Alcohol-related harm in emergency departments: a prospective, multi-centre study

Diana Egerton-Warburton, Andrew Gosbell, Katie Moore, Angela Wadsworth, Drew Richardson, Daniel M Fatovich

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

BACKGROUND AND AIMS: Emergency department (ED) alcohol-related presentation data are not routinely collected in Australia and New Zealand. It is likely that previous research has underestimated the numbers of patients presenting with alcohol-related conditions. This study aimed to quantify the level of alcohol harm presenting to EDs in Australia and New Zealand [Correction added on 23 Jan 2018, after first online publication: The 'aims' section was missing and is updated in this version].

DESIGN: Multi-centre, prospective study. Patients were screened prospectively for alcohol-related presentations during a 7-day period in December 2014. Part 1 involved screening to determine alcohol-positive ED presentations and data collection of patient demographic and clinical information. Part 2 involved a consent-based survey conducted with patients aged ≥ 14 years to perform Alcohol Use Disorders Identification Test (AUDIT) scores.

SETTING: Eight EDs in Australia and New Zealand, representing differing hospital role delineations.

PARTICIPANTS: A total of 8652 patients aged ≥ 14 years attended and 8435 (97.5%) were screened.

MEASUREMENTS: The main outcome measure was the proportion of patients who had an alcohol-related presentation termed 'alcohol-positive', using pre-defined criteria. It included injuries, intoxication, medical conditions and injuries caused by an alcohol-affected third party. Secondary outcomes included demographic and clinical information, the type of alcohol-related presentations and AUDIT scores.

FINDINGS: A total of 801 [9.5%; 95% confidence interval (CI) = 8.9-10.1%] presentations were identified as alcohol-positive, ranging between 4.9 and 15.2% throughout sites. Compared with alcohol-negative patients, alcohol-positive patients were more likely to be male [odds ratio (OR) = 1.90, 95% CI = 1.63-2.21], younger (median age 37 versus 46 years, P <0.0001), arrive by ambulance (OR = 1.94, 95% CI = 1.68-2.25) or police/correctional vehicle (OR = 4.56, 95% CI = 3.05-6.81) and require immediate treatment (OR = 3.20, 95% CI = 2.03-05.06). The median AUDIT score was 16 (interquartile range = 10-24).

CONCLUSIONS: Almost one in 10 presentations to emergency departments in Australia and New Zealand are alcohol related.

Original languageEnglish
Pages (from-to)623-632
JournalAddiction
Volume113
Issue number4
DOIs
Publication statusPublished - Apr 2018

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Hospital Emergency Service
Alcohols
New Zealand
Confidence Intervals
Odds Ratio
Demography
Ambulances
Wounds and Injuries
Police
Publications
Outcome Assessment (Health Care)
Prospective Studies

Cite this

Egerton-Warburton, D., Gosbell, A., Moore, K., Wadsworth, A., Richardson, D., & Fatovich, D. M. (2018). Alcohol-related harm in emergency departments: a prospective, multi-centre study. Addiction, 113(4), 623-632. https://doi.org/10.1111/add.14109
Egerton-Warburton, Diana ; Gosbell, Andrew ; Moore, Katie ; Wadsworth, Angela ; Richardson, Drew ; Fatovich, Daniel M. / Alcohol-related harm in emergency departments : a prospective, multi-centre study. In: Addiction. 2018 ; Vol. 113, No. 4. pp. 623-632.
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abstract = "BACKGROUND AND AIMS: Emergency department (ED) alcohol-related presentation data are not routinely collected in Australia and New Zealand. It is likely that previous research has underestimated the numbers of patients presenting with alcohol-related conditions. This study aimed to quantify the level of alcohol harm presenting to EDs in Australia and New Zealand [Correction added on 23 Jan 2018, after first online publication: The 'aims' section was missing and is updated in this version].DESIGN: Multi-centre, prospective study. Patients were screened prospectively for alcohol-related presentations during a 7-day period in December 2014. Part 1 involved screening to determine alcohol-positive ED presentations and data collection of patient demographic and clinical information. Part 2 involved a consent-based survey conducted with patients aged ≥ 14 years to perform Alcohol Use Disorders Identification Test (AUDIT) scores.SETTING: Eight EDs in Australia and New Zealand, representing differing hospital role delineations.PARTICIPANTS: A total of 8652 patients aged ≥ 14 years attended and 8435 (97.5{\%}) were screened.MEASUREMENTS: The main outcome measure was the proportion of patients who had an alcohol-related presentation termed 'alcohol-positive', using pre-defined criteria. It included injuries, intoxication, medical conditions and injuries caused by an alcohol-affected third party. Secondary outcomes included demographic and clinical information, the type of alcohol-related presentations and AUDIT scores.FINDINGS: A total of 801 [9.5{\%}; 95{\%} confidence interval (CI) = 8.9-10.1{\%}] presentations were identified as alcohol-positive, ranging between 4.9 and 15.2{\%} throughout sites. Compared with alcohol-negative patients, alcohol-positive patients were more likely to be male [odds ratio (OR) = 1.90, 95{\%} CI = 1.63-2.21], younger (median age 37 versus 46 years, P <0.0001), arrive by ambulance (OR = 1.94, 95{\%} CI = 1.68-2.25) or police/correctional vehicle (OR = 4.56, 95{\%} CI = 3.05-6.81) and require immediate treatment (OR = 3.20, 95{\%} CI = 2.03-05.06). The median AUDIT score was 16 (interquartile range = 10-24).CONCLUSIONS: Almost one in 10 presentations to emergency departments in Australia and New Zealand are alcohol related.",
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Egerton-Warburton, D, Gosbell, A, Moore, K, Wadsworth, A, Richardson, D & Fatovich, DM 2018, 'Alcohol-related harm in emergency departments: a prospective, multi-centre study' Addiction, vol. 113, no. 4, pp. 623-632. https://doi.org/10.1111/add.14109

Alcohol-related harm in emergency departments : a prospective, multi-centre study. / Egerton-Warburton, Diana; Gosbell, Andrew; Moore, Katie; Wadsworth, Angela; Richardson, Drew; Fatovich, Daniel M.

