Detection and registration of alcohol use in the Emergency Department
e202004019
Keywords:
Emergency department, Risky drinking, ScreeningAbstract
Background: Due to the high economic and morbimortality burden associated to alcohol use, in the last decades, public health services have developed several programs to detect and to intervene on at risk drinkers in primary care settings and emergency departments (ED). The aim of this study is to determine the proportion of detected and registered risky drinkers in an ED of Hospital Clínic de Barcelona.
Methods: All patients over 18 years old, presenting to the ED and reporting risky drinking, were asked to participate. We did a descriptive analysis of the data after revising clinical records.
Results: We detected 247 risky drinkers after assessing more than 2,047 patients with AUDIT-C scale. From these, 200 accepted to participate. Only 65 (32.5%) of these patients were properly detected and registered as risky drinkers, while the majority of them (122, 61%) had no record about their alcohol use in their clinical records.
Conclusions: Risky drinkers are properly detected and registered in less than 35% of the patients. It is necessary to evaluate which barriers are restricting the implementation of screening programs to detect at risk drinkers.
Downloads
References
Barrio P, Reynolds J, García-Altés A, Gual A, Anderson P. Social costs of illegal drugs, alcohol and tobacco in the European Union: A systematic review. Drug Alcohol Rev [Internet]. 2017 Mar; Available from: http://www.ncbi.nlm.nih.gov/pubmed/28334460.
Pulido J, Indave-Ruiz BI, Colell-Ortega E, Ruiz-García M, Bartroli M, Barrio G. Estudios poblacionales en Espña sobre daños relacionados con el consumo de alcohol. Rev Esp Salud Pública. 2014;88:493–513.
Rehm J, Shield K, Rehm M, Gmel G, Frick U. Alcohol consumption, alcohol dependence and attributable burden of disease in Europe: Potential gains from effective interventions for alcohol dependence [Internet]. 2012 [cited 2014 Feb 17]. Available from: http://amphoraproject.net/w2box/data/AMPHORA.
Cherpitel CJ, Ye Y. Risky Drinking, Alcohol Use Disorders, and Health Services Utilization in the U.S. General Population: Data from the 2005 and 2010 National Alcohol Surveys. Alcohol Clin Exp Res [Internet]. NIH Public Access; 2015 Sep;39(9):1698–704. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26207948.
Anderson P, Berridge V, Conrod P, Dudley R, Hellman M, Lachenmeier D et al. Reframing the science and policy of nicotine, illegal drugs and alcohol - conclusions of the ALICE RAP Project. F1000Research [Internet]. 2017 Mar;6:289. Available from: https://f1000research.com/articles/6-289/v1.
Organización Mundial de la Salud (OMS). Glosario de términos de alcohol y drogas. 2008.
Miquel L, Manthey J, Rehm J, Vela E, Bustins M, Segura L et al. Risky Alcohol Use: The Impact on Health Service Use. Eur Addict Res [Internet]. 2018 Oct;24(5):234–44. Available from: http://www.ncbi.nlm.nih.gov/pubmed/30282079.
Ministerio de Sanidad C y BS. Encuesta sobre alcohol y drogas en España (EDADES). 2013.
Wood AM, Kaptoge S, Butterworth AS, Willeit P, Warnakula S, Bolton T et al. Risk thresholds for alcohol consumption: combined analysis of individual-participant data for 599 912 current drinkers in 83 prospective studies. Lancet. Elsevier; 2018 Apr;391(10129):1513–23.
Haroon S, Wooldridge D, Hoogewerf J, Bhala N, Nirantharakumar K. Information standards for recording alcohol use in electronic health records: findings from a national consultation. Lancet [Internet]. Elsevier; 2017 Nov 1 [cited 2019 Jul 23];390:S42. Available from: https://www.sciencedirect.com/science/article/pii/S014067361732977X.
Saunders JB, Aasland OG, Babor TF, de la Fuente JR, Grant M. Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption--II. Addiction [Internet]. 1993 Jun [cited 2019 Jul 26];88(6):791–804. Available from: http://www.ncbi.nlm.nih.gov/pubmed/832997.0.
Dawson DA, Grant BF, Stinson FS, Zhou Y. Effectiveness of the derived Alcohol Use Disorders Identification Test (AUDIT-C) in screening for alcohol use disorders and risk drinking in the US general population. Alcohol Clin Exp Res [Internet]. 2005 May [cited 2019 Jul 26];29(5):844–54. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15897730.
