Admissions of patients with alcohol intoxication in the Emergency Department: a growing phenomenon.

Abstract:

QUESTION UNDER STUDY:To investigate the change over time in the number of ED admissions with positive blood alcohol concentration (BAC) and to evaluate predictors of BAC level. METHODS:We conducted a single site retrospective study at the ED of a tertiary referral hospital (western part of Switzerland) and obtained all the BAC performed from 2002 to 2011. We determined the proportion of ED admissions with positive BAC (number of positive BAC/number of admissions). Regression models assessed trends in the proportion of admissions with positive BAC and the predictors of BAC level among patients with positive BAC. RESULTS:A total of 319,489 admissions were recorded and 20,021 BAC tests were performed, of which 14,359 were positive, divided 34.5% female and 65.5% male. The mean (SD) age was 41.7(16.8), and the mean BAC was 2.12(1.04) permille (g of ethanol/liter of blood). An increase in the number of positive BAC was observed, from 756 in 2002 to 1,819 in 2011. The total number of admissions also increased but less: 1.2 versus 2.4 times more admissions with positive BAC. Being male was independently associated with a higher (+0.19 permille) BAC, as was each passing year (+0.03). A significant quadratic association with age indicated a maximum BAC at age 53. CONCLUSION:We observed an increase in the percentage of admissions with positive BAC that was not limited to younger individuals. Given the potential consequences of alcohol intoxication, and the large burden imposed on ED teams, communities should be encouraged to take measures aimed at reducing alcohol intoxication.

journal_name

Swiss Med Wkly

journal_title

Swiss medical weekly

authors

Bertholet N,Adam A,Faouzi M,Boulat O,Yersin B,Daeppen JB,Clerc D

doi

10.4414/smw.2014.13982

subject

Has Abstract

pub_date

2014-08-07 00:00:00

pages

w13982

eissn

1424-7860

issn

1424-3997

pii

smw-13982

journal_volume

144

pub_type

杂志文章
  • Assessment of serum paraoxonase and arylesterase activities in early pregnancy failure.

    abstract:QUESTIONS UNDER STUDY:Paraoxonase-1 (PON1) is an HDL-bound enzyme system which plays a key role in the protection of LDL and HDL from oxidation by hydrolysing activated phospholipids and lipid peroxide products. Oxidative stress has been involved in the pathogenesis of many complications of human pregnancy, including e...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:smw-12495

    authors: Toy H,Camuzcuoglu H,Celik H,Erel O,Aksoy N

    更新日期:2009-02-07 00:00:00

  • Perspectives using probe-based confocal laser endomicroscopy of the respiratory tract.

    abstract:QUESTIONS UNDER STUDY/PRINCIPLES:Although probe-based confocal laser endomicroscopy (pCLE) is on the edge of entering daily practice in gastroenterological endoscopy, findings in the field of respiratory medicine are only rarely reported, keeping pCLE during flexible bronchoscopy as a mere preclinical research tool. Si...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2013.13764

    authors: Yserbyt J,Dooms C,Ninane V,Decramer M,Verleden G

    更新日期:2013-03-26 00:00:00

  • Confusion between valGANciclovir (Valcyte®) and vALAcyclovir (Valtrex®).

    abstract::No abstract available (Letter to the editor). ...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2012.13639

    authors:

    更新日期:2012-07-17 00:00:00

  • A stepwise drug treatment algorithm to obtain complete remission in depression: a Geneva study.

    abstract:QUESTIONS UNDER STUDY/PRINCIPLES:We describe the proportion of severely depressed outpatients reaching complete remission at the different stages of a drug treatment algorithm. We compare several treatment options for SSRI (selective serotonin reuptake inhibitor) non-responders and test the feasibility of the algorithm...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:2006/05/smw-11267

    authors: Bondolfi G,Aubry JM,Golaz J,Gex-Fabry M,Gervasoni N,Bertschy G

    更新日期:2006-02-04 00:00:00

  • Work-life conflicts and health among Swiss physicians--in comparison with other university graduates and with the general Swiss working population.

    abstract:QUESTION UNDER STUDY:The present study aimed to compare the prevalence of work-life conflicts and the health status of physicians, with a representative sample of university graduates as well as with a representative sample of the general Swiss working population. Furthermore, it aimed to analyse whether work-life conf...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2010.13063

    authors: Knecht M,Bauer GF,Klaghofer R,Buddeberg-Fischer B,Stamm M,Hämmig O

    更新日期:2010-07-11 00:00:00

  • Treatment intensification with insulin glargine in patients with inadequately controlled type 2 diabetes improves glycaemic control with a high treatment satisfaction and no weight gain.