In: Addiction, Vol. 113, No. 4, 04.2018, p. 623-632.

Research output: Contribution to journalArticle

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T1 - Alcohol-related harm in emergency departments

T2 - a prospective, multi-centre study

AU - Egerton-Warburton, Diana

AU - Gosbell, Andrew

AU - Moore, Katie

AU - Wadsworth, Angela

AU - Richardson, Drew

AU - Fatovich, Daniel M

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N2 - BACKGROUND AND AIMS: Emergency department (ED) alcohol-related presentation data are not routinely collected in Australia and New Zealand. It is likely that previous research has underestimated the numbers of patients presenting with alcohol-related conditions. This study aimed to quantify the level of alcohol harm presenting to EDs in Australia and New Zealand [Correction added on 23 Jan 2018, after first online publication: The 'aims' section was missing and is updated in this version].DESIGN: Multi-centre, prospective study. Patients were screened prospectively for alcohol-related presentations during a 7-day period in December 2014. Part 1 involved screening to determine alcohol-positive ED presentations and data collection of patient demographic and clinical information. Part 2 involved a consent-based survey conducted with patients aged ≥ 14 years to perform Alcohol Use Disorders Identification Test (AUDIT) scores.SETTING: Eight EDs in Australia and New Zealand, representing differing hospital role delineations.PARTICIPANTS: A total of 8652 patients aged ≥ 14 years attended and 8435 (97.5%) were screened.MEASUREMENTS: The main outcome measure was the proportion of patients who had an alcohol-related presentation termed 'alcohol-positive', using pre-defined criteria. It included injuries, intoxication, medical conditions and injuries caused by an alcohol-affected third party. Secondary outcomes included demographic and clinical information, the type of alcohol-related presentations and AUDIT scores.FINDINGS: A total of 801 [9.5%; 95% confidence interval (CI) = 8.9-10.1%] presentations were identified as alcohol-positive, ranging between 4.9 and 15.2% throughout sites. Compared with alcohol-negative patients, alcohol-positive patients were more likely to be male [odds ratio (OR) = 1.90, 95% CI = 1.63-2.21], younger (median age 37 versus 46 years, P <0.0001), arrive by ambulance (OR = 1.94, 95% CI = 1.68-2.25) or police/correctional vehicle (OR = 4.56, 95% CI = 3.05-6.81) and require immediate treatment (OR = 3.20, 95% CI = 2.03-05.06). The median AUDIT score was 16 (interquartile range = 10-24).CONCLUSIONS: Almost one in 10 presentations to emergency departments in Australia and New Zealand are alcohol related.

AB - BACKGROUND AND AIMS: Emergency department (ED) alcohol-related presentation data are not routinely collected in Australia and New Zealand. It is likely that previous research has underestimated the numbers of patients presenting with alcohol-related conditions. This study aimed to quantify the level of alcohol harm presenting to EDs in Australia and New Zealand [Correction added on 23 Jan 2018, after first online publication: The 'aims' section was missing and is updated in this version].DESIGN: Multi-centre, prospective study. Patients were screened prospectively for alcohol-related presentations during a 7-day period in December 2014. Part 1 involved screening to determine alcohol-positive ED presentations and data collection of patient demographic and clinical information. Part 2 involved a consent-based survey conducted with patients aged ≥ 14 years to perform Alcohol Use Disorders Identification Test (AUDIT) scores.SETTING: Eight EDs in Australia and New Zealand, representing differing hospital role delineations.PARTICIPANTS: A total of 8652 patients aged ≥ 14 years attended and 8435 (97.5%) were screened.MEASUREMENTS: The main outcome measure was the proportion of patients who had an alcohol-related presentation termed 'alcohol-positive', using pre-defined criteria. It included injuries, intoxication, medical conditions and injuries caused by an alcohol-affected third party. Secondary outcomes included demographic and clinical information, the type of alcohol-related presentations and AUDIT scores.FINDINGS: A total of 801 [9.5%; 95% confidence interval (CI) = 8.9-10.1%] presentations were identified as alcohol-positive, ranging between 4.9 and 15.2% throughout sites. Compared with alcohol-negative patients, alcohol-positive patients were more likely to be male [odds ratio (OR) = 1.90, 95% CI = 1.63-2.21], younger (median age 37 versus 46 years, P <0.0001), arrive by ambulance (OR = 1.94, 95% CI = 1.68-2.25) or police/correctional vehicle (OR = 4.56, 95% CI = 3.05-6.81) and require immediate treatment (OR = 3.20, 95% CI = 2.03-05.06). The median AUDIT score was 16 (interquartile range = 10-24).CONCLUSIONS: Almost one in 10 presentations to emergency departments in Australia and New Zealand are alcohol related.

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Egerton-Warburton D, Gosbell A, Moore K, Wadsworth A, Richardson D, Fatovich DM. Alcohol-related harm in emergency departments: a prospective, multi-centre study. Addiction. 2018 Apr;113(4):623-632. https://doi.org/10.1111/add.14109