Adolescent emergency department presentations with alcohol‐ or other drug‐related problems in Perth, Western Australia

Hulse, Gary Kenneth; Robertson, Suzanne I.; Tait, Robert J.

doi:10.1046/j.1360-0443.2001.967105915.x

Cited by 49 publications

(59 citation statements)

References 0 publications

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“…Age-specific findings were consistent with other ED studies of alcohol-related injuries among adolescents in the United States and Australia. 7,21 Overall, more male than female youth presented with alcohol-related injuries, which is consistent with the existing evidence. 7,29 There was, however, a higher proportion of female youth (45%) in the CHIRPP data relative to other studies, which may be a result of the high proportion of alcohol-related injuries among young (≤ 15 yr) female youth.…”

Section: Discussionsupporting

confidence: 79%

“…These results support the broader literature on the role of alcohol as a known risk factor for intentional injuries, 18,30,31 and to the unique role that alcohol plays in the injury experiences of male and female youth. [21][22][23] These findings suggest that injury prevention programs should recognize the differences between the effect of alcohol use on injury outcomes in male and female youth.…”

Section: Discussionmentioning

confidence: 99%

“…[16][17][18] A number of studies of suicide and self-harm have noted alcohol as a key factor, particularly among adolescents and young adults. 16,[19][20][21][22][23][24] Adolescents and young adults disproportionately suffer the burden of injury, with unintentional injury representing more than 40% of all deaths for Canadians younger than 24 years. 1 In addition, alcohol is the most frequently used drug among young Canadians; approximately 81% of individuals between the ages of 15 and 24 years reported past-year drinking in 2004.…”

Section: Introductionmentioning

confidence: 99%

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An overview of injuries to adolescents and young adults related to substance use: data from Canadian emergency departments

Black

Asbridge

Lea

2009

CJEM

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Objective: Alcohol is a significant risk factor for injury, and is one of the leading causes of death, disability and premature mortality among young Canadians. This paper provides an overview of alcohol-related injury among adolescents and young adults presenting to Canadian emergency departments (EDs). Methods: We reviewed records from the Canadian Hospitals Injury Reporting and Prevention Program database during the 4-year period between 2000 and 2003. We included individuals younger than 25 years who presented to EDs in 11 pediatric and general hospitals with injuries for which alcohol, either alone or in conjunction with drugs, was recorded as a contributing factor. We examined key socio-demographic and injury-related factors associated with alcohol and drugrelated injuries, including intent and disposition. Results: Alcohol was identified as a factor in 2389 injuries during this 4-year period; 408 (17%) of these cases also involved drug use. Approximately 55% of these patients were male and the majority was between 15 and 19 years of age. Unintentional injuries were the most common presentation, self-harm injuries were more common among female patients and violence-related injuries were more common among male patients. Most patients received treatment for their injuries. However, as age increased, outcome differences were observed between sexes. Conclusion: Alcohol-related injuries are increasing among Canadian youth. These findings highlight the importance of obtaining thorough drug and alcohol histories and measurement, when appropriate, for adolescents and young adults presenting to EDs with injuries.

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Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

An overview of injuries to adolescents and young adults related to substance use: data from Canadian emergency departments

Black

Asbridge

Lea

2009

CJEM

View full text Add to dashboard Cite

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“…Our results are similar to other chart review studies that found documentation of alcohol problems in 13% of all ED visits by college students 20 and documentation of any "alcohol or drug use" in 15% of ED visits by adolescents. 21 …”

Section: Discussionmentioning

confidence: 99%

“…These programs had promising results, including fewer hospital admissions and fewer drinking and driving episodes. [21][22][23][24][25][26][27] Unfortunately, no trial has yet evaluated interventions provided by ED clinical staff. This has created a barrier to their translation into clinical practice.…”

Section: Future Directionsmentioning

confidence: 99%

Substance-related problems in patients visiting an urban Canadian emergency department

Brubacher

Mabie

Ngo

et al. 2008

CJEM

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Objective: For many patients with addiction and other substance problems, the emergency department (ED) is the sole provider of medical care. This study sought to determine the prevalence and characteristics of substance-related medical problems in ED patients, as defined by documentation in the medical record. We also sought to compare the ED resource use (length of ED stay and number of revisits) of patients with and without substance problems. Methods: Trained evaluators using explicit criteria reviewed all ED charts during a 6-week period at a Canadian tertiary care teaching centre. Data was collected on demographics, documentation of problematic substance use and whether the ED visit was due to substance problems. Using a computerized database, we determined how many patients with and without substance problems had 1 or more subsequent ED visits during the 1-year period from Sept. 1, 2002, to Aug. 31, 2003. Results: Of 6064 visits made by 5194 patients, 6026 visits (99.4%) representing 5188 patients (99.9%) were captured for review. Of those visits, 674 (11.2%, 95% confidence interval [CI] 10.4%-12.0%), made by 600 patients, had documentation of problematic substance use and 521 visits (8.6%, 95% CI 7.9%-9.4%) by 469 patients were caused by substance problems. The mean age of patients with a visit due to a substance problem was 39.2 years, compared with 48.5 years for those with other visits (p < 0.001). The admission rate for substance-related visits was 25.3%, compared with 17.6% for other visits (p < 0.001). For discharged patients, the median length of the ED visit owing to substance-related problems lasted 232 minutes (IQR [interquartile range] 267 min), compared with 164 minutes (IQR 167 min) for other visits (p < 0.001). In 1 year of follow-up, 161 of 600 patients (26.8%) with a substance problem made 466 revisits (mean 0.78 revisits/patient), compared with 975 of 4588 patients (21.3%) without a substance problem who made a total of 2150 revisits (mean 0.47 revisits/patient, p < 0.001). Conclusion: Substance problems contribute significantly to ED visits, hospital admissions and duration of ED stay at a tertiary centre. It is likely that our methodology underestimates the scope of the problem and that a universal screening program would find a higher prevalence. The magnitude of this problem supports the need for an interdisciplinary identification and intervention program for ED patients with substance-related issues.

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Substance Misuse in Young People

Mirza

Sudesh

Mirza

2017

Child Psychology and Psychiatry

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Adolescent emergency department presentations with alcohol‐ or other drug‐related problems in Perth, Western Australia

Cited by 49 publications

References 0 publications

An overview of injuries to adolescents and young adults related to substance use: data from Canadian emergency departments

An overview of injuries to adolescents and young adults related to substance use: data from Canadian emergency departments

Substance-related problems in patients visiting an urban Canadian emergency department

Substance Misuse in Young People

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