Trends in Alcohol‐Related Emergency Department Visits in the United States: Results from the Nationwide Emergency Department Sample, 2006 to 2014

Background Acute alcohol consumption and chronic alcohol consumption increase the burden placed on emergency departments (EDs) by contributing to injury and disease. Whether the prevalence of alcohol‐related ED visits in the United States has changed in recent years is unknown. The purpose of this s...

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Veröffentlicht in:Alcoholism, clinical and experimental research clinical and experimental research, 2018-02, Vol.42 (2), p.352-359
Hauptverfasser: White, Aaron M., Slater, Megan E., Ng, Grace, Hingson, Ralph, Breslow, Rosalind
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container_issue 2
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container_title Alcoholism, clinical and experimental research
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creator White, Aaron M.
Slater, Megan E.
Ng, Grace
Hingson, Ralph
Breslow, Rosalind
description Background Acute alcohol consumption and chronic alcohol consumption increase the burden placed on emergency departments (EDs) by contributing to injury and disease. Whether the prevalence of alcohol‐related ED visits in the United States has changed in recent years is unknown. The purpose of this study was to examine trends in ED visits involving acute and chronic alcohol consumption in the United States by age and sex between 2006 and 2014. Methods Data from the Nationwide Emergency Department Sample (NEDS), the largest all‐payer ED database in the United States involving 945 hospitals in 33 states and Washington, DC, were analyzed to assess changes in prevalence and rates of ED visits involving acute and chronic alcohol consumption by age and sex over time among persons aged ≥12 between 2006 and 2014. Results Between 2006 and 2014, the number of ED visits involving alcohol consumption increased 61.6%, from 3,080,214 to 4,976,136. The rate increased 47% from 1,223 to 1,802 per 100,000 population and the total cost of such visits increased 272% from $4.1 billion to $15.3 billion. The number of acute alcohol‐related ED visits increased 51.5% from 1,801,006 to 2,728,313 and the rate increased 40% from 720.9 to 1,009.6 per 100,000 population. The number chronic alcohol‐related visits increased 75.7% from 1,279,208 to 2,247,823 and the rate increased 57.9% from 502.2 to 792.9 per 100,000. The annual percentage change in rates of all alcohol‐related ED visits was larger for females than for males (5.3% vs. 4.0%). Other drug involvement increased the likelihood of admission for inpatient treatment. Conclusions Alcohol consumption contributed to an increasing number of ED visits in the United States between 2006 and 2014, especially among females. Increased utilization of evidence‐based interventions is needed. Between 2006 to 2014, the number of acute alcohol‐related emergency department visits in the United States increased 51.5% from 1,801,006 to 2,728,313 and the rate increased 40% from 720.9 to 1009.6 per 100,000 population. The number of chronic alcohol‐related visits increased 75.6% from 1,279,208 to 2,247,823 and the rate increased 57.9% from 502.2 to 792.9 per 100,000. Per capita consumption remained stable during this time. The overall increases in rates were larger for females than males.
doi_str_mv 10.1111/acer.13559
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Whether the prevalence of alcohol‐related ED visits in the United States has changed in recent years is unknown. The purpose of this study was to examine trends in ED visits involving acute and chronic alcohol consumption in the United States by age and sex between 2006 and 2014. Methods Data from the Nationwide Emergency Department Sample (NEDS), the largest all‐payer ED database in the United States involving 945 hospitals in 33 states and Washington, DC, were analyzed to assess changes in prevalence and rates of ED visits involving acute and chronic alcohol consumption by age and sex over time among persons aged ≥12 between 2006 and 2014. Results Between 2006 and 2014, the number of ED visits involving alcohol consumption increased 61.6%, from 3,080,214 to 4,976,136. The rate increased 47% from 1,223 to 1,802 per 100,000 population and the total cost of such visits increased 272% from $4.1 billion to $15.3 billion. The number of acute alcohol‐related ED visits increased 51.5% from 1,801,006 to 2,728,313 and the rate increased 40% from 720.9 to 1,009.6 per 100,000 population. The number chronic alcohol‐related visits increased 75.7% from 1,279,208 to 2,247,823 and the rate increased 57.9% from 502.2 to 792.9 per 100,000. The annual percentage change in rates of all alcohol‐related ED visits was larger for females than for males (5.3% vs. 4.0%). Other drug involvement increased the likelihood of admission for inpatient treatment. Conclusions Alcohol consumption contributed to an increasing number of ED visits in the United States between 2006 and 2014, especially among females. Increased utilization of evidence‐based interventions is needed. Between 2006 to 2014, the number of acute alcohol‐related emergency department visits in the United States increased 51.5% from 1,801,006 to 2,728,313 and the rate increased 40% from 720.9 to 1009.6 per 100,000 population. The number of chronic alcohol‐related visits increased 75.6% from 1,279,208 to 2,247,823 and the rate increased 57.9% from 502.2 to 792.9 per 100,000. Per capita consumption remained stable during this time. The overall increases in rates were larger for females than males.