The burden of alcohol misuse on the emergency department

Mark John Hannon1, L C Luke

  • 1markjhannon2002@yahoo.com

Irish Medical Journal
|September 16, 2006
PubMed

Insights

Alcohol-related issues significantly impact hospital Emergency Departments (EDs), accounting for 14.66% of attendances. This places a considerable strain on hospital resources, including admissions and outpatient appointments.

Area of Science:

  • Public Health
  • Healthcare Management
  • Addiction Medicine

Background:

  • Alcohol-related problems pose a significant burden on healthcare systems.
  • Emergency Departments (EDs) are often the first point of contact for individuals with alcohol-related issues.
  • Understanding the scope of this impact is crucial for resource allocation and intervention strategies.

Purpose of the Study:

  • To quantify the impact of alcohol-related problems on the Emergency Department (ED) at Cork University Hospital (CUH).
  • To evaluate the non-acute consequences of alcohol-related issues within the hospital setting.
  • To assess the strain placed on EDs and overall hospital services by alcohol-related attendances.

Main Methods:

  • Random sampling of 100 patient ED records from three distinct study periods.
  • Individual examination of patient records to determine the rate of alcohol-related attendances.
  • Analysis of admission rates and outpatient appointment data for alcohol-related cases.

Main Results:

  • Alcohol-related attendances constituted 14.66% of all ED attendances during the study periods.
  • A significant proportion of these patients required admission (22.73%) or an outpatient department (OPD) appointment (27.27%).
  • These findings align with previous large-scale studies on the impact of alcohol on healthcare services.

Conclusions:

  • Alcohol-related attendances place a substantial strain on EDs and the broader hospital system.
  • The high rates of admission and OPD appointments underscore the non-acute impact of alcohol misuse.
  • Effective management strategies are needed to mitigate the healthcare burden associated with alcohol-related problems.

Related Concept Videos

CNS Depressants: Alcohol and Nicotine01:27

CNS Depressants: Alcohol and Nicotine

Ethanol, a clear colorless alcohol, has been consumed by humans for millennia, but its effects on the body are far from benign. At lower doses, it induces decreased inhibitions and loquaciousness, leading to its social appeal. However, it can cause severe consequences at higher doses, such as coma and respiratory depression, due to its zero-order elimination kinetics. Chronic ethanol abuse wreaks havoc on multiple organ systems, particularly the CNS and the liver. Abrupt cessation of ethanol...
Stress Prevention and Stress Management Techniques IV01:26

Stress Prevention and Stress Management Techniques IV

Stress often leads to unhealthy habits like smoking, excessive drinking, and overeating, which offer short-term relief but ultimately increase long-term health risks. These behaviors create a cycle that temporarily lowers stress levels but can result in severe long-term health consequences. Breaking these habits is essential to reduce the risk of chronic diseases and improve overall well-being. Three primary changes that support better health include quitting smoking, reducing alcohol intake,...
Depressants01:28

Depressants

Depressant drugs, including alcohol and sedative-hypnotics, diminish central nervous system activity by enhancing the action of gamma-aminobutyric acid (GABA), a neurotransmitter that reduces brain activity and promotes relaxation. These substances can have various therapeutic uses but also pose significant risks, especially when misused or combined.
Alcohol is a common depressant that can induce a sense of relaxation and reduced inhibition at low doses. Contrary to its occasional...
Substance Use Disorders Affecting Sleep01:24

Substance Use Disorders Affecting Sleep

Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Drug Dependence01:17

Drug Dependence

Medications are typically administered to achieve therapeutic effects. Some drugs can modify an individual's mood and perception, frequently resulting in various enjoyable experiences. However, this can result in drug dependency, a condition marked by continuous drug use despite potential negative consequences. Drug dependency primarily falls into two categories: psychological and physical dependence. Psychological dependence occurs when the pleasurable feelings induced by the drug...
SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...