Time of day as indicator of adolescent alcohol intoxication emergency department presentations

Veld, Loes de; Speller, Anouk; Hoof, Joris Jasper van; Lely, N. van der

doi:10.1136/archdischild-2020-321209

Cited by 1 publication

(3 citation statements)

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“…Identifying the night hours between 00.00 and 04.59 hours as the highest risk period for ARH presentations could help inform targeted interventions during these times, which aligns with findings from other studies. 11 , 13 , 17 , 18 However, it is important to approach the conclusion drawn from a recent report commissioned and published by the Brewers' Association with caution, considering the potential conflict of interest associated with its provenance. 19 This report suggests a small and declining share of ED presentations in Australia can be attributed to ARH.…”

Section: Discussionmentioning

confidence: 99%

“…Aboriginality was determined using a validated algorithm by the WA Data Linkage Branch, which analysed records from various WA government administrative datasets where Aboriginal status was recorded 16 . We identified mental illness and illicit drug use based on specific ICD‐10‐AM diagnosis code categories established in previous research 7,16,17 . Hospitalisations related to mental illness included any admission or presentation assigned an ICD code indicating a mental and behavioural disorder, excluding cases of deliberate self‐harm involving alcohol, substances and self‐poisoning.…”

Section: Methodsmentioning

confidence: 99%

“… 16 We identified mental illness and illicit drug use based on specific ICD‐10‐AM diagnosis code categories established in previous research. 7 , 16 , 17 Hospitalisations related to mental illness included any admission or presentation assigned an ICD code indicating a mental and behavioural disorder, excluding cases of deliberate self‐harm involving alcohol, substances and self‐poisoning. Deliberate self‐harm by poisoning was categorised as ARH to avoid duplication in the analysis.…”

Section: Methodsmentioning

confidence: 99%

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Assessing the utility of night‐time presentations as a proxy for alcohol‐related harm among young emergency department trauma patients

Sims

Pereira

Fatovich

et al. 2023

Emerg Medicine Australasia

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ObjectiveTo assess the usefulness of night‐time presentations to measure alcohol‐related harm (ARH) in young trauma patients, aged 12–24 years, attending Western Australian EDs.MethodsA retrospective longitudinal study examined alcohol‐related ED presentations in Western Australia (WA; 2002–2016) among 12‐ to 24‐year‐olds. Data from the Emergency Department Data Collection, WA State Trauma Registry Database and Hospital Morbidity Data Collection were used to identify ARH through specific codes and text searches. These were compared to ARH estimates based on presentation time. Statistical analysis involved sensitivity and specificity calculations and Cox proportional hazards modelling.ResultsWe identified 2644 (17.8%) night‐time presentations as a proxy measure of ARH among the 14 887 presentations of patients aged 12–24 years. This closely matched the 3064 (20.6%) identified as ARH through coding methods. The highest risk for an ARH presentation occurred during the night hours between 00.00 and 04.59 hours. During these hours, the risk was 4.4–5.1 times higher compared to presentations at midday (between 12.00 and 12.59 hours). However, when looking at individual patients, we observed that night‐time presentations were not a strong predictor of ARH (sensitivity: 0.39; positive predictive value: 0.46).ConclusionsImplementing targeted interventions during night hours could be beneficial in addressing ARH presentations. However, relying solely on the time of presentation as a proxy for ARH is unlikely to effectively identify ARH in young individuals. Instead, the present study emphasises the importance of implementing mandatory data collection strategies in EDs to ensure accurate measurement of ARH cases.

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