinik für Kinder und Jugendliche, Universität Leipzig.
Nickel
P
P
Schmutzer
G
G
Siekmeyer
W
W
Kiess
W
W
D000293:Adolescent; D000435:Alcoholic Intoxication / Q000097:blood / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy; D002648:Child; D015897:Comorbidity; D003430:Cross-Sectional Studies; D004630:Emergencies; D000431:Ethanol / Q000097:blood* / Q000506:poisoning*; D005260:Female; D005858:Germany; D006776:Hospitals, Pediatric / Q000706:statistics & numerical data; D006785:Hospitals, University / Q000706:statistics & numerical data; D006801:Humans; D015278:Intensive Care Units, Pediatric / Q000706:statistics & numerical data; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology; D010343:Patient Admission / Q000639:trends*; D012189:Retrospective Studies; D012959:Socioeconomic Factors
D000431:Ethanol