Alcohol‐related presentations to the Royal Perth Hospital Emergency Department: A prospective study

McLay, Stuart V B; MacDonald, Ellen; Fatovich, Daniel M

doi:10.1111/1742-6723.12837

Cited by 13 publications

(24 citation statements)

References 9 publications

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“…Injuries contributed to 50.5% of all alcohol‐positive presentations. However, the length of stay in the ED and admission rates were not different in comparison to alcohol‐negative presentations …”

Section: Methodsmentioning

confidence: 88%

“…The AHED study was a multi‐centre prospective observational cohort study conducted from 08:00 Monday 1 December 2014 to 08:00 Monday 8 December 2014 in eight EDs across Australia and New Zealand collecting clinical and demographic data of alcohol‐related ED presentations . The present study included RPH, an adult inner‐city tertiary referral hospital in Perth, Western Australia . In 2014, the annual census for RPH ED was 83 000 with a 43% admission rate.…”

Section: Methodsmentioning

confidence: 99%

“…In the absence of these criteria, patients were classified as alcohol‐negative. All alcohol‐positive and alcohol‐negative patients in the RPH AHED study were included …”

Section: Methodsmentioning

confidence: 99%

“…The present study aims to quantify the direct cost of all alcohol‐related presentations to Royal Perth Hospital (RPH) ED, and not just selected cases. To determine the direct cost, data on health services used by ED patients in the RPH's Alcohol Harm in Emergency Departments (AHED) study was used . The prospective observational study found 15.2% of all RPH ED presentations during a week in December 2014 were alcohol‐related …”

Section: Introductionmentioning

confidence: 99%

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Direct cost of alcohol‐related presentations to Royal Perth Hospital emergency department

Lingamanaicker

Geelhoed

Fatovich

2019

Emerg Medicine Australasia

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Objective: To quantify the direct cost of alcohol-related presentations to Royal Perth Hospital ED, as part of the binational Alcohol Harm in Emergency Departments study. Methods: Secondary analysis of a prospective observational study of all ED presentations over a 168-h period in December 2014. Direct costs for health service usage were based on activity-based costing methodologies from the Royal Perth Hospital Business Intelligence Unit. Patients were classified as either alcohol positive or alcohol negative (using predetermined criteria) to determine the direct cost of these presentations.

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Section: Methodsmentioning

confidence: 88%

Section: Methodsmentioning

confidence: 99%

“…In the absence of these criteria, patients were classified as alcohol‐negative. All alcohol‐positive and alcohol‐negative patients in the RPH AHED study were included …”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Direct cost of alcohol‐related presentations to Royal Perth Hospital emergency department

Lingamanaicker

Geelhoed

Fatovich

2019

Emerg Medicine Australasia

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“…A recent multi‐site study in Australia and New Zealand identified that almost 10% of all emergency department (ED) attendances were alcohol related . Though there is no routine and reliable data on the numbers of women seeking emergency care who are both intoxicated and victims of violence, previous research indicates that up to two‐thirds of assault related presentations (both females and males) to EDs are alcohol‐related and that around 8% of alcohol‐related female presentations involve injuries from an assault . However, emergency care clinicians (nurses, doctors, paramedics and allied health who provide emergency care) have low levels of confidence in dealing with this vulnerable patient population .…”

Section: Introductionmentioning

confidence: 99%

Perceived changes and perceived transferability for treating intoxicated women victims of violence among emergency clinicians after an alcohol and other drugs training program

Marshall

Schultz

Crespigny

2019

Drug and Alcohol Review

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Introduction and Aims. Given the significant overlap between alcohol intoxication and violence against women, it is imperative that emergency clinicians are equipped to care for women presenting with both issues. This research aimed to explore emergency clinicians' perceived changes and ability to apply training, particularly to intoxicated women victims of violence. Design and Methods. Using a pre-post questionnaire, 74 participants of the Emergency Mental Health Alcohol and Drug program were surveyed about their education/training, awareness and use of guidelines and tools, perceived changes in knowledge, skills and confidence and ability to apply the training. Results. Low levels of previous education/training, awareness and use of best practice tools were reported. Although high rates of change in knowledge and confidence were reported after the program, a minority (38%) felt able to apply this to intoxicated women victims of violence. Working in an emergency department (P = 0.03) and having higher qualifications (P < 0.01) were the only significant factors affecting their ability to apply the training. Discussion and Conclusions. The lower rates of perceived ability to apply to intoxicated women victims of violence suggest a deficit in ability to translate knowledge into practice. Higher qualifications affected respondents' ability to apply the training to intoxicated women victims of violence, suggesting that general skills learned regarding translating knowledge into practice rather than specific content may have more impact. This research indicates that clinicians' knowledge and confidence can be positively impacted by targeted education/training, but any future education/training must include knowledge translation skills. [Marshall A, Schultz T, de Crespigny C. Perceived changes and perceived transferability for treating intoxicated women victims of violence among emergency clinicians after an alcohol and other drugs training program. Drug Alcohol Rev 2019;38: [530][531][532][533][534][535][536]

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The profile, clinical characteristics, and outcomes of alcohol- and non-alcohol-related patient presentations to Queensland emergency departments: a multi-site observational study

et al. 2022

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Objective The harmful use of alcohol is a global issue. This study aimed to describe and compare the profiles, emergency department (ED) clinical characteristics, and outcomes of alcohol-related ED presentations (ARPs) and non-alcohol-related ED presentations (NARPs). Methods A multi-site observational study of all presentations to four EDs between 4 April 2016 and 31 August 2017, was conducted. Routinely collected ED clinical, administrative and costings data were used. Classification of ARPs were prospectively recorded by clinicians. Analysis was performed at the presentation, rather than person level. Univariate tests were undertaken to compare demographics, ED clinical characteristics and outcomes between ARPs and NARPs. Results A total of 418 051 ED presentations occurred within the 17-month study period; 5% (n = 19 875) were ARPs. Presentations made by people classified as ARPs were younger, more likely to be male, present on weekends or at night, and arrive by ambulance or police compared to NARPs. Compared with NARPs, ARPs had a longer median ED length of stay of over 20 min (95% CI 18–22, median 196 min vs 177 min, P < 0.001), a 5.5% (95% CI 4.9–5.3) lower admission rate (36% vs 42%, P < 0.001), and a AUD69 (95% CI 64–75) more expensive ED episode-of-care (AUD689 vs AUD622, P < 0.001). Conclusion Clinically meaningful differences were noted between alcohol-related and non-alcohol-related ED presentations. The higher cost of care for ARPs likely reflects their longer time in the ED. The healthcare and economic implications of incidents of alcohol-related harm extend beyond the ED, with ARPs having higher rates of ambulance and police use than NARPs.

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Alcohol‐related presentations to the Royal Perth Hospital Emergency Department: A prospective study

Abstract: 15.2% of patient presentations over the study week were alcohol-related. These patients were more likely to present with injury; one in five having injuries suspected to be caused by a third party affected by alcohol. This is a significant public health problem.

Cited by 13 publications

References 9 publications

Direct cost of alcohol‐related presentations to Royal Perth Hospital emergency department

Direct cost of alcohol‐related presentations to Royal Perth Hospital emergency department

Perceived changes and perceived transferability for treating intoxicated women victims of violence among emergency clinicians after an alcohol and other drugs training program

The profile, clinical characteristics, and outcomes of alcohol- and non-alcohol-related patient presentations to Queensland emergency departments: a multi-site observational study

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