Document Detail


Effect of 24-h alcohol licensing on emergency departments: the South Yorkshire experience.
MedLine Citation:
PMID:  20472701     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The alcohol Licensing Act (2003) was introduced to England and Wales on 23 November 2005. A single-centre study in 2007 from St Thomas's Hospital concluded that their alcohol-related attendances had significantly increased after the implementation of this new Act. This study aimed to assess whether this finding was reproduced in other hospitals.
METHOD: A retrospective cohort study, reviewing anonymised routine data from four emergency departments (ED) in South Yorkshire, was undertaken. The study population was adults (over the age of 18 years) attending the ED with injuries or illnesses directly related to alcohol in the 12 months before and after the implementation of the Licensing Act (2003). The primary outcome was the number of these alcohol-related attendances. Secondary outcomes assessed whether there was any change in the timing of these presentations.
RESULTS: Alcohol-related attendances, as detected by clinical coding, increased from 0.6% to 0.7% as a proportion of all attendances (95% CI 0.1 to 0.2, p<0.001). They increased by 0.4% at the Northern General Hospital and by 0.1% at Barnsley Hospital, decreased by 0.2% at Doncaster Royal Infirmary and did not significantly change at Rotherham General Hospital. The secondary outcome showed an unaltered peak time of 01:00 hours for alcohol-related attendances.
CONCLUSION: Trends in alcohol-related attendances after the implementation of the Licensing Act (2003) varied across South Yorkshire hospitals and probably reflect local factors rather than any consistent impact from the Act.
Authors:
Lucy A Jones; Steve Goodacre
Publication Detail:
Type:  Journal Article     Date:  2010-05-14
Journal Detail:
Title:  Emergency medicine journal : EMJ     Volume:  27     ISSN:  1472-0213     ISO Abbreviation:  Emerg Med J     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-27     Completed Date:  2011-01-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100963089     Medline TA:  Emerg Med J     Country:  England    
Other Details:
Languages:  eng     Pagination:  688-91     Citation Subset:  IM    
Affiliation:
Emergency Department, Northern General Hospital, Herries Road, Sheffield S5 7UA, UK. indiana_2000@doctors.org.uk
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MeSH Terms
Descriptor/Qualifier:
Adult
Alcohol Drinking / legislation & jurisprudence*
Alcohol-Related Disorders / epidemiology*
Cohort Studies
Emergency Service, Hospital / utilization*
England / epidemiology
Hospitalization / trends*
Humans
Licensure / legislation & jurisprudence*
Questionnaires
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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