Driving change: A partnership study protocol using shared emergency department data to reduce alcohol‐related harm

Droste, Nicolas; Egerton‐Warburton, Diana; Caldicott, David; Fulde, Gordian; Ezard, Nadine; Preisz, Paul; Walby, Andrew; Lloyd‐Jones, Martyn; Stella, Julian; Sheridan, Michael; Baker, Timothy B.; Hall, Michael J.; Shakeshaft, Anthony; Havard, Alys; Bowe, Steven J.; Staiger, Petra K.; DʼEste, Catherine; Doran, Chris; Coomber, Kerri; Hyder, Shannon; Barker, Daniel; Shepherd, Jonathan

doi:10.1111/1742-6723.13266

Cited by 9 publications

(17 citation statements)

References 23 publications

(30 reference statements)

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“…This cross-sectional, multi-centre study is the first of its kind in Australia to systematically document alcohol consumption in the 12 hours prior among those attending an ED, 16 and the first study to document the ICD-…”

Section: Discussionmentioning

confidence: 99%

“…Data collected included age, sex, clinical manifestations, hospital geographical location, principal diagnosis and ICD-10-AM code, with four additional questions covering drinking in the 12 hours prior to attendance, typical alcohol consumption level in a drinking session, location where most alcohol was purchased and the location of the last drink. 16 Alcohol-related data were collected specifically as a part of the project. Data for the study were extracted from July 2018 to June 2019 (which was the first full 12 months available where all sites collected data).…”

Section: Methodsmentioning

confidence: 99%

“…This study used data from a five‐year study of the National Health and Medical Research Council (NHMRC) Driving Change project (http://lastdrinks.info/). 16 Data were extracted from a total of eight EDs, six in Victoria and two in the ACT, and are not publicly available. Data collected included age, sex, clinical manifestations, hospital geographical location, principal diagnosis and ICD‐10‐AM code, with four additional questions covering drinking in the 12 hours prior to attendance, typical alcohol consumption level in a drinking session, location where most alcohol was purchased and the location of the last drink 16 .…”

Section: Methodsmentioning

confidence: 99%

“… 16 Data were extracted from a total of eight EDs, six in Victoria and two in the ACT, and are not publicly available. Data collected included age, sex, clinical manifestations, hospital geographical location, principal diagnosis and ICD‐10‐AM code, with four additional questions covering drinking in the 12 hours prior to attendance, typical alcohol consumption level in a drinking session, location where most alcohol was purchased and the location of the last drink 16 . Alcohol‐related data were collected specifically as a part of the project.…”

Section: Methodsmentioning

confidence: 99%

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Most common principal diagnoses assigned to Australian emergency department presentations involving alcohol use: a multi‐centre study

Miller

Vakidis

Taylor

et al. 2022

Australian and New Zealand Journal of Public Health

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A lcohol is the most commonly used psychoactive substance consumed in Australia and almost 80% of people aged 14 years and over have reported alcohol consumption in the past 12 months. 1 Harmful use of alcohol is one of the leading causes of disease burden among people in Australia, particularly adolescents, 1 and is a major contributory factor to injury-related deaths (i.e. suicide, transport accidents and falls). 1 Emergency departments (EDs) are one of the key points of contact between people experiencing alcohol-related harms and the health sector. [2][3][4][5] To determine public health issues associated with alcohol consumption, the World Health Organization (WHO) has encouraged the routine collection of ED data for use in preventing alcohol-related injuries or deaths. 6 The best-known model for such data collection comes from Cardiff, Wales,

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Most common principal diagnoses assigned to Australian emergency department presentations involving alcohol use: a multi‐centre study

Miller

Vakidis

Taylor

et al. 2022

Australian and New Zealand Journal of Public Health

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“…Furthermore, our measures relied on coding conducted as part of administrative processes within hospitals not designed for research. Previous analyses have highlighted the weaknesses of alcohol measures in hospital systems [16,35] and we have relied on time and condition-based proxy measures to attempt to capture key trends [17,36]. These challenges exist to varying degrees for all our outcome variables, biasing all of our estimates of policy impact towards the null by increasing the noise in the data and making it harder to detect any specific impact on injuries and other outcomes stemming from licensed premises and entertainment precincts.…”

Section: Limitationsmentioning

confidence: 99%

Assessing the impact of Queensland's late‐night alcohol restrictions using health system data

