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Harri Isokuortti, Grant L. Iverson, Noah D. Silverberg, Anneli Kataja, Antti Brander, Juha Öhman and Teemu M. Luoto

TBI, with a prevalence of 37%–51%. 44 In our study, 18.4% of patients had a history of alcohol abuse. Both acute and chronic alcohol abuse may impair decision making, motor control, and inhibitory control. 50 Binge drinking is the most common pattern of drinking among trauma patients, and the injuries of such patients typically result from assaults, traffic accidents, and falls. 50 Those who have severe alcoholism may not present at the ED as often as occasional binge drinkers after a head injury. Chronic alcohol abusers are often brought to the ED by emergency

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Minna Rauhala, Teemu M. Luoto, Heini Huhtala, Grant L. Iverson, Tero Niskakangas, Juha Öhman and Pauli Helén

head trauma. 35 Reported rates of CSDH with chronic alcoholism range from 6% to 35%. 47 In our series, the percentage of patients with a history of chronic alcohol abuse decreased during the study period (from 16% to 7%), because alcohol abuse was particularly infrequent among the growing group of elderly patients. Alcohol overuse was more common among men (14%) than women (6%). In Finland, alcohol consumption increased between 1990 and 2007, but subsequently the consumption trend has been decreasing. 41 Alcohol is a considerable risk factor for the younger