Prevalence of alcohol-related attendance at an inner-city emergency department and its impact: a dual prospective and retrospective cohort study

Hdl Handle:
http://hdl.handle.net/10149/581614
Title:
Prevalence of alcohol-related attendance at an inner-city emergency department and its impact: a dual prospective and retrospective cohort study
Authors:
Parkinson, K. (Kathryn); Newbury-Birch, D. (Dorothy); Phillipson, A. (Angela); Hindmarch, P. (Paul); Kaner, E. (Eileen); Stamp, E. (Elaine); Vale, L. (Luke); Wright, J. (John); Connolly, J. (Jim)
Affiliation:
Teesside University, Health and Social Care Institute.
Citation:
Parkinson, K. (Kathryn); Newbury-Birch, D. (Dorothy); Phillipson, A. (Angela); Hindmarch, P. (Paul); Kaner, E. (Eileen); Stamp, E. (Elaine); Vale, L. (Luke); Wright, J. (John); Connolly, J. (Jim) (2015) 'Prevalence of alcohol-related attendance at an inner-city emergency department and its impact: a dual prospective and retrospective cohort study' Emergency Medicine Journal; Published Online First 23 December 2015
Publisher:
BMJ Publishing Group
Journal:
Emergency Medicine Journal
Issue Date:
2015
URI:
http://hdl.handle.net/10149/581614
DOI:
10.1136/emermed-2014-204581
Abstract:
Background: Alcohol-related hospital attendances at Emergency Departments (ED) are a potentially avoidable burden on National Health Services (NHS) resources. Understanding the number and type of patients attending EDs with alcohol intoxication is important in estimating the workload and cost implications. We used best practice from previous studies to establish the prevalence of adult alcohol-related ED attendances and estimate the costs of clinical management and subsequent health service use. Methods: The setting was a large inner-city ED in northeast England, United Kingdom. Data were collected via (i) retrospective review of hospital records for all ED attendances for four pre-specified weeks in 2010/11 to identify alcohol-related cases along with 12 months follow-up of the care episode, and (ii) prospective 24/7 assessment via breath alcohol concentration testing of patients presenting to ED in the corresponding weeks in 2012/13. Results: The prevalence rates of alcohol-related attendances were 12% and 15% for the retrospective and prospective cohorts. Prospectively, the rates ranged widely from 4% to 60% during the week, rising to over 70% at weekends. Younger males attending in the early morning hours at weekends made up the largest proportion of alcohol-related attendances. The mean cost per attendance was £249 (SD £1,064); the mean total cost for those admitted was £851 (SD £2,549). The most common reasons for attending were trauma-related injuries, followed by psychiatric problems. Conclusions: Alcohol-related attendances are a major and avoidable burden on emergency care. However, targeted interventions at weekends and early morning hours could capture the majority of cases and help prevent future re-attendance.
Type:
Article
Language:
en
Keywords:
alcohol; alcohol screening; emergency department
ISSN:
1472-0205
EISSN:
1472-0213
Rights:
Author can archive post-print (ie final draft post-refereeing). For full details see http://www.sherpa.ac.uk/romeo [Accessed 03/11/2015]

Full metadata record

DC FieldValue Language
dc.contributor.authorParkinson, K. (Kathryn)en
dc.contributor.authorNewbury-Birch, D. (Dorothy)en
dc.contributor.authorPhillipson, A. (Angela)en
dc.contributor.authorHindmarch, P. (Paul)en
dc.contributor.authorKaner, E. (Eileen)en
dc.contributor.authorStamp, E. (Elaine)en
dc.contributor.authorVale, L. (Luke)en
dc.contributor.authorWright, J. (John)en
dc.contributor.authorConnolly, J. (Jim)en
dc.date.accessioned2015-11-03T14:20:45Zen
dc.date.available2015-11-03T14:20:45Zen
dc.date.issued2015en
dc.identifier.citationEmergency Medicine Journal; Published Online First 23 December 2015en
dc.identifier.issn1472-0205en
dc.identifier.doi10.1136/emermed-2014-204581en
dc.identifier.urihttp://hdl.handle.net/10149/581614en
dc.description.abstractBackground: Alcohol-related hospital attendances at Emergency Departments (ED) are a potentially avoidable burden on National Health Services (NHS) resources. Understanding the number and type of patients attending EDs with alcohol intoxication is important in estimating the workload and cost implications. We used best practice from previous studies to establish the prevalence of adult alcohol-related ED attendances and estimate the costs of clinical management and subsequent health service use. Methods: The setting was a large inner-city ED in northeast England, United Kingdom. Data were collected via (i) retrospective review of hospital records for all ED attendances for four pre-specified weeks in 2010/11 to identify alcohol-related cases along with 12 months follow-up of the care episode, and (ii) prospective 24/7 assessment via breath alcohol concentration testing of patients presenting to ED in the corresponding weeks in 2012/13. Results: The prevalence rates of alcohol-related attendances were 12% and 15% for the retrospective and prospective cohorts. Prospectively, the rates ranged widely from 4% to 60% during the week, rising to over 70% at weekends. Younger males attending in the early morning hours at weekends made up the largest proportion of alcohol-related attendances. The mean cost per attendance was £249 (SD £1,064); the mean total cost for those admitted was £851 (SD £2,549). The most common reasons for attending were trauma-related injuries, followed by psychiatric problems. Conclusions: Alcohol-related attendances are a major and avoidable burden on emergency care. However, targeted interventions at weekends and early morning hours could capture the majority of cases and help prevent future re-attendance.en
dc.language.isoenen
dc.publisherBMJ Publishing Groupen
dc.rightsAuthor can archive post-print (ie final draft post-refereeing). For full details see http://www.sherpa.ac.uk/romeo [Accessed 03/11/2015]en
dc.subjectalcoholen
dc.subjectalcohol screeningen
dc.subjectemergency departmenten
dc.titlePrevalence of alcohol-related attendance at an inner-city emergency department and its impact: a dual prospective and retrospective cohort studyen
dc.typeArticleen
dc.identifier.eissn1472-0213en
dc.contributor.departmentTeesside University, Health and Social Care Institute.en
dc.identifier.journalEmergency Medicine Journalen
or.citation.harvardParkinson, K. (Kathryn); Newbury-Birch, D. (Dorothy); Phillipson, A. (Angela); Hindmarch, P. (Paul); Kaner, E. (Eileen); Stamp, E. (Elaine); Vale, L. (Luke); Wright, J. (John); Connolly, J. (Jim) (2015) 'Prevalence of alcohol-related attendance at an inner-city emergency department and its impact: a dual prospective and retrospective cohort study' Emergency Medicine Journal; Published Online First 23 December 2015en
dc.eprint.versionAuthor accepted manuscripten
dc.date.accepted2015-10-07en
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