Show simple item record

dc.contributor.authorEgerton-Warburton, Diana
dc.contributor.authorGosbell, A.
dc.contributor.authorMoore, K.
dc.contributor.authorWadsworth, A.
dc.contributor.authorRichardson, D.
dc.contributor.authorFatovich, D.
dc.identifier.citationEgerton-Warburton, D. and Gosbell, A. and Moore, K. and Wadsworth, A. and Richardson, D. and Fatovich, D. 2018. Alcohol-related harm in emergency departments: A prospective, multi-centre study. Addiction.

© 2018 Society for the Study of Addiction. Background: Emergency department (ED) alcohol-related presentation data are not collected routinely. It is likely that previous research has underestimated the numbers of patients presenting with alcohol-related conditions. 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.

dc.publisherWiley-Blackwell Publishing Ltd.
dc.titleAlcohol-related harm in emergency departments: A prospective, multi-centre study
dc.typeJournal Article
curtin.departmentNational Drug Research Institute (NDRI)
curtin.accessStatusFulltext not available

Files in this item


There are no files associated with this item.

This item appears in the following Collection(s)

Show simple item record