Shibayama Mikine, Cho Tetsuji, Ino Aro
Emergency and Critical Care Center, Yokkaichi Municipal Hospital Shibata 2-2-37, Yokkaichi, Mie 510-8567, Japan.
Nihon Arukoru Yakubutsu Igakkai Zasshi. 2011 Oct;46(5):436-45.
We investigated the drunken patients visiting the emergency department (ED) to determine their negative influence on emergency medical system in our community. One hundred seven (1.2%) of 8,812 referred patients, including children, was suspected of drinking by the medical stuffs in the ED on the basis of the interview, smell of alcohol on breath, pre-hospital information, and so on. Objective analysis of drinking, such as blood alcohol concentration measurement, was not performed. Both the mean age and the median of the patients were 45 years old. The number of male was 4 times higher than female. Three fourths visited ED during the period from the evening to early morning, when it tends to be confused in ED. Eighty percents were delivered by ambulance service. Over 90% visited ED within 12 hours after drinking. Half of them were classified as moderate or more severe alcohol intoxication level on visiting ED. The medical practice was significantly disturbed by some patients, who were restless, violent, or uncooperative with the medical stuffs. Seven patients attempted suicides during drinking before visiting ED. Two thirds of the patients were diagnosed as mild, and left ED after simple medical treatment. Only 6.5% were indicated to admission and the urgent operations were performed on three patients. The CAGE was obtained from 55 patients, and half of them were positive to two or more questions, indicating suffering from alcohol disorder. Half of the patients drank over 60g of alcohol in one day, and 61% drank in four or more days in one week. Result of the investigation of the drunken patients visiting ED reveals negative influence on emergency medical system.
我们对前往急诊科（ED）的醉酒患者进行了调查，以确定他们对我们社区急诊医疗系统的负面影响。在8812名转诊患者（包括儿童）中，有107名（1.2%）被急诊科医护人员根据访谈、呼吸中的酒精气味、院前信息等怀疑饮酒。未进行血液酒精浓度测量等饮酒情况的客观分析。患者的平均年龄和年龄中位数均为45岁。男性人数是女性的4倍。四分之三的患者在晚上到凌晨这段时间前往急诊科，此时急诊科往往比较混乱。80%的患者是通过救护车送来的。超过90%的患者在饮酒后12小时内前往急诊科。其中一半患者在就诊时被归类为中度或更严重的酒精中毒水平。一些患者烦躁不安、暴力或不配合医护人员，严重干扰了医疗工作。7名患者在就诊前饮酒时曾试图自杀。三分之二的患者被诊断为轻度，经简单治疗后离开急诊科。只有6.5%的患者被收治入院，3名患者接受了紧急手术。对55名患者进行了CAGE问卷调查，其中一半对两个或更多问题回答为阳性，表明患有酒精紊乱症。一半患者一天饮酒超过60克，61%的患者一周内饮酒4天或更多天。对前往急诊科的醉酒患者的调查结果显示了其对急诊医疗系统的负面影响。
