title: The burden of alcohol misuse on an inner-city general hospital.
abstract: Alcohol consumption in the UK has been increasing steadily. We prospectively studied the burden on hospital services caused by overt alcohol misuse, in an inner-city hospital in north-west England. All Accident & Emergency (A&E) patients were assessed to determine whether their hospital attendance was alcohol-related, and whether this resulted in admission and/or generated new out-patient appointments. Over 2 months, 1915 patients attended A&E with alcohol-related problems, accounting for 12% of attendances; 50% were aged 18-39 years, and acute alcohol intoxication was the commonest presenting complaint. Overall, 6.2% of all hospital admissions were due to alcohol-related problems. Over 2800 new out-patient visits were likely to have been generated over an 18-month period from initial attendance with an alcohol-related problem, mostly for orthopaedic clinics. The burden placed by overt alcohol-related problems on hospitals is enormous, both in terms of the emergency and out-patient services. The implementation of education, screening and intervention strategies in A&E departments, and employment of key trained personnel, should be considered, to optimize the clinical management of these patients.
authors.affiliation: Department of Pharmacology and Therapeutics, University of Liverpool, UK. munirp@liv.ac.uk
authors.forename: M
authors.initials: M
authors.lastname: Pirmohamed
authors.forename: C
authors.initials: C
authors.lastname: Brown
authors.forename: L
authors.initials: L
authors.lastname: Owens
authors.forename: C
authors.initials: C
authors.lastname: Luke
authors.forename: I T
authors.initials: IT
authors.lastname: Gilmore
authors.forename: A M
authors.initials: AM
authors.lastname: Breckenridge
authors.forename: B K
authors.initials: BK
authors.lastname: Park
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D019973:Alcohol-Related Disorders / Q000150:complications / Q000453:epidemiology*; D002648:Child; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D004739:England / Q000453:epidemiology; D005260:Female; D006769:Hospitals, General / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D010343:Patient Admission / Q000706:statistics & numerical data; D011446:Prospective Studies; D017678:Sex Distribution; D019037:Urban Health Services / Q000706:statistics & numerical data*