te Wildt B T, Andreis C, Auffahrt I, Tettenborn C, Kropp S, Ohlmeier M
Department of Clinical Psychiatry and Psychotherapy, Medizinische Hochschule Hannover, Carl-Neuberg-Strasse 1, 30625 Hannover, Germany.
Emerg Med J. 2006 Jun;23(6):428-30. doi: 10.1136/emj.2005.028415.
Alcoholism represents a huge socioeconomic burden in most developed societies.
In order to determine the impact of conditions associated with alcohol abuse on emergency care, in 2002 all patients with alcohol related pathology presenting to the emergency department (ED) of a large urban university hospital in Germany were assessed.
Of 2194 patients seen by psychiatrists in the ED, the 613 cases associated with alcohol abuse represented the largest diagnostic group (30.7%). Within this group, alcohol intoxication was the most frequent diagnosis (71.4%). Patients with an alcohol related condition needed treatment by different medical specialities and required diagnostic procedures significantly more often and consequently stayed significantly longer in the ED than patients with other psychiatric presentations.
The generally underestimated problem of alcohol abuse in Germany demands an excessive amount of manpower and resources in EDs, where a high yet expensive standard of care is provided. Against this background, how far this burden can be reduced, both in EDs and in society in general, is discussed.
在大多数发达社会中，酗酒是一个巨大的社会经济负担。
为了确定与酒精滥用相关的状况对急诊护理的影响，2002年对德国一家大型城市大学医院急诊科所有患有酒精相关病症的患者进行了评估。
在急诊科接受精神科医生诊治的2194例患者中，613例与酒精滥用相关的病例是最大的诊断组（30.7%）。在该组中，酒精中毒是最常见的诊断（71.4%）。与患有其他精神疾病的患者相比，患有酒精相关病症的患者需要不同医学专科的治疗，需要进行诊断程序的频率显著更高，因此在急诊科停留的时间也显著更长。
德国普遍被低估的酒精滥用问题在提供高标准但昂贵护理的急诊科需要大量人力和资源。在此背景下，讨论了在急诊科以及整个社会中，这种负担能在多大程度上得到减轻。