Babor TF, McRee BG, Kassebaum PA, Grimaldi PL, Ahmed K, Bray J. Screening, Brief Intervention, and Referral to Treatment (SBIRT). Subst Abus. 2007 Nov;28(3):7–30.
O’Donnell A, Anderson P, Newbury-Birch D, Schulte B, Schmidt C, Reimer J et al. The impact of brief alcohol interventions in primary healthcare: a systematic review of reviews. Alcohol Alcohol. 2013;49(1):66–78.
Wojnar M, Jakubczyk A. Brief Interventions for Hazardous and Harmful Alcohol Consumption in Accident and Emergency Departments. Front Psychiatry [Internet]. 2014 Nov;5:152. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25404920.
Merz V, Baptista J, Haller DM. Brief interventions to prevent recurrence and alcohol-related problems in young adults admitted to the emergency ward following an alcohol-related event: a systematic review. J Epidemiol Community Health [Internet]. 2015 Sep;69(9):912–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25841242.
Miquel L, Gual A, Vela E, Lligoña A, Bustins M, Colom J et al. Alcohol Consumption and Inpatient Health Service Utilization in a Cohort of Patients With Alcohol Dependence After 20 Years of Follow-up. Alcohol Alcohol [Internet]. 2016 Oct;52(2):227–33. Available from: http://www.ncbi.nlm.nih.gov/pubmed/28182212.
Falcón M, Navarro-Zaragoza J, García-Rodríguez RM, Nova-López D, González-Navarro MD, Mercadal M et al. Barreras percibidas contra la implementación en los servicios de urgencias hospitalarios en España de un protocolo de cribado de consumo de alcohol e intervención breve en adolescentes. Adicciones [Internet]. 2017 Jul;0(0):896. Available from: http://www.ncbi.nlm.nih.gov/pubmed/28749525.
Shield KD, Gmel G, Gmel G, M?kel? P, Probst C, Room R et al. Life-time risk of mortality due to different levels of alcohol consumption in seven European countries: implications for low-risk drinking guidelines. Addiction [Internet]. 2017 Mar 20 [cited 2017 Jun 20]; Available from: http://www.ncbi.nlm.nih.gov/pubmed/28318072.
Rehm J, Anderson P, Manthey J, Shield KD, Struzzo P, Wojnar M et al. Alcohol Use Disorders in Primary Health Care: What Do We Know and Where Do We Go? Alcohol Alcohol [Internet]. 2016 Jul;51(4):422–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26574600.
Rosón B, Monte R, Gamallo R, Puerta R, Zapatero A, Fernández-Solá J et al. Prevalence and routine assessment of unhealthy alcohol use in hospitalized patients. Eur J Intern Med [Internet]. Elsevier; 2010 Oct;21(5):458–64. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20816605.
Ministerio de Sanidad. Gobierno de España. Estrategia Nacional sobre Drogas 2009-2016. 2009.
Sassi F, OECD iLibrary. Tackling harmful alcohol use : economics and public health policy. 235 p.
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2020 Pol Bruguera, Pablo Barrio, Clara Oliveras, Mireia Vázquez, Victòria Soler, Laura Nuño, Eduard Vieta, Antoni Gual
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Usted es libre de:
Compartir — copiar y redistribuir el material en cualquier medio o formato.
La licenciante no puede revocar estas libertades en tanto usted siga los términos de la licencia.
Bajo los siguientes términos:
Atribución — Usted debe dar crédito de manera adecuada , brindar un enlace a la licencia, e indicar si se han realizado cambios. Puede hacerlo en cualquier forma razonable, pero no de forma tal que sugiera que usted o su uso tienen el apoyo de la licenciante.
NoComercial — Usted no puede hacer uso del material con propósitos comerciales.
SinDerivadas — Si remezcla, transforma o crea a partir del material, no podrá distribuir el material modificado.
No hay restricciones adicionales — No puede aplicar términos legales ni medidas tecnológicas que restrinjan legalmente a otras a hacer cualquier uso permitido por la licencia.
Avisos:
No tiene que cumplir con la licencia para elementos del material en el dominio público o cuando su uso esté permitido por una excepción o limitación aplicable.
No se dan garantías. La licencia podría no darle todos los permisos que necesita para el uso que tenga previsto. Por ejemplo, otros derechos como publicidad, privacidad, o derechos morales pueden limitar la forma en que utilice el material.