Comparison of emergency transport for acute alcohol intoxication before and after the coronavirus disease 2019 pandemic: A retrospective observational study

Minami, Marina; Miyauchi, Masato; Eitoku, Masamitsu; Morizane, Atsushi; Kawauchi, Atsufumi; Kidokoro, Kazumoto; Suganuma, Narufumi; Nishiyama, Kingo

doi:10.1016/j.alcohol.2023.09.006

Cited by 2 publications

(1 citation statement)

References 46 publications

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“…There was an increase in alcohol intoxication related ambulance calls at home in the period following government mandated lockdown, in the Australian state of Victoria, as compared to the period prior to the lockdown [27]. As against this, studies from the Kochi prefecture in Japan and from Scotland, reported a significant decline in emergency transportation for acute alcohol related intoxication, in the period following government mandated restrictions due to COVID-19 [28,29]. Similarly, government policies regarding cannabis products affect the availability or otherwise of cannabis containing products which may be available as over the counter products or easily available online [30].…”

Section: Recreational Drugs Cannabis and Cannabis Containing Productsmentioning

confidence: 99%

Metabolic management of accidental intoxication

Khatib,

Dixit,

Telang

2024

Current Opinion in Clinical Nutrition &Amp; Metabolic Care

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Purpose of review Unintentional intoxication comprises a major chunk of all intoxications. Most patients are in the pediatric age group with another set of patients being the elderly. Substances found to cause accidental intoxication vary from country to country and even within different regions of a country. Frequent reviews of current literature are needed to be abreast of trends. Recent findings Prescription drugs and household chemicals are major culprits when it comes to accidental intoxication. Acetaminophen, digoxin and metformin are some of the prominent prescription drugs frequently associated with unintentional intoxications. Increasingly alcohol based hand sanitizers are becoming an important etiology of these events, following their increased usage during the COVID-19 pandemic. Pattern recognition to identify class of intoxicant and supportive care including prevention of further absorption and increased excretion are cornerstones of therapy. Antidote when available should be used promptly. Summary Knowledge about current epidemiology of accidental intoxications, toxidrome pattern recognition and appropriate antidote usage beside adequate and timely supportive care help in successful management of the unfortunate victim of accidental intoxication.

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Section: Recreational Drugs Cannabis and Cannabis Containing Productsmentioning

confidence: 99%

Metabolic management of accidental intoxication

Khatib,

Dixit,

Telang

2024

Current Opinion in Clinical Nutrition &Amp; Metabolic Care

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Emergency transportation for acute alcohol intoxication four years after the coronavirus disease 2019 pandemic: a retrospective observational study

Minami,

Nakamura,

Eitoku

et al. 2024

Environ Health Prev Med

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Background In a study conducted in Kochi Prefecture, Shikoku, Japan, during the early stages of the pandemic in spring 2020, we found that emergency transportations due to acute alcohol intoxication decreased. We aimed to determine how the decline in the number of emergency transportations due to acute alcohol intoxication changed during the four years following the COVID-19 pandemic’s onset. Methods This study used data of 107,013 emergency transportations from the Kochi-Iryo-Net database, Kochi Prefecture’s emergency medical and wide-area disaster information system. We categorized emergency transportation cases according to the diagnoses entered into the system by the attending physician, which were then divided into alcohol- and non-alcohol-related intoxication cases based on the diagnostic codes in the International Classification of Diseases Manual, 10th edition, Clinical Modification. We performed chi-square tests and multiple logistic regression to examine the association between emergency transportations and acute alcohol intoxication. Results The number of emergency transportations due to acute alcohol intoxication was 412 (1.8%) in 2019, and it declined to 268 (1.4%), 248 (1.2%), 270 (1.2%), and 283 (1.3%) in 2020, 2021, 2022, and 2023, respectively. After adjusting for confounding factors such as fire department and age, a significant decrease was observed in the subsequent years compared with 2019 (2020: adjusted odds ratio, 0.79; 95% confidence interval, 0.68–0.93; 2021: adjusted odds ratio, 0.74; 95% confidence interval, 0.63–0.87; 2022: adjusted odds ratio, 0.73; 95% confidence interval, 0.62–0.85; 2023: adjusted odds ratio, 0.76; 95% confidence interval, 0.65–0.89). Conclusions This study examined changes in emergency transportation due to acute alcohol intoxication during and after the COVID-19 pandemic, especially when social events and other activities returned to “normal.” Compared with 2021, which was when emergency transportations due to acute alcohol intoxication were at their lowest, a slight increase was observed in the number of transportations in subsequent years.

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Comparison of emergency transport for acute alcohol intoxication before and after the coronavirus disease 2019 pandemic: A retrospective observational study

Cited by 2 publications

References 46 publications

Metabolic management of accidental intoxication

Metabolic management of accidental intoxication

Emergency transportation for acute alcohol intoxication four years after the coronavirus disease 2019 pandemic: a retrospective observational study

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