BMJ 2000;321:1021 ( 21 October )

Letters

Disability one year after head injury

    Role of alcohol needs to be examined
    Authors' reply

Role of alcohol needs to be examined

The first 150 words of the full text of this article appear below.

EDITOR---Thornhill et al in their paper on disability in young people and adults after head injury show again the extent to which alcohol misuse contributes to head injury.1 Sixty-nine per cent described alcohol as being involved or suspected in the history, and in 39% drinking was excessive or requiring treatment.

In the follow up at one year there is no evidence of any advice or treatment for alcohol misuse received after the head injury. Alcohol misuse may well have had contributed significantly to the poor outcome of rehabilitation at the end of one year. It has been shown in a general hospital that even a single session of alcohol counselling from a nurse, for up to an hour, produced appreciable health benefits at the close of a year.2 Several comparable studies have shown similar outcomes, but the number of interventions of this kind in general hospitals in the . . . [Full text of this article]


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Relevant Article

Disability in young people and adults one year after head injury: prospective cohort study
Sharon Thornhill, Graham M Teasdale, Gordon D Murray, James McEwen, Christopher W Roy, and Kay I Penny
BMJ 2000 320: 1631-1635. [Abstract] [Full Text] [PDF]




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