Graham C A, McLeod L S, Steedman D J
Department of Accident and Emergency Medicine, Royal Infirmary of Edinburgh NHS Trust, UK.
J Accid Emerg Med. 1998 Jan;15(1):23-5. doi: 10.1136/emj.15.1.23.
To determine the effect of restricting extensions to permitted licensing hours on the numbers of alcohol or assault related attendances at an inner city accident and emergency (A&E) department.
Prospective data collection on consecutive attendances between 17.00 and 09.00 h during three study periods: two weeks before the introduction of the restriction, two weeks immediately afterwards, and for a two week period beginning five weeks after the change. Blood alcohol concentration was measured with a pocket alcohol meter.
Overall 56.5% of patients (n = 2836) provided a breath sample, and 28.9% (819) were positive. The proportion of patients testing positively peaked between 02.00 and 04.00 h. A very high proportion of assault cases who were tested (260) were positive (67.3%). Assault cases comprised 19.1% of all attendances between 24.00 and 04.00 h. No significant changes in the pattern of alcohol or assault related attendances followed the restriction in extensions to permitted licensing hours.
A policy of uniform closing times of licensed premises does not influence the profile of alcohol or assault related attendances at an inner city A&E department.
确定限制营业时间延长至许可营业时间对市中心一家事故与急救(A&E)部门与酒精或袭击相关的就诊人数的影响。
在三个研究期间对17:00至09:00连续就诊情况进行前瞻性数据收集:限制措施实施前两周、实施后立即两周以及改变后五周开始的两周期间。使用便携式酒精测量仪测量血液酒精浓度。
总体而言,56.5%的患者(n = 2836)提供了呼气样本,其中28.9%(819)呈阳性。检测呈阳性的患者比例在02:00至04:00之间达到峰值。接受检测的袭击案件患者中很大一部分(260例)呈阳性(67.3%)。袭击案件占24:00至04:00之间所有就诊人数的19.1%。许可营业时间延长限制实施后,与酒精或袭击相关的就诊模式没有显著变化。
持牌场所统一关门时间的政策不会影响市中心A&E部门与酒精或袭击相关的就诊情况。