Clinical Pediatrics

Alcohol intoxication among Dutch adolescents: Acute medical complications in the years 2000 – 2010.

Authors: Bouthoorn S, Ploeg van der T, Erkel van N, Lely van der N.

To investigate acute medical complications of alcohol intoxication among adolescents presenting to Reinier de Graaf Hospital, a major nonacademic hospital in Delft, the Netherlands. METHODS: The frequency of reduced consciousness, hypothermia, electrolyte disturbances, hypoglycemia, and acidosis along with alcohol intoxication was retrospectively studied in the medical records of patients aged 11 to 17 years admitted between January 1, 2000, and April 30, 010.

RESULTS: Reduced consciousness (45%) and hypothermia (43.1%) were the most common clinical findings. More boys than girls experienced hypothermia (P = .028), probably because of the higher blood alcohol concentration level ( P = .026), which was associated with lower temperature (Pearson’s r = -.37; P < .001). The most frequent electrolyte disturbance was hyperchloremia (31.1%), followed by low bicarbonate (22%), hypokalemia (11.9%), and hypernatremia (7.7%). Strikingly, none of the patients in this study suffered hypoglycemia. On the contrary, 13.6% of the patients were slightly hyperglycemic. Mild acidosis, both metabolic and respiratory, was observed among 28.8% of the patients, although the metabolic component predominated.

CONCLUSIONS: Acute medical complications because of alcohol intoxication appeared to be mild, and most remarkably none of the patients experienced hypoglycemia

Omschrijving

Deze studie bevat de resultaten van alle opnames van Delft van jongeren onder de 18 jaar, met een alcoholvergifiting, van de jaren 2000 – 2010. 45% van de kinderen had een verlaagd bewustzijn en 43% was onderkoeld bij opname. Ook blijkt dat milde stoornissen van de mineralen in het bloed voorkomen: te veel aan chloor, verlaagd kalium en een verhoogd natrium. Alhoewel het eerder beschreven is, hadden geen van de jongeren een verlaagd glucose (hypoglycemie).