Does Mandatory Inpatient Alcohol Detoxification Reduce Emergency Department Recidivism, Hospital Admissions, and Emergency Medical Services Transports for Patients with Chronic, Severe Alcohol Dependence?

Duong, David; Rathlev, Niels K.; McGrath, Meghan E.; White, Laura F.; Mitchell, Patricia

doi:10.1016/j.jemermed.2009.09.019

Cited by 6 publications

(2 citation statements)

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“…Nationally 13-20% of hospital admissions are alcohol related, accounting for 1,059,390 admissions in England in 2013/14 [2,10]. Alcohol related hospital attendances represent a large financial cost for the National Health Service (NHS), estimated at around £3.5 billion annually [10], with the wider annual cost to society, including criminal activity and lost productivity, estimated at £21.3 billion [10][11][12][13]. The Royal College of Physicians recommended that major UK hospitals employ specialised alcohol care teams [14].…”

Section: Introductionmentioning

confidence: 99%

“…2,10 Alcohol-related hospital attendances represent a large financial cost for the National Health Service (NHS), estimated at around £3.5 billion annually, 10 with the wider annual cost to society, including criminal activity and lost productivity, estimated at £21.3 billion. [10][11][12][13] The Royal College of Physicians recommended that major UK hospitals employ specialised alcohol care teams. 14 Research suggests that such services are effective at reducing alcohol-related hospital admissions and reducing the number of bed days for those patients who are admitted.…”

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confidence: 99%

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A mixed-method outcome evaluation of a specialist Alcohol Hospital Liaison Team

McGeechan

Wilkinson

Martin³

et al. 2016

Perspect Public Health

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Aims: To evaluate the effectiveness of an alcohol hospital liaison team at reducing alcohol specific hospital attendances and admissions. Methods: In a mixed method evaluation 96 patients who accessed the team were monitored using data for alcohol specific hospital attendances and accident and emergency (A&E) admissions before, during, and after engaging with the team. A feedback survey was sent to patients and a focus group was held with staff from the team to identify barriers and facilitators to the successful delivery of this service. Results: No differences were observed when looking at alcohol admissions or A&E attendances before patients engaged with the service to those after discharge. Whilst hospital admissions decreased slightly, and A&E attendances increased slightly, these differences were not significant. Hospital admissions and A&E attendances increased significantly during engagement with the service. The focus group identified confusion over who should be delivering brief interventions, and that the team were holding onto patients for too long. Conclusions:The results of this evaluation demonstrated that this team were not effective at reducing alcohol attendances or admissions due to a number of factors. Policy makers should make note of the barriers to effectiveness highlighted in this paper before commissioning alcohol care teams in the future.

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Section: Introductionmentioning

confidence: 99%

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confidence: 99%