Patterns of ‘at‐home’ alcohol‐related injury presentations to emergency departments

Bunker, Naomi; Woods, Cindy; Conway, Jane; Barker, Ruth; Usher, Kim

doi:10.1111/jocn.13472

Cited by 8 publications

(9 citation statements)

References 27 publications

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“…The majority of alcohol-related incidents in Australia requiring ED attendance were recorded to have taken place in a location described as ‘other’, a location not ‘own home’, ‘street’ or ‘licensed premises’. 31 This is consistent with our findings, where a substantial number of males and females reported the location of their incident as ‘Other’, somewhat suggesting that reporting patterns by ‘victims’ are similar globally. Comparable trends in seasonality 8 13–15 and peak levels of violence in those aged 18–34 years 7 8 were also observed in our results.…”

Section: Discussionsupporting

confidence: 91%

A shared data approach more accurately represents the rates and patterns of violence with injury assaults

Gray

Barton²,

Davies³

et al. 2017

J Epidemiol Community Health

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BackgroundTo investigate whether sharing and linking routinely collected violence data across health and criminal justice systems can provide a more comprehensive understanding of violence, establish patterns of under-reporting and better inform the development, implementation and evaluation of violence prevention initiatives.MethodsPolice violence with injury (VWI) crimed data and emergency department (ED) assault attendee data for South Wales were collected between 1 April 2014 and 31 March 2016 to examine the rates and patterns of VWI. Person identifiable data (PID) were cross-referenced to establish if certain victims or events were less likely to be reported to criminal justice services.ResultsA total of 18 316 police crimed VWI victims and 10 260 individual ED attendances with an assault-related injury were considered. The majority of ED assault attendances (59.0%) were unknown to police. The key demographic identified as under-reporting to police were young males aged 18–34 years, while a significant amount of non-reported assaults involved a stranger. The combined monthly age-standardised rates were recalculated and on average were 74.7 (95% CI 72.1 to 77.2) and 66.1 (95% CI 64.0 to 68.2) per 100 000 population for males and females, respectively. Consideration of the additional ED cases resulted in a 35.3% and 18.1% increase on the original police totals for male and female VWI victims.ConclusionsThis study identified that violence is currently undermeasured, demonstrated the importance of continued sharing of routinely collected ED data and highlighted the benefits of using PID from a number of services in a linked way to provide a more comprehensive picture of violence.

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Section: Discussionsupporting

confidence: 91%

A shared data approach more accurately represents the rates and patterns of violence with injury assaults

Gray

Barton²,

Davies³

et al. 2017

J Epidemiol Community Health

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show abstract

“…Even though some researchers describe pre-loading, i.e., drinking before going out, it is noteworthy that in this study when drinking occurred at home, the locations of drinking and injury were always the same. Half of the patients who fell after drinking did so at home, consistent with the report of Bunker et al and others that the most common mechanism for injury at home after drinking was through falls from a low level [ 29 , 31 ].…”

Section: Discussionsupporting

confidence: 84%

“…This study also found that among patients presenting to emergency departments in Trinidad and Tobago, drinking mainly occurred in private homes. The home has been previously highlighted as a place where high-risk drinking occurs [ 29 , 30 , 31 ] and while there is no sanction against excessive drinking at home in Trinidad and Tobago, the impact on safety has not been examined. Reports from other countries have determined the proportion of alcohol-related injuries occurring at home to be between 36% and 39% [ 29 , 30 , 31 ].…”

Section: Discussionmentioning

confidence: 99%

“…Reports show that pedestrians who had evidence of alcohol use have a higher risk of a road traffic accident, with greater incidence of injuries, and greater risk of fatality than pedestrians who had not consumed alcohol [ 32 , 33 , 34 ]. Bunker et al also underscored that alcohol-related injuries sustained at home were associated with more severe and complicated injuries and resulted in more in-patient admissions than those occurring at any other location [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

