A Retrospective Analysis of the Nature, Extent and Cost of Alcohol-Related Emergency Calls to the Ambulance Service in an English Region

Authors: Martin, N.; Newbury-Birch, D.; Duckett, J.; Mason, H.; Shen, J.; Shevills, C.; Kaner, E.

Source: Alcohol and Alcoholism, Volume 47, Number 2, 18 March 2012 , pp. 191-197(7)

Publisher: Oxford University Press

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Abstract:

Aims

To measure the prevalence, pattern and associated financial cost of alcohol-related ambulance call outs in the North East of England using routinely collected data from the North East Ambulance Service (NEAS).

Methods

A retrospective cohort study over a 1-year time period (1 April 2009 to 31 March 2010) using NEAS patient record forms.

Results

In the North East, 10 of ambulance call outs were alcohol-related. Males were 2.5 times more likely than females to be attended by an ambulance on the street rather than at home. People aged 1019 had the highest relative risk ratio (3.4) of an ambulance pick up being on the street compare with those aged over 60. These call outs and subsequent accident and emergency (A&E) attendances cost over 9 million in a 1-year period. When extrapolated to the whole country the cost could be as much as 152 million per year.

Conclusion

In a 1-year period, we estimated that over 31,000 ambulance call outs were alcohol-related. A large discrepancy was found between manual and electronic recording of alcohol-related ambulance attendances to A&E. The workload and cost of alcohol-related call outs is high and mostly preventable. Ambulance visits may present a teachable moment for brief intervention to reduce alcohol-related risk and harm.

Document Type: Research article

DOI: http://dx.doi.org/10.1093/alcalc/agr158

Publication date: 2012-03-18

More about this publication?
  • Alcohol and Alcoholism publishes papers on biomedical, psychological and sociological aspects of alcoholism and alcohol research, provided that they make a new and significant contribution to knowledge in the field. Papers include new results obtained experimentally, descriptions of new experimental (including clinical) methods of importance to the field of alcohol research and treatment, or new interpretations of existing results. Theoretical contributions are considered equally with papers dealing with experimental work provided that such theoretical contribution are not of a largely speculative or philosophical nature. Alcohol and Alcoholism is the official journal of the Medical Council on Alcohol.
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