当前位置： SCI文献检索 > DRUG AND ALCOHOL REVIEW期刊下所有文献 > Diagnosis-based emergency department alcohol harm surveillance: What can it tell us about acute alcohol harms at the population level?

Diagnosis-based emergency department alcohol harm surveillance: What can it tell us about acute alcohol harms at the population level?

Abstract：

INTRODUCTION AND AIMS:Acute harm from heavy drinking episodes is an increasing focus of public health policy, but capturing timely data on acute harms in the population is challenging. This study aimed to evaluate the precision of readily available administrative emergency department (ED) data in public health surveillance of acute alcohol harms. DESIGN AND METHODS:We selected a random sample of 1000 ED presentations assigned an ED diagnosis code for alcohol harms (the 'alcohol syndrome') in the New South Wales, Australia, automatic syndromic surveillance system. The sample was selected from 68 public hospitals during 2014. Nursing triage free-text fields were independently reviewed to confirm alcohol consumption and classify each presentation into either an 'acute' or 'chronic' harm. Positive predictive value (PPV) for acute harm was calculated, and predictors of acute harm presentations were estimated using logistic regression. RESULTS:The PPV of the alcohol syndrome for acute alcohol harm was 53.5%. Independent predictors of acute harm were ambulance arrival [adjusted odds ratio (aOR) = 3.4, 95% confidence interval (CI) 2.4-4.7], younger age (12-24 vs. 25-39 years: aOR = 3.4, 95% CI 2.2-5.3), not being admitted (aOR 2.2, 95% CI 1.5-3.2) and arriving between 10 pm and 5.59 am (aOR 2.1, 95% CI 1.5-2.8). PPV among 12 to 24-year-olds was 82%. DISCUSSION AND CONCLUSIONS:The alcohol syndrome provides moderate precision as an indicator of acute alcohol harms presenting to the ED. Precision for monitoring acute harm in the population is improved by filtering the syndrome by the strongest independent predictors of acute alcohol harm presentations. [Whitlam G, Dinh M, Rodgers C, Muscatello DJ, McGuire R, Ryan T, Thackway S. Diagnosis-based emergency department alcohol harm surveillance: What can it tell us about acute alcohol harms at the population level? Drug Alcohol Rev 2016;35:693-701].

journal_name

Drug Alcohol Rev

journal_title

Drug and alcohol review

authors

Whitlam G,Dinh M,Rodgers C,Muscatello DJ,McGuire R,Ryan T,Thackway S

doi

10.1111/dar.12458

subject

Has Abstract

pub_date

2016-11-01 00:00:00

pages

693-701

issue

eissn

0959-5236

issn

1465-3362

journal_volume

pub_type

杂志文章

在线工具

Diagnosis-based emergency department alcohol harm surveillance: What can it tell us about acute alcohol harms at the population level?