Impact of the new UK licensing law on emergency hospital attendances: a cohort study
Impact of the new UK licensing law on emergency hospital attendances: a cohort study
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DOI：
10.1136/emj.2007.046094
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发表时间：
2007-08-01
影响因子：
3.1
通讯作者：
Young, Charles
中科院分区：
文献类型：
--
作者：
Newton, Alastair;Sarker, Shah Jalal;Young, Charles
目的：评估新的英国酒类许可法对急诊科过夜就诊人数的影响。方法：对伦敦圣托马斯医院急诊科进行了一项超过2个月的回顾性队列研究，分别在新法律出台前和实施后1个月进行。所有在两个研究期间(2005年3月和2006年3月)在21：00至09：00期间到急诊科就诊的16岁以上的人都包括在内。与酒精有关的就诊被定义为在就诊前有饮酒记录，或与患者的体检或最终诊断有关的酒精中毒的记录。主要的结果衡量标准是两个研究期间与酒精相关的急诊科就诊人数和百分比的变化。在两个研究期间比较的次要结果指标是因殴打和受伤而与酒精有关的就诊人数和百分比，以及因酒精而入院的人数和百分比。结果：2005年3月，急症室通宵就诊人数为2736人，其中79人(2.9%)被归类为与酒精有关的就诊人数。相比之下，2006年3月共有3135人次通宵就诊，其中250人次(8%)与酒精有关，增幅显著(p
Objectives: To assess the effect of the new UK alcohol licensing law on overnight attendances to the emergency department.Methods: A retrospective cohort study at the emergency department of St Thomas' Hospital, London over 2 months, one before and one after the introduction of the new legislation. All people over the age of 16 years who attended the emergency department between 21:00 and 09:00 during the two study periods (March 2005 and March 2006) were included. An alcohol-related attendance was defined as having occurred if there was documentation of alcohol consumption before attendance, or of alcohol intoxication in relation to the patient's physical examination or final diagnosis. The primary outcome measure was change in the number and percentage of alcohol related attendances to the emergency department between the two study periods. Secondary outcome measures, compared between the two study periods, were number and percentage of alcohol-related attendances as a consequence of assault, and of injury; and number and percentage of alcohol-related attendances resulting in admission to hospital.Results: In March 2005 there were 2736 overnight attendances to the ED, of which 79 (2.9%) were classified as alcohol related. In comparison, in March 2006 there were a total of 3135 overnight attendances, of which 250 (8%) were alcohol related, representing a significant increase (p