    abstract:PRINCIPLES:We aimed to evaluate the efficacy of, and treatment satisfaction with, insulin glargine administered with SoloSTAR® or ClikSTAR® pens in patients with type 2 diabetes mellitus managed by primary care physicians in Switzerland. METHODS:A total of 327 patients with inadequately controlled type 2 diabetes were...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2015.14114

    authors: Riebenfeld D,Spirk D,Mathis A,Villiger L,Gerber PA,Gasser UE,Lehmann R

    更新日期:2015-03-05 00:00:00

  • Endoscopy teams' judgment of discomfort among patients undergoing colonoscopy: "How bad was it really?".

    abstract:QUESTIONS UNDER STUDY / PRINCIPLES:Colonoscopies are complex procedures that depend greatly on the patient's cooperation and on the correct judgment of a tolerable amount of discomfort by the endoscopy team, even in sedated patients. Little is known regarding the accuracy of the patient comfort level assessments made b...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2012.13726

    authors: Heuss LT,Sughanda SP,Degen LP

    更新日期:2012-11-05 00:00:00

  • Information about medication in HIV-infected patients and its relation to adherence.

    abstract:QUESTIONS UNDER STUDY:In HIV-infected patients, comprehension of medication instructions is an essential condition for adherence to Highly Active Antiretroviral Therapy (HAART). In this study, we used a self-reported questionnaire to know which sources of medication information HIV-infected patients used and their impa...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2012.13642

    authors: Korb-Savoldelli V,Gillaizeau F,Caruba T,Tauckoor A,Prognon P,Durieux P,Sabatier B

    更新日期:2012-07-26 00:00:00

  • QTc prolongation in methadone maintenance--the role of HCV infection.

    abstract:OBJECTIVES:Several studies have reported prolonged QTc intervals in patients under methadone maintenance treatment, including development of torsade-de-pointes arrhythmia and death. It is still not clear why some patients develop critical QTc extensions while others do not. METHODS:ECG findings in a convenience sample...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2013.13852

    authors: Gholami N,Boesch L,Falcato L,Stohler R,Bruggmann P

    更新日期:2013-09-06 00:00:00

  • Minimally invasive extracorporeal circulation: excellent outcome and life expectancy after coronary artery bypass grafting surgery.

    abstract:OBJECTIVE:Coronary artery bypass grafting (CABG) remains the gold standard for complex revascularisation in multivessel disease. The concept of the minimally invasive extracorporeal circulation circuit (MiECC) was introduced to minimise pathophysiological side effects of conventional extracorporeal circulation. This st...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2017.14474

    authors: Winkler B,Heinisch PP,Zuk G,Zuk K,Gahl B,Jenni HJ,Kadner A,Huber C,Carrel T

    更新日期:2017-07-10 00:00:00

  • Health economic modelling of the cost-effectiveness of microalbuminuria screening in Switzerland.

    abstract:PRINCIPLES:Current evidence indicates that chronic kidney disease (CKD) can be detected by simple laboratory tests. This study aimed to evaluate the cost-effectiveness of microalbuminuria screening and subsequent treatment in different populations. METHODS:Cost-effectiveness of microalbuminuria screening in a cohort o...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2012.13508

    authors: Kessler R,Keusch G,Szucs TD,Wittenborn JS,Hoerger TJ,Brügger U,Wieser S

    更新日期:2012-02-03 00:00:00

  • Undifferentiated carcinoma of nasopharyngeal type (UCNT): a Swiss single-institutional experience during 1990-2005.

    abstract:BACKGROUND:Nasopharyngeal carcinoma is a rare tumor entity in Switzerland. In contrast, it is endemic in Asian and African countries. Retrospective studies have been conducted in order to identify risk factors and prognostic determinants of nasopharyngeal carcinoma. Nonetheless, these trials were mostly conducted in re...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:smw-12844

    authors: Sidler D,Thum P,Winterhalder R,Huber G,Haerle SK

    更新日期:2010-05-01 00:00:00

  • Surgical management of vascular Ehlers-Danlos syndrome and its challenges: a case report.

    abstract:BACKGROUND:Ehlers-Danlos syndrome (EDS) is a heterogeneous group of rare inherited diseases involving connective tissue. Vascular EDS (vEDS) is associated with abnormal type III collagen, which is an essential component of skin, hollow organs and arterial walls, and causes potentially fatal visceral and arterial compli...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2020.20379

    authors: da Rocha de Sousa F,Colucci N,Dupuis A,Toso C,Buchs NC,Abbassi Z

    更新日期:2020-12-05 00:00:00

  • Patients' understanding of blood tests and attitudes to HIV screening in the emergency department of a Swiss teaching hospital: a cross-sectional observational study.

