An evaluation of alcohol attendances to an inner city emergency department before and after the introduction of the UK Licensing Act 2003.
An evaluation of alcohol attendances to an inner city emergency department before and after the introduction of the UK Licensing Act 2003.
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DOI：
10.1186/1471-2458-8-379
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发表时间：
2008-10-31
影响因子：
4.5
通讯作者：
Perry JM
中科院分区：
文献类型：
--
作者：
Durnford AJ;Perkins TJ;Perry JM
《2003年许可法案》（以下简称《法案》）于2005年11月24日在英格兰和威尔士实施。该法案允许持牌营业场所更灵活和更长的营业时间。我们调查了该法案对英国伯明翰市中心急诊室与酒精相关的出勤率的影响。我们比较了2005年1月和2006年1月，即《2003年许可证法》实施前后一周内，与酒精有关的急诊就诊比例和时间。与酒精相关的就诊被定义为任何就诊，如果有任何文件表明患者在到急诊科就诊前曾饮酒，如果他们在检查中表现出醉酒，或者如果酒精归因于他们的最终诊断。每周的总人次由2005年的1,912人次轻微上升至2006年的2,146人次。在2005年（3.6%）和2006年（2.9%）之间，与酒精有关的出勤比例没有显著下降。2005年在周末18时至23时59分期间的上座率（61.4%）明显高于2006年（17.2%）。在2006年3月3日至5月59日期间，周末的上座率相应显著增加。我们的研究结果表明，在实施《2003年许可证法》前后，与酒精有关的急诊就诊模式发生了变化，这对急诊服务的提供产生了影响。
The Licensing Act 2003 (The Act) was implemented on the 24th November 2005 across England and Wales. The Act allowed more flexible and longer opening hours for licensed premises. We investigated the effect of The Act on alcohol related attendances to an inner city emergency department in Birmingham, UK. We compared the proportion and time of alcohol related emergency department attendances in one week periods in January 2005 and 2006, before and after the implementation of The Licensing Act 2003. An alcohol related attendance was defined as any attendance where there was any documentation of the patient having consumed alcohol before presenting to the emergency department, if they appeared intoxicated on examination, or if alcohol attributed to their final diagnosis. The total weekly attendances increased slightly from 1,912 in 2005 to 2,146 in 2006. There was non-significant reduction in the proportion of alcohol related attendances between 2005 (3.6%) and 2006 (2.9%). A significantly greater proportion of attendances occurred at the weekend between 18.00 and 23.59 in 2005 (61.4%) than in 2006 (17.2%). There was a corresponding significant increase in the weekend proportion of attendances occurring between 03.00 to 05.59 in 2006. Our findings show that there was a change in the pattern of alcohol related attendances to the emergency department around the time of implementation of the Licensing Act 2003, which has implications for delivery of emergency department services.
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影响因子：
3.1
作者：
Newton, Alastair;Sarker, Shah Jalal;Young, Charles
通讯作者：
Young, Charles
影响因子：
3.9
作者：
Room, R;Graham, K;Monteiro, M
通讯作者：
Monteiro, M
DOI：
10.1016/s0020-1383(03)00241-9
发表时间：
2004-05-01
影响因子：
2.5
作者：
Sivarajasingam, V;Corcoran, J;Shepherd, J
通讯作者：
Shepherd, J
影响因子：
4.4
作者：
Macdonald, S;Cherpitel, CJ;Stockwell, T
通讯作者：
Stockwell, T
DOI：
10.1016/j.injury.2006.01.035
发表时间：
2006-05-01
影响因子：
2.5
作者：
Sivarajasingam, V;Matthews, K;Shepherd, J
通讯作者：
Shepherd, J