Meta‐analysis on the effectiveness of alcohol screening with brief interventions for patients in emergency care settings

Schmidt, Christiane Sybille; Schulte, Bernd; Seo, Hana; Kühn, Silke; O’Donnell, Amy; Kriston, Levente; Verthein, Uwe; Reimer, Jens

doi:10.1111/add.13263

Cited by 95 publications

(98 citation statements)

References 58 publications

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“…standard care, written information, a contact list, phone follow-up and personalised normative feedback). Similar results were found in a meta-analysis of emergency care users of all ages who were positively screened for alcohol use (Schmidt et al, 2016). Among those who received BI, the reduction in binge drinking frequency was found to be greater than among individuals in the control condition (d = 0.09, 95% CI [0.03-0.15]).…”

Section: Emergency Departmentssupporting

confidence: 80%

“…Although both meta-analyses found some evidence of the efficacy of motivational interviewing and BI in reducing binge drinking among those who presented to emergency departments, the effects found to date remain small-sized. The authors argue that this is largely due to the high heterogeneity of intervention characteristics (length, number of sessions, boosters, single vs. multiple components), comparison groups (treatment as usual, information, feedback), and outcomes (timeframe, alcohol measure) included in the single studies (Kohler & Hofmann, 2015;Schmidt et al, 2016). This assumption is in line with the results of two other reviews among young binge drinkers in emergency departments.…”

Section: Emergency Departmentsmentioning

confidence: 74%

See 1 more Smart Citation

Binge drinking: Health impact, prevalence, correlates and interventions

Kuntsche

Thrul

et al. 2017

Psychology & Health

306

211

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Section: Emergency Departmentssupporting

confidence: 80%

Section: Emergency Departmentsmentioning

confidence: 74%

Binge drinking: Health impact, prevalence, correlates and interventions

Kuntsche

Thrul

et al. 2017

Psychology & Health

306

211

View full text Add to dashboard Cite

“…Thus, screening and brief interventions in emergency departments and during hospital admissions could be adequate means to reach a meaningful proportion of risky drinkers. Furthermore, brief Interventions have been found useful and promising in the emergency department [35,36].…”

Section: Discussionmentioning

confidence: 99%

Risky Alcohol Use: The Impact on Health Service Use

et al. 2018

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Objective: To examine health services use on the basis of alcohol consumption. Material and Methods: A cross-sectional study was carried out on patients visiting the Primary Health Care (PHC) settings in Catalonia during 2011 and 2012; these patients had a history of alcohol consumption. Information about outpatient visits in the PHC setting, hospitalizations, specialists’ visits and emergency room visits for the year 2013 was obtained from 2 databases (the Information System for the Development of Research in PHC and the Catalan Health Surveillance System). Risky drinkers were defined as those who consumed more than 280 g per week for men or more than 170 g per week for women, or any amount of alcohol while being involved in a high risk work activity, or taking medication that significantly interferes with alcohol or when being pregnant. Binge drinkers (> 60 g in men or > 50 g in women in a short amount of time more than once a month) were also considered risky drinkers. Results: A total of 606,948 patients reported consuming alcohol (of which 10.5% were risky drinkers). Risky drinkers were more likely to be admitted to hospitals or emergency departments (range of ORs 1.08–1.18) compared to light drinkers. Male risky drinkers used fewer PHC services than male light drinkers (OR 0.89, 95% CI 0.87–0.92). In general, risky alcohol users used services more and had longer hospital stays. When stratifying by socioeconomic level of the residential area, we found that risky drinking failed significance, while current or past cigarette smoking was associated with higher healthcare use. Conclusions: Risky drinkers use more expensive services, such as hospitals and emergency rooms, but not PHC services, which may suggest that prevention strategies and alcohol interventions should also be implemented in those settings.

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“…Alcohol identification and brief advice (IBA) is an effective and cost-effective method to lower levels of consumption and reduce alcohol-related harm among patients attending EDs 5. National Institute for Health and Care Excellence (NICE) Guidelines suggest that screening followed by feedback of the results is the most efficacious approach to IBA in the ED 6.…”

Section: Introductionmentioning

confidence: 99%

Alcohol identification and intervention in English emergency departments

Patton

Green

2017

Emerg Med J

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Alcohol screening together with referral or intervention is becoming part of routine practice in England. Compared with our previous national survey, increases in alcohol screening and intervention activity are demonstrated, with improvements in routine questioning (among adults), the number of general practitioners being informed about alcohol-related attendances, provision of training, access to specialist services and the use of formal screening tools.

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Meta‐analysis on the effectiveness of alcohol screening with brief interventions for patients in emergency care settings

Cited by 95 publications

References 58 publications

Binge drinking: Health impact, prevalence, correlates and interventions

Binge drinking: Health impact, prevalence, correlates and interventions

Risky Alcohol Use: The Impact on Health Service Use

Alcohol identification and intervention in English emergency departments

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