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Predictors of High Resource Consumption in Alcohol Intoxicated Patients in the Emergency Department

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 an...

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Autores principales: Rönz, Katharina, Hirschi, Trevor, Becker, Sebastian, Krummrey, Gert, Exadaktylos, Aristomenis K., Sauter, Thomas C., Hautz, Wolf E., Müller, Martin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7312041/
https://www.ncbi.nlm.nih.gov/pubmed/32527025
http://dx.doi.org/10.3390/ijerph17114122
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author Rönz, Katharina
Hirschi, Trevor
Becker, Sebastian
Krummrey, Gert
Exadaktylos, Aristomenis K.
Sauter, Thomas C.
Hautz, Wolf E.
Müller, Martin
author_facet Rönz, Katharina
Hirschi, Trevor
Becker, Sebastian
Krummrey, Gert
Exadaktylos, Aristomenis K.
Sauter, Thomas C.
Hautz, Wolf E.
Müller, Martin
author_sort Rönz, Katharina
collection PubMed
description 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.
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spelling pubmed-73120412020-06-25 Predictors of High Resource Consumption in Alcohol Intoxicated Patients in the Emergency Department Rönz, Katharina Hirschi, Trevor Becker, Sebastian Krummrey, Gert Exadaktylos, Aristomenis K. Sauter, Thomas C. Hautz, Wolf E. Müller, Martin Int J Environ Res Public Health Article 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. MDPI 2020-06-09 2020-06 /pmc/articles/PMC7312041/ /pubmed/32527025 http://dx.doi.org/10.3390/ijerph17114122 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Rönz, Katharina
Hirschi, Trevor
Becker, Sebastian
Krummrey, Gert
Exadaktylos, Aristomenis K.
Sauter, Thomas C.
Hautz, Wolf E.
Müller, Martin
Predictors of High Resource Consumption in Alcohol Intoxicated Patients in the Emergency Department
title Predictors of High Resource Consumption in Alcohol Intoxicated Patients in the Emergency Department
title_full Predictors of High Resource Consumption in Alcohol Intoxicated Patients in the Emergency Department
title_fullStr Predictors of High Resource Consumption in Alcohol Intoxicated Patients in the Emergency Department
title_full_unstemmed Predictors of High Resource Consumption in Alcohol Intoxicated Patients in the Emergency Department
title_short Predictors of High Resource Consumption in Alcohol Intoxicated Patients in the Emergency Department
title_sort predictors of high resource consumption in alcohol intoxicated patients in the emergency department
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7312041/
https://www.ncbi.nlm.nih.gov/pubmed/32527025
http://dx.doi.org/10.3390/ijerph17114122
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