Livingston

Coomber

Andrade

et al. 2021

Drug and Alcohol Review

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Introduction and Aims. In an attempt to reduce alcohol-related harm in night-time entertainment precincts, the Queensland state government (Australia) introduced the Tackling Alcohol-Fuelled Violence strategy in July 2016, including restrictions on late-night service of alcohol and-later-compulsory ID scanners at venues. In this article, we examined the impact of these changes on emergency department (ED) presentations and hospital admissions for alcohol-related harm. Design and Methods. We used data on ED presentations (July 2009-June 2019) and hospital admissions (July 2009-December 2018). Interrupted time series models using seasonal auto-regressive integrated moving average methods were developed to test the impact of the policy change on presentations for alcohol intoxication, any injury or maxillofacial fractures, and admissions for rates of assault-related injuries or maxillofacial fractures. Analyses were conducted using state-wide Queensland data with a sub-analysis focussing on major Brisbane hospitals. Results. The introduction of 3 am last drinks and mandatory ID scanners had no significant impact on most outcome measures, either across the state or within Brisbane. State-wide, there was a significant decline in ED injury presentations following the introduction of mandatory ID scanners. Discussion and Conclusions. The introduction of the Tackling Alcohol-Fuelled Violence strategy in Queensland Safe Night Precincts was potentially associated with a small reduction in injury presentations to EDs. The lack of other impacts may relate to the relative lack of specificity in health system data, which challenges in the implementation of the Tackling Alcohol-Fuelled Violence policies or other local factors.

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Health Economic Evaluation Alongside Stepped Wedge Trials: A Methodological Systematic Review

et al. 2020

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Background: Recently, there has been an increase in use of the stepped wedge trial (SWT) design in the context of health services research, due to its pragmatic and methodological advantages over the parallel group design. Our objective was to summarise the statistical methods used when conducting economic evaluations alongside SWTs. Methods:A systematic literature search extending to February 2020 was conducted in the PubMed, Scopus, Cochrane and NHS-EED databases to find and evaluate studies where there was an intention to conduct an economic evaluation alongside a SWT. Studies were assessed for their eligibility, findings, reporting of statistical methods and quality of reporting. Results:Of the 586 studies retrieved from the literature search, 69 studies were identified and included in this systematic review. 54 studies were published protocols, with eight economic evaluations and seven studies reporting full trial results. Included studies varied in terms of their reporting of statistical methods, in both detail and methodology. There were 34 studies that did not report any statistical methods for the economic evaluation and only 16 studies reported appropriate methods, mainly using some form of mixed/multilevel models and two used seemingly unrelated regression. 12 studies reported the use of generic bootstrap methods and other modelling techniques whilst the remaining studies failed to appropriately account for clustering, correlation or adjusted for time. Conclusions:The use of appropriate statistical methods that account for time, clustering, and correlation between costs and outcomes is an important part of SWT health economics analysis that will benefit from an effort in communicating the methods available and their performance. Key points for Decision Makers• In this methodological systematic review we have identified 69 papers reporting stepped wedge trials protocols (n=54), results (n=7) or economic evaluations (n=8).• Statistical methods of economic evaluations alongside stepped wedge trials were often poorly reported, lacking detail and methodology. Only 16 studies reported the use (or intention to use) multilevel/mixed models, 2 seemingly unrelated regression and 8 generic bootstrap.• It is important that appropriate statistical analyses that account for time, clustering and correlation between costs and outcomes -such as bivariate multilevel/mixed models, seemingly unrelated regressions, and the two-stage bootstrap methodare used.

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Driving change: A partnership study protocol using shared emergency department data to reduce alcohol‐related harm

Abstract: Background: Sharing anonymised ED data with community agencies to reduce alcohol-related injury and assaults has been found effective in the UK. This protocol document outlines the design of an Australian multi-site trial using shared, anonymised ED data to reduce alcoholrelated harm.

Cited by 9 publications

References 23 publications

Most common principal diagnoses assigned to Australian emergency department presentations involving alcohol use: a multi‐centre study

Most common principal diagnoses assigned to Australian emergency department presentations involving alcohol use: a multi‐centre study

Assessing the impact of Queensland's late‐night alcohol restrictions using health system data

Health Economic Evaluation Alongside Stepped Wedge Trials: A Methodological Systematic Review

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