Roenz, Katharina ORCID: 0000-0001-8939-2933, Hirschi, Trevor, Becker, Sebastian, Krummrey, Gert, Exadaktylos, Aristomenis K., Sauter, Thomas C., Hautz, Wolf E. and Mueller, Martin (2020). Predictors of High Resource Consumption in Alcohol Intoxicated Patients in the Emergency Department. Int. J. Environ. Res. Public Health, 17 (11). BASEL: MDPI. ISSN 1660-4601

Full text not available from this repository.

Abstract

Background: previous studies have reported that the incidence of alcohol-related visits to emergency departments (ED) has increased, but little is known about how the necessary resources per visit have changed, or about the predictors and reasons for resource consumption. Methods: a retrospective analysis was performed of all consultations with a primary or secondary diagnosis of acute alcohol intoxication admitted to the ED of Bern University Hospital, Switzerland, between 1 June 2012, and 31 May 2017. Clinical characteristics and resource consumption were extracted and analysed over time. Results: in all, 196,045 ED consultations included 2586 acute alcohol intoxications, corresponding to 1.3% of the total. The incidences of acute alcohol intoxications have tended to increase over the last five years, and a growing number of visits have consumed high resources (consultations above the 75th percentile for total resource consumption). High resource consumption was associated with greater age and the male gender (p < 0.001). The main predictors of resource consumption were fractures (Odds ratio (OR): 3.9, 95% CI 2.8-5.3, p < 0.001), dislocations (OR 3.7, 95%: 1.5-9.1, p < 0.001), and traumatic brain injury (3.5, 2.5-5.1, p < 0.001). Consultations consuming high resources mostly required radiology resources (45%); consultations consuming low or normal resources mostly required physicians' work (45%) or nurses' work (27%). Conclusions: the number of alcohol intoxications consuming high resources has increased over the last five years. Acute alcohol intoxication associated with trauma is resource intensive, especially with regard to radiology resources. This underlines the need for further efforts to prevent alcohol-related traffic accidents, for examples.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Roenz, KatharinaUNSPECIFIEDorcid.org/0000-0001-8939-2933UNSPECIFIED
Hirschi, TrevorUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Becker, SebastianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Krummrey, GertUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Exadaktylos, Aristomenis K.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sauter, Thomas C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hautz, Wolf E.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mueller, MartinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-331451
DOI: 10.3390/ijerph17114122
Journal or Publication Title: Int. J. Environ. Res. Public Health
Volume: 17
Number: 11
Date: 2020
Publisher: MDPI
Place of Publication: BASEL
ISSN: 1660-4601
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
INJURY; VISITS; HEALTH; IMPACTMultiple languages
Environmental Sciences; Public, Environmental & Occupational HealthMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/33145

Downloads

Downloads per month over past year

Altmetric

Export

Actions (login required)

View Item View Item