    abstract:BACKGROUND:In Switzerland, patients may undergo "blood tests" without being informed what these are screening for. Inadequate doctor-patient communication may result in patient misunderstanding. We examined what patients in the emergency department (ED) believed they had been screened for and explored their attitudes t...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2015.14206

    authors: Favre-Bulle T,Baudat D,Darling KE,Mamin R,Peters S,Cavassini M,Hugli O

    更新日期:2015-12-04 00:00:00

  • Variation in incidence of orthopaedic surgery between populations with basic or basic plus supplementary health insurance in Switzerland.

    abstract:QUESTIONS UNDER STUDY:The aim of the study was to analyse the effects of supplementary health insurance on the incidence of hospitalisations for musculoskeletal conditions in Switzerland. METHODS:Cross sectional and small area analyses of surgical interventions for major musculoskeletal disorders in Switzerland were c...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2011.13152

    authors: Busato A,Widmer M,Matter P

    更新日期:2011-02-03 00:00:00

  • Procalcitonin: how a hormone became a marker and mediator of sepsis.

    abstract::Calcitonin was discovered in the early 1960s [1], at which time it was assumed to be a single hormone with a yet-to-be-determined role in human physiology. Since then it has been found to be only one entity among a large array of related circulating peptides, at least one of which has a pivotal role in the host respon...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章,评审

    doi:2001/41/smw-09751

    authors: Müller B,Becker KL

    更新日期:2001-10-20 00:00:00

  • Head-to-head comparison of length of stay, patients' outcome and satisfaction in Switzerland before and after SwissDRG-Implementation in 2012 in 2012: an observational study in two tertiary university centers.

    abstract:BACKGROUND:On 1 January 2012 Swiss Diagnosis Related Groups (DRG), a new uniform payment system for in-patients was introduced in Switzerland with the intention to replace a "cost-based" with a "case-based" reimbursement system to increase efficiency. With the introduction of the new payment system we aim to answer que...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2014.13972

    authors: Thommen D,Weissenberger N,Schuetz P,Mueller B,Reemts C,Holler T,Schifferli JA,Gerber M,Hug BL

    更新日期:2014-06-25 00:00:00

  • Is a change in vocal loudness a first step towards becoming a medical doctor?

    abstract:QUESTIONS UNDER STUDY:Some evidence suggests that a loud voice is a core characteristic of medical professionals. It is unknown whether medical students talk louder than their non-medical peers and, if so, whether they commence their studies with a loud voice, representing a characteristic of admission, or whether soun...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2012.13534

    authors: Kiese-Himmel C,Himmel W,Rodenstock M,Scherer M

    更新日期:2012-03-09 00:00:00

  • Therapeutical options for the treatment of Cheyne-Stokes respiration.

    abstract::The awareness of Cheyne-Stokes respiration (CSR) and of the co-existence of the obstructive sleep apnoea syndrome and central breathing disturbances has rapidly grown in recent years. CSR is defined by a waxing and waning pattern of the breathing amplitude. Sleep related breathing disorders in patients with heart fail...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章,评审

    doi:smw-12425

    authors: Randerath WJ

    更新日期:2009-03-07 00:00:00

  • Anti-metallothionein IgG and levels of metallothionein in autistic families.

    abstract::Metallothioneins (MTs) are a family of small proteins containing 61-68 amino acids with an unusually high concentration of cysteine. MT-1, the most functional and active MT in humans, has the ability to react with and enhance the detoxification of a number of metals including zinc, mercury, copper and cadmium. MT dysf...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:

    authors: Russo AF

    更新日期:2008-02-09 00:00:00

  • Current management of pulmonary arterial hypertension.

    abstract::Pulmonary arterial hypertension (PAH) is a vascular disease of unknown aetiology, characterised by an abnormal thickening of the arterial wall that is responsible for an increase in pulmonary vascular resistance. The haemodynamic consequence of PAH is an increased afterload for the right ventricle and, eventually, rig...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2016.14305

    authors: Yerly P,Prella M,Aubert JD

    更新日期:2016-05-31 00:00:00

  • Strengths and weaknesses of chest compression training: a preliminary retrospective study.

    abstract:BACKGROUND:High quality chest compression is one of the key factors in successful resuscitation. A high standard of training is therefore decisive. We aimed to investigate the strengths and weaknesses of teaching chest compression in a study designed to highlight where targeted improvements in the quality of our chest ...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2011.13221

    authors: Osterwalder JJ,Braun D

    更新日期:2011-07-01 00:00:00

  • Kerley B lines in the lung apex - a distinct CT sign for pulmonary congestion.

