Cargando…
Effect of alcohol use on emergency department length of stay among minimally injured patients based on mechanism of injury: multicenter observational study
OBJECTIVE: This study aimed to evaluate the effect of alcohol use on emergency department (ED) length of stay (LOS) among minimally injured patients by mechanism of injury. METHODS: This was a retrospective study of injury surveillance data for injured patients (except poisoning), aged over 18 years...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Society of Emergency Medicine
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5891740/ https://www.ncbi.nlm.nih.gov/pubmed/29618187 http://dx.doi.org/10.15441/ceem.16.180 |
_version_ | 1783313051498315776 |
---|---|
author | Park, Jeong Ho Park, Ju Ok Ro, Young Sun Shin, Sang Do |
author_facet | Park, Jeong Ho Park, Ju Ok Ro, Young Sun Shin, Sang Do |
author_sort | Park, Jeong Ho |
collection | PubMed |
description | OBJECTIVE: This study aimed to evaluate the effect of alcohol use on emergency department (ED) length of stay (LOS) among minimally injured patients by mechanism of injury. METHODS: This was a retrospective study of injury surveillance data for injured patients (except poisoning), aged over 18 years, discharged home from the ED, and treated at seven academic EDs in Korea during 2008 to 2012. Patients were divided into alcohol-related and alcohol-unrelated groups based on self-report. We used multivariable quantile regression models for the analysis and adjusted covariates including age, sex, consciousness status, severity of injury, emergency medical service use, the season, day and time of visit, and hospital. To determine if there were different effects of alcohol use across mechanism of injury, all analyses were stratified by each mechanism. RESULTS: Among 192,200 patients, 95,807 patients were analyzed. The number of participants in the alcohol-related group was 16,249 (17.0%). In the multivariable quantile regression model, the alcohol-related group had significantly longer ED LOS at the 10th (7 minutes; 95% confidence interval [CI], 6 to 8), 50th (21 minutes; 95% CI, 19 to 23), and 90th (81 minutes; 95% CI, 74 to 87) percentiles when compared to the alcohol-unrelated group. The effect of alcohol use on increased ED LOS was most prominent in motor vehicle injuries. CONCLUSION: We found that alcohol use was associated with increased emergency ED LOS. Furthermore, if we limited our attention to the effect of alcohol use on the number of patients, the burden of alcohol use on the ED would have been underestimated. |
format | Online Article Text |
id | pubmed-5891740 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | The Korean Society of Emergency Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-58917402018-04-11 Effect of alcohol use on emergency department length of stay among minimally injured patients based on mechanism of injury: multicenter observational study Park, Jeong Ho Park, Ju Ok Ro, Young Sun Shin, Sang Do Clin Exp Emerg Med Original Article OBJECTIVE: This study aimed to evaluate the effect of alcohol use on emergency department (ED) length of stay (LOS) among minimally injured patients by mechanism of injury. METHODS: This was a retrospective study of injury surveillance data for injured patients (except poisoning), aged over 18 years, discharged home from the ED, and treated at seven academic EDs in Korea during 2008 to 2012. Patients were divided into alcohol-related and alcohol-unrelated groups based on self-report. We used multivariable quantile regression models for the analysis and adjusted covariates including age, sex, consciousness status, severity of injury, emergency medical service use, the season, day and time of visit, and hospital. To determine if there were different effects of alcohol use across mechanism of injury, all analyses were stratified by each mechanism. RESULTS: Among 192,200 patients, 95,807 patients were analyzed. The number of participants in the alcohol-related group was 16,249 (17.0%). In the multivariable quantile regression model, the alcohol-related group had significantly longer ED LOS at the 10th (7 minutes; 95% confidence interval [CI], 6 to 8), 50th (21 minutes; 95% CI, 19 to 23), and 90th (81 minutes; 95% CI, 74 to 87) percentiles when compared to the alcohol-unrelated group. The effect of alcohol use on increased ED LOS was most prominent in motor vehicle injuries. CONCLUSION: We found that alcohol use was associated with increased emergency ED LOS. Furthermore, if we limited our attention to the effect of alcohol use on the number of patients, the burden of alcohol use on the ED would have been underestimated. The Korean Society of Emergency Medicine 2018-03-30 /pmc/articles/PMC5891740/ /pubmed/29618187 http://dx.doi.org/10.15441/ceem.16.180 Text en Copyright © 2018 The Korean Society of Emergency Medicine This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/). |
spellingShingle | Original Article Park, Jeong Ho Park, Ju Ok Ro, Young Sun Shin, Sang Do Effect of alcohol use on emergency department length of stay among minimally injured patients based on mechanism of injury: multicenter observational study |
title | Effect of alcohol use on emergency department length of stay among minimally injured patients based on mechanism of injury: multicenter observational study |
title_full | Effect of alcohol use on emergency department length of stay among minimally injured patients based on mechanism of injury: multicenter observational study |
title_fullStr | Effect of alcohol use on emergency department length of stay among minimally injured patients based on mechanism of injury: multicenter observational study |
title_full_unstemmed | Effect of alcohol use on emergency department length of stay among minimally injured patients based on mechanism of injury: multicenter observational study |
title_short | Effect of alcohol use on emergency department length of stay among minimally injured patients based on mechanism of injury: multicenter observational study |
title_sort | effect of alcohol use on emergency department length of stay among minimally injured patients based on mechanism of injury: multicenter observational study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5891740/ https://www.ncbi.nlm.nih.gov/pubmed/29618187 http://dx.doi.org/10.15441/ceem.16.180 |
work_keys_str_mv | AT parkjeongho effectofalcoholuseonemergencydepartmentlengthofstayamongminimallyinjuredpatientsbasedonmechanismofinjurymulticenterobservationalstudy AT parkjuok effectofalcoholuseonemergencydepartmentlengthofstayamongminimallyinjuredpatientsbasedonmechanismofinjurymulticenterobservationalstudy AT royoungsun effectofalcoholuseonemergencydepartmentlengthofstayamongminimallyinjuredpatientsbasedonmechanismofinjurymulticenterobservationalstudy AT shinsangdo effectofalcoholuseonemergencydepartmentlengthofstayamongminimallyinjuredpatientsbasedonmechanismofinjurymulticenterobservationalstudy |