Further Utilization of Emergency Department and Inpatient Psychiatric Services Among Young Adults Admitted at the Emergency Department With Clinical Alcohol Intoxication
type: Article
item type: journalArticle
is part of: J Addict Med
authors: Person
  surname: Adam
  given name: A.
authors: Person
  surname: Faouzi
  given name: M.
authors: Person
  surname: McNeely
  given name: J.
authors: Person
  surname: Yersin
  given name: B.
authors: Person
  surname: Daeppen
  given name: J. B.
authors: Person
  surname: Bertholet
  given name: N.
subject: Adolescent
subject: Adult
subject: Alcoholic Intoxication/*epidemiology
subject: Emergency Service, Hospital/*statistics & numerical data
subject: Female
subject: Humans
subject: Logistic Models
subject: Male
subject: Mental Disorders/epidemiology
subject: Multivariate Analysis
subject: Patient Admission/*statistics & numerical data
subject: Patient Readmission/*statistics & numerical data
subject: Prognosis
subject: Psychiatric Department, Hospital/*statistics & numerical data
subject: Retrospective Studies
subject: Sex Factors
subject: Switzerland
subject: Tertiary Care Centers
subject: Young Adult
abstract: OBJECTIVES: To assess in a cohort of young adults admitted with alcohol intoxication (AI) to the Emergency Department (ED): how many patients are readmitted to the ED or to a Psychiatric Department (PD) inpatient unit; and which characteristics are associated with further ED and PD inpatient admissions. METHODS: In 630 patients aged 18 to 30 years admitted for AI in 2006 to 2007 to the ED of a Swiss tertiary hospital, further ED and PD inpatient admissions through 2013 were assessed. Patient characteristics at the index (initial) ED visit were assessed using administrative and medical records. MEASUREMENTS: Proportion of subjects with at least 1 further ED admission, 1 further ED admission with AI, and any PD admission over the study period.Associations between patients' characteristics at index visit and readmissions were assessed using backward selection multivariate regression analyses. RESULTS: Mean age was 24, 66% were male, 60% had any ED/PD admissions during the study period, 17.9% a PD admission, and 13.8% were re-admitted to ED with AI. Disruptive behavior at the index visit was associated with further ED (odds ratio [OR] 1.69 [1.13; 2.54]) and PD admissions (OR 2.41 [1.44; 4.05]). Psychiatric diagnosis was associated with any further ED admission (OR 2.07 [1.41; 3.05]), with further ED admission with AI (OR 4.56 [2.36; 8.81]) and with PD admission (OR 3.92 [2.40; 6.41]). Female sex predicted any further ED admission (OR 1.65 [1.14; 2.39]). CONCLUSIONS: Young adults presenting with alcohol intoxication have high rates of subsequent inpatient emergency and psychiatric admissions. Being female, presenting with disruptive behavior, and having a psychiatric diagnosis at the ED visit were predictors of further admissions.
date: 2020-02-06
pages: 32-38
coverage: 32012139

J Addict Med
type: Journal
volume: 14
number: 1
identifier: DOI 10.1097/ADM.0000000000000529
identifier: ISSN 1935-3227 (Electronic) 1932-0620 (Linking)