McLay Stuart Vb, MacDonald Ellen, Fatovich Daniel M
Emergency Medicine, Royal Perth Hospital, The University of Western Australia, Perth, Western Australia, Australia.
Centre for Clinical Research in Emergency Medicine, Harry Perkins Institute of Medical Research, Perth, Western Australia, Australia.
Emerg Med Australas. 2017 Oct;29(5):531-538. doi: 10.1111/1742-6723.12837. Epub 2017 Aug 28.
To quantify and describe alcohol-related presentations to our ED, as part of the binational Alcohol Harm in Emergency Departments study.
A prospective observational study at Royal Perth Hospital of every patient attending ED for the 168-h period commencing 08.00 hours Monday 1 December 2014. Patient presentations were classified as alcohol-related (alcohol-positive) using predefined criteria. These patients were compared to alcohol-negative patients on a range of demographic and clinical descriptors.
Two hundred and thirteen (15.2%) of 1403 patients screened were alcohol-positive. Compared with alcohol-negative patients, alcohol-positive patients were more likely to be male (148/213, 69.5% vs 636/1190, 53.4%, P < 0.001) and younger (mean 38 years vs 48 years, P < 0.001). They were more likely to arrive in police custody (OR 3.7, 95% CI 1.3-9.5, P = 0.005), and be admitted to the State Adult Major Trauma Unit (OR 4.2, 95% CI 2.1-8.3, P < 0.001). Forty-two (19.7%) of 213 patients had injuries suspected to be caused by an alcohol-affected third party. The ED length of stay and admission rate were not significantly different between the groups.
15.2% of patient presentations over the study week were alcohol-related. These patients were more likely to present with injury; one in five having injuries suspected to be caused by a third party affected by alcohol. This is a significant public health problem.
作为双边急诊科酒精危害研究的一部分，对我院急诊科与酒精相关的就诊情况进行量化和描述。
在皇家珀斯医院进行一项前瞻性观察研究，观察对象为2014年12月1日星期一08:00开始的168小时内到急诊科就诊的每一位患者。根据预先设定的标准，将患者就诊情况分类为与酒精相关（酒精阳性）。将这些患者与酒精阴性患者在一系列人口统计学和临床描述指标上进行比较。
在筛查的1403例患者中，213例（15.2%）为酒精阳性。与酒精阴性患者相比，酒精阳性患者更可能为男性（148/213，69.5%对636/1190，53.4%，P<0.001）且更年轻（平均38岁对48岁，P<0.001）。他们更可能在警方拘留下到达（比值比3.7，95%置信区间1.3 - 9.5，P = 0.005），并被收入州成人重大创伤科（比值比4.2，95%置信区间2.1 - 8.3，P<0.001）。213例患者中有42例（19.7%）怀疑受伤是由受酒精影响的第三方所致。两组患者在急诊科的住院时间和收治率无显著差异。
在研究周内，15.2%的患者就诊与酒精相关。这些患者更可能因受伤就诊；五分之一的患者怀疑受伤是由受酒精影响的第三方所致。这是一个重大的公共卫生问题。