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Type and Context of Alcohol-Related Injury among Patients Presenting to Emergency Departments in a Caribbean Country

Reid

Gentius

2017

IJERPH

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There is an association between alcohol consumption and injuries in Latin America and the Caribbean. This cross-sectional study explores the socio-contextual factors of alcohol-related injuries in Trinidad and Tobago. Data on drinking patterns, injury type, drinking context prior to injury, and demographics were collected from patients presenting with injuries to the Emergency Departments (ED) of four hospitals. Findings show that 20.6% of patients had consumed alcohol, mainly beer, in the 6 h before injury. More than half were drinking at home (27%), or someone else’s home (27%). Injury most commonly occurred outdoors (36%) while in transit. Alcohol-related injuries occurred mainly because of falling or tripping (31.7%); these patients recorded the highest mean alcohol consumption prior to injury. Most persons who fell (50%) did so at home. Findings highlight the previously unreported significant risk of non-drivers sustaining injures through falling and tripping because of heavy alcohol use. Current interventions to reduce alcohol-related injury have focused on drink driving but there is a need for interventions targeting pedestrians and those who drink at home. A comprehensive multi-component approach including secondary prevention interventions in the medical setting, community educational interventions, enforcement of current legislative policies concerning the sale of alcohol, and policy initiatives surrounding road safety and alcohol outlet density should be implemented.

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“…These differences might suggest that ED attendance is a less sensitive indicator of change as it reflects only the most serious of incidents and may therefore often miss statistical significance, even if there is a decline. The lack of geographical specificity in health data systems mean that any impacts of the policy changes on health outcomes may be drowned out by noise-previous research in Queensland have shown that the majority of alcoholrelated injury presentations to EDs stem from incidents in private settings rather than entertainment precincts [32]. ED data systems that record the location of the injury would allow for more specific analyses.…”

Section: Discussionmentioning

confidence: 99%

Assessing the impact of Queensland's late‐night alcohol restrictions using health system data

Livingston

Coomber

Andrade

et al. 2021

Drug and Alcohol Review

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Introduction and Aims. In an attempt to reduce alcohol-related harm in night-time entertainment precincts, the Queensland state government (Australia) introduced the Tackling Alcohol-Fuelled Violence strategy in July 2016, including restrictions on late-night service of alcohol and-later-compulsory ID scanners at venues. In this article, we examined the impact of these changes on emergency department (ED) presentations and hospital admissions for alcohol-related harm. Design and Methods. We used data on ED presentations (July 2009-June 2019) and hospital admissions (July 2009-December 2018). Interrupted time series models using seasonal auto-regressive integrated moving average methods were developed to test the impact of the policy change on presentations for alcohol intoxication, any injury or maxillofacial fractures, and admissions for rates of assault-related injuries or maxillofacial fractures. Analyses were conducted using state-wide Queensland data with a sub-analysis focussing on major Brisbane hospitals. Results. The introduction of 3 am last drinks and mandatory ID scanners had no significant impact on most outcome measures, either across the state or within Brisbane. State-wide, there was a significant decline in ED injury presentations following the introduction of mandatory ID scanners. Discussion and Conclusions. The introduction of the Tackling Alcohol-Fuelled Violence strategy in Queensland Safe Night Precincts was potentially associated with a small reduction in injury presentations to EDs. The lack of other impacts may relate to the relative lack of specificity in health system data, which challenges in the implementation of the Tackling Alcohol-Fuelled Violence policies or other local factors.

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Patterns of ‘at‐home’ alcohol‐related injury presentations to emergency departments

Cited by 8 publications

References 27 publications

A shared data approach more accurately represents the rates and patterns of violence with injury assaults

A shared data approach more accurately represents the rates and patterns of violence with injury assaults

Type and Context of Alcohol-Related Injury among Patients Presenting to Emergency Departments in a Caribbean Country

Assessing the impact of Queensland's late‐night alcohol restrictions using health system data

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