Universität zu Köln

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:	Creators Email ORCID ORCID Put Code Roenz, Katharina UNSPECIFIED orcid.org/0000-0001-8939-2933 UNSPECIFIED Hirschi, Trevor UNSPECIFIED UNSPECIFIED UNSPECIFIED Becker, Sebastian UNSPECIFIED UNSPECIFIED UNSPECIFIED Krummrey, Gert UNSPECIFIED UNSPECIFIED UNSPECIFIED Exadaktylos, Aristomenis K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Sauter, Thomas C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hautz, Wolf E. UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, Martin UNSPECIFIED UNSPECIFIED UNSPECIFIED
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:	Keywords Language INJURY; VISITS; HEALTH; IMPACT Multiple languages Environmental Sciences; Public, Environmental & Occupational Health Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/33145