    abstract:AIMS OF THE STUDY:The purpose of this study was to establish a new computed tomography (CT) sign for pulmonary congestion (Kerley B lines in the lung apex in patients with cardiac or renal insufficiency) and to find the best signs to differentiate between pulmonary congestion and interstitial lung disease (ILD). METHO...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2019.20119

    authors: Loebelenz LI,Ebner L,Obmann VC,Huber AT,Christe A

    更新日期:2019-09-02 00:00:00

  • Management of hepatitis C in opioid agonist therapy patients of the Swiss canton Aargau within and outside the cohort study.

    abstract::With regard to HCV elimination in opioid agonist therapy patients by 2030, case finding and regular screening for new and re-infections remain a challenge, especially for non-cohort patients in a decentralised setting. Documentation of the HCV sero- and RNA status of each opioid agonist therapy  patient by the ca...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2020.20317

    authors: Schürch S,Fux CA,Dehler S,Conen A,Knuchel J,Friedl A,Eigenmann F,Roser P,Ackle P,Bregenzer A

    更新日期:2020-08-06 00:00:00

  • Outpatient treatment of pulmonary embolism.

    abstract::Pulmonary embolism (PE) is traditionally treated in hospital. Growing evidence from non randomized prospective studies suggests that a substantial proportion of patients with non-massive PE might be safely treated in the outpatient setting using low molecular weight heparins. Based on this evidence, professional socie...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章,评审

    doi:smw-12661

    authors: Aujesky D,Mazzolai L,Hugli O,Perrier A

    更新日期:2009-11-28 00:00:00

  • Additional malignancies in patients with neuroendocrine tumours: analysis of the SwissNET registry.

    abstract:PRINCIPLES:Neuroendocrine neoplasms (NENs) are believed to be associated with an increased risk for additional malignancies (AMs). We aimed to (1) assess the occurrence of AM in NEN patients (2) investigate the characteristics and temporal relationship of NEN patients with and without AM. METHODS:The SwissNET registry...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2016.14362

    authors: Kollár A,Blank A,Perren A,Bütikofer L,Stettler C,Christ E

    更新日期:2016-11-12 00:00:00

  • Nurse-reported patient safety climate in Swiss hospitals: a descriptive-explorative substudy of the Swiss RN4CAST study.

    abstract:QUESTIONS UNDER STUDY:Measuring the patient safety climate in the organisation of healthcare can help to identify problematic issues with a view to improving patient safety. We aimed (1) to describe the nurse-reported engagement in safety behaviours, (2) to describe the prevailing nurse-reported patient safety climate ...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章,多中心研究

    doi:10.4414/smw.2012.13501

    authors: Ausserhofer D,Schubert M,Engberg S,Blegen M,De G,Schwendimann R

    更新日期:2012-01-20 00:00:00

  • Current prevalence of self-reported interpersonal violence among adult patients seen at a university hospital emergency department in Switzerland.

    abstract:OBJECTIVE:To evaluate the current prevalence of self-reported interpersonal violence amongst patients consulting at the emergency department (ED) of a university hospital and to describe the characteristics of the violence sustained. METHODS:Ours was a cross-sectional study using a modified version of the Partner Viol...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:10.4414/smw.2019.20147

    authors: Douet T,Ohl A,Hügli O,Romain-Glassey N,Carron PN

    更新日期:2019-12-17 00:00:00

  • The relationship between schizophrenia and religion and its implications for care.

    abstract::This paper focuses on the relationships between schizophrenia and religion, on the basis of a review of literature and the data of an ongoing study about religiousness and spiritual coping conducted among outpatients with chronic schizophrenia. Religion (including both spirituality and religiousness) is salient in the...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章,评审

    doi:2004/25/smw-10322

    authors: Mohr S,Huguelet P

    更新日期:2004-06-26 00:00:00

  • Evidence for age-based rationing in a Swiss university hospital.

    abstract:AIM:To test the hypothesis that rationing of medical management mainly based on age exists in our health care system today. METHODS:We studied 303 consecutive patients hospitalised for acute coronary syndrome (ACS) and 163 consecutive patients hospitalised with congestive heart failure (CHF). They were divided into tw...

    journal_title:Swiss medical weekly

    pub_type: 杂志文章

    doi:2001/43/smw-09823

    authors: Jenni D,Osterwalder R,Osswald S,Buser P,Pfisterer M

    更新日期:2001-11-10 00:00:00