Why are alcohol-related emergency department presentations under-detected? An exploratory study using nursing triage text

Drug and Alcohol Review

Volumn 27, Issue 6, 2008, Pages 584-590

  Indig, Devon ^a   Copeland, Jan ^a   Conigrave, Katherine M ^b   Rotenko, Irene ^c  

^a UNIVERSITY OF NEW SOUTH WALES   (Australia)

^b University of Sydney   (Australia)

^c PRINCE OF WALES HOSPITAL   (Australia)

Author keywords

Alcohol; Detection; Emergency department; Surveillance

Indexed keywords

AGE; ALCOHOLISM; ARTICLE; AUSTRALIA; COMPARATIVE STUDY; EMERGENCY HEALTH SERVICE; EMERGENCY NURSING; FEMALE; HOSPITAL ADMISSION; HUMAN; MALE; METHODOLOGY; MIDDLE AGED; TEACHING HOSPITAL; TIME;

AGE FACTORS; ALCOHOL-RELATED DISORDERS; AUSTRALIA; EMERGENCY NURSING; EMERGENCY SERVICE, HOSPITAL; FEMALE; HOSPITALS, TEACHING; HUMANS; MALE; MIDDLE AGED; PATIENT ADMISSION; TIME FACTORS; TRIAGE;

EID: 56749183400     PISSN: 09595236     EISSN: 14653362     Source Type: Journal    
DOI: 10.1080/09595230801935680     Document Type: Article

References (44)

1. Collins DJ, Lapsley HM. Counting the cost: estimates of the social costs of drug abuse in Australia in 1998-1999. National Drug Strategy Monograph Series no. 49. Canberra: Commonwealth Department of Health and Ageing, 2002.
2. Prime Minister's Strategy Unit. Alcohol harm reduction strategy for England. London: Cabinet Office, 2004.
3. Alexandre PK, Roebuck MC, French MT, Chitwood DD, McCoy CB. Problem drinking, health services utilization, and the cost of medical care. Recent Devel Alcohol 2001;15:285-98.
4. Cryer PC, Jenkins LM, Cook AC, et al. The use of acute and preventative medical services by a general population: relationship to alcohol consumption. Addiction 1999;94: 1523-32.
5. Kunz JL. Alcohol use and reported visits to health professionals: an exploratory study. J Stud Alcohol 1997;58:474-9.
6. D'Amico EJ, Paddock SM, Burnam A, Kung FY. Identification of and guidance for problem drinking by general medical providers: results from a national survey. Med Care 2005;43:229-36.
7. Commander MJ, Odell SO, Williams KJ, Sashidharan SP, Surtees PG. Pathways to care for alcohol use disorders. J Public Health Med 1999;21:65-9.
8. Charalambous MP. Alcohol and the accident and emergency department: a current review. Alcohol Alcohol 2002;37:307-12.
9. Whiteman PJ, Hoffman RS, Goldfrank LR. Alcoholism in the emergency department: an epidemiologic study. Acad Emerg Med 2000;7:14-20.
10. Huntley JS, Blain C, Hood S, Touquet R. Improving detection of alcohol misuse in patients presenting to an accident and emergency department [see comment]. Emerg Med J 2001;18:99-104.
11. Conigrave KM, Burns FH, Reznik RB, Saunders JB. Problem drinking in emergency department patients: the scope for early intervention. Med J Aust 1991;154:801-5.
12. Fletcher A. Alcohol screening in emergency departments. Emerg Nurse 2004;12:22-7.
13. Kinner SA, Alati R, Watt K, Najman JM, Fowler G, Green D. Substance misuse, anxiety and depression and urgency of presentation to a public emergency department in Australia. Emerg Med Australasia 2005;17:363-70.
14. Li G, Keyl PM, Rothman R, Chanmugam A, Kelen GD. Epidemiology of alcohol-related emergency department visits. Acad Emerg Med 1998;5:788-95.
15. Elder RW, Shults RA, Swahn MH, Strife BJ, Ryan GW. Alcohol-related emergency department visits among people ages 13 to 25 years. J Stud Alcohol 2004;65:297-300.
16. McDonald AJ III, Wang N, Camargo CA Jr. US emergency department visits for alcohol-related diseases and injuries between 1992 and 2000. Arch Intern Med 2004;164: 531-7.
17. Cherpitel C, Bond J, Ye Y, et al. Clinical assessment compared with breathalyser readings in the emergency room: concordance of ICD-10 Y90 and Y91 codes. Emerg Med J 2005;22:689-95.
18. Fleischauer AT, Silk BJ, Schumacher M, et al. The validity of chief complaint and discharge diagnosis in emergency department-based syndromic surveillance. Acad Emerg Med 2004;11:1262-7.
19. Day FC, Schriger DL, La M. Automated linking of free-text complaints to reason-for-visit categories and International Classification of Diseases diagnoses in emergency department patient record databases. Ann Emerg Med 2004;43: 401-9.
20. Muscatello DJ, Churches T, Kaldor J, et al. An automated, broad-based, near real-time public health surveillance system using presentations to hospital Emergency Departments in New South Wales, Australia. BMC Public Health 2005;5:141.
21. SAS Institute. The SAS system for Windows version 9.1.3. Cary, NC: SAS Institute Inc., 2007.
22. Cherpitel CJ, SoghiWan K, Hurley LB. Alcohol-related health services use and identification of patients in the emergency department. Ann Emerg Med 1996;28:418-23.
23. Hannon MJ, Luke LC. The burden of alcohol misuse on the emergency department. Irish Med J 2006;99:118-20.
24. Saleh SS, Szebenyi SE. Resource use of elderly emergency department patients with alcohol-related diagnoses. J Subst Abuse Treat 2005;29:313-19.
25. Pirmohamed M, Brown C, Owens L, et al. The burden of alcohol misuse on an inner-city general hospital. Q J Med 2000;93:291-5.
26. Crilly J, Chaboyer W, Creedy D. Violence towards emergency department nurses by patients. Accid Emerg Nurs 2004;12:67-73.
27. Sellaturay S, Arya M, Makepeace J, Sellaturay P, Henry JA. Management of alcohol intoxication and aggressive behaviour: a tale of two cities. Curr Med Res Opin 2007;23: 77-83.
28. Cherpitel CJ. Alcohol and injuries: a review of international emergency room studies since 1995. Drug Alcohol Rev 2007;26:201-14.
29. Gentilello LM, Villaveces A, Ries RR, et al. Detection of acute alcohol intoxication and chronic alcohol dependence by trauma center staff. J Trauma Inj Infect Crit Care 1999;47:1131-5; discussion 1135-9.
30. Humphrey G, Casswell S, Han DY. Alcohol and injury among attendees at a New Zealand emergency department. NZ Med J 2003;116:U298.
31. Poynton S, Donnelly N, Weatherburn D, Fulde G, Scott L. The role of alcohol in injuries presenting to St Vincent's Hospital Emergency Department and the associated shortterm costs. Alcohol Studies Bulletin no. 6. Sydney: NSW Bureau of Crime Statistics and Research, 2005.
32. Bostwick JM, Seaman JS. Hospitalized patients and alcohol: who is being missed? Gen Hosp Psychiatry 2004;26:59 - 62.
33. Young DJ, Stockwell T, Cherpitel CJ, et al. Emergency room injury presentations as an indicator of alcohol-related problems in the community: a multilevel analysis of an international study. J Stud Alcohol 2004;65:605-12.
34. Henson VL, Vickery DS. Patient self discharge from the emergency department: who is at risk? Emerg Med J 2005;22:499-501.
35. Shapiro AR. Taming variability in free text: application to health surveillance. MMWR 2004;53(Suppl):95-100.
36. Jernigan DH, Mosher JF, Reed DF. Alcohol-related problems and public hospitals: defining a new role in prevention. J Public Health Policy 1989;10:324-52.
37. Anderson P, Kaner E, Wutzke S, et al. Attitudes and managing alcohol problems in general practice: an interaction analysis based on findings from a WHO collaborative study. Alcohol Alcohol 2004;39:351-6.
38. Roche AM, Freeman T. Brief interventions: good in theory but weak in practice. Drug Alcohol Rev 2004;23:11 -18.
39. Peters J, Brooker C, McCabe C, Short N. Problems encountered with opportunistic screening for alcoholrelated problems in patients attending an accident and emergency department. Addiction 1998;93:589-94.
40. Touquet R, Brown A. Alcohol misuse: positive response. Alcohol Health Work for every acute hospital saves money and reduces repeat attendances. Emerg Med Australasia 2006;18:103-7.
41. Touquet R, Paton A. Tackling alcohol misuse at the front line. BMJ 2006;333:510-11.
42. Patton R, Crawford M, Touquet R. Hazardous drinkers in the accident and emergency department-who attends an appointment with the alcohol health worker? Emerg Med J 2005;22:722-3.
43. Crawford MJ, Patton R, Touquet R, et al. Screening and referral for brief intervention of alcohol-misusing patients in an emergency department: a pragmatic randomised controlled trial. Lancet 2004;364:1334-9.
44. Malone D, Friedman T. Drunken patients in the general hospital: their care and management. Postgrad Med J 2005;81:161-6.