</description><identifier>ISSN: 0145-6008</identifier><identifier>EISSN: 1530-0277</identifier><identifier>DOI: 10.1111/acer.13559</identifier><identifier>PMID: 29293274</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Alcohol ; Alcohol use ; Alcohol-Related Disorders - epidemiology ; Alcoholic Intoxication - epidemiology ; Alcohols ; Child ; Databases, Factual ; Emergencies ; Emergency Department ; Emergency medical services ; Emergency Service, Hospital - economics ; Emergency Service, Hospital - trends ; Female ; Females ; Health Care Costs ; Hospitalization - economics ; Hospitalization - statistics &amp; numerical data ; Humans ; Injury ; Male ; Males ; Middle Aged ; Overdose ; Prevalence ; Sex Distribution ; Trend ; Trends ; United States - epidemiology ; Young Adult</subject><ispartof>Alcoholism, clinical and experimental research, 2018-02, Vol.42 (2), p.352-359</ispartof><rights>Published 2018. This article is a U.S. Government work and is in the public domain in the USA</rights><rights>Published 2018. 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Whether the prevalence of alcohol‐related ED visits in the United States has changed in recent years is unknown. The purpose of this study was to examine trends in ED visits involving acute and chronic alcohol consumption in the United States by age and sex between 2006 and 2014. Methods Data from the Nationwide Emergency Department Sample (NEDS), the largest all‐payer ED database in the United States involving 945 hospitals in 33 states and Washington, DC, were analyzed to assess changes in prevalence and rates of ED visits involving acute and chronic alcohol consumption by age and sex over time among persons aged ≥12 between 2006 and 2014. Results Between 2006 and 2014, the number of ED visits involving alcohol consumption increased 61.6%, from 3,080,214 to 4,976,136. The rate increased 47% from 1,223 to 1,802 per 100,000 population and the total cost of such visits increased 272% from $4.1 billion to $15.3 billion. The number of acute alcohol‐related ED visits increased 51.5% from 1,801,006 to 2,728,313 and the rate increased 40% from 720.9 to 1,009.6 per 100,000 population. The number chronic alcohol‐related visits increased 75.7% from 1,279,208 to 2,247,823 and the rate increased 57.9% from 502.2 to 792.9 per 100,000. The annual percentage change in rates of all alcohol‐related ED visits was larger for females than for males (5.3% vs. 4.0%). Other drug involvement increased the likelihood of admission for inpatient treatment. Conclusions Alcohol consumption contributed to an increasing number of ED visits in the United States between 2006 and 2014, especially among females. Increased utilization of evidence‐based interventions is needed. Between 2006 to 2014, the number of acute alcohol‐related emergency department visits in the United States increased 51.5% from 1,801,006 to 2,728,313 and the rate increased 40% from 720.9 to 1009.6 per 100,000 population. The number of chronic alcohol‐related visits increased 75.6% from 1,279,208 to 2,247,823 and the rate increased 57.9% from 502.2 to 792.9 per 100,000. Per capita consumption remained stable during this time. The overall increases in rates were larger for females than males.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Alcohol</subject><subject>Alcohol use</subject><subject>Alcohol-Related Disorders - epidemiology</subject><subject>Alcoholic Intoxication - epidemiology</subject><subject>Alcohols</subject><subject>Child</subject><subject>Databases, Factual</subject><subject>Emergencies</subject><subject>Emergency Department</subject><subject>Emergency medical services</subject><subject>Emergency Service, Hospital - economics</subject><subject>Emergency Service, Hospital - trends</subject><subject>Female</subject><subject>Females</subject><subject>Health Care Costs</subject><subject>Hospitalization - economics</subject><subject>Hospitalization - statistics &amp; numerical data</subject><subject>Humans</subject><subject>Injury</subject><subject>Male</subject><subject>Males</subject><subject>Middle Aged</subject><subject>Overdose</subject><subject>Prevalence</subject><subject>Sex Distribution</subject><subject>Trend</subject><subject>Trends</subject><subject>United States - epidemiology</subject><subject>Young Adult</subject><issn>0145-6008</issn><issn>1530-0277</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kd9qFDEUh4NY7Fq98QFkwBsRpyaTP5N4t6xrWygK29bbIZOcsVMyk22SoeydjyD4hj6J2d22FyKem3PgfOfjwA-hVwQfk1wftIFwTCjn6gmaEU5xiau6fopmmDBeCozlIXoe4w3GmEkhnqHDSlWKVjWboV-XAUYbi34s5s74a-9-__i5AqcT2GI5QPgOo9kUn2CtQxpgTMW3PvZpd5Cuobga-y15kfJB_FisIE4ub7vgh93-i069H-96C_-2Xehh7eB9UWEsiuRzJ-wFOui0i_Dyvh-hq8_Ly8Vpef715GwxPy8NVVSVlnfcyrrminCQXYeVFFwp0ubJKtN2lgBuWQvMCl0xIgzh0lZcEt1Cxw09Qm_33nXwtxPE1Ax9NOCcHsFPsSFKUsmUoFVG3_yF3vgpjPm7TCksWU0FzdS7PWWCjzFA16xDP-iwaQhutlE126iaXVQZfn2vnNoB7CP6kE0GyB646x1s_qNq5ovlai_9A_konv4</recordid><startdate>201802</startdate><enddate>201802</enddate><creator>White, Aaron M.</creator><creator>Slater, Megan E.</creator><creator>Ng, Grace</creator><creator>Hingson, Ralph</creator><creator>Breslow, Rosalind</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>K7.</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1010-8472</orcidid><orcidid>https://orcid.org/0000-0002-1610-6040</orcidid></search><sort><creationdate>201802</creationdate><title>Trends in Alcohol‐Related Emergency Department Visits in the United States: Results from the Nationwide Emergency Department Sample, 2006 to 2014</title><author>White, Aaron M. ; Slater, Megan E. ; Ng, Grace ; Hingson, Ralph ; Breslow, Rosalind</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3939-d5f5d8775915e8ff09865991bf09d9cbfd1e0b4be4d6a2416c158d2581abef5c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Alcohol</topic><topic>Alcohol use</topic><topic>Alcohol-Related Disorders - epidemiology</topic><topic>Alcoholic Intoxication - epidemiology</topic><topic>Alcohols</topic><topic>Child</topic><topic>Databases, Factual</topic><topic>Emergencies</topic><topic>Emergency Department</topic><topic>Emergency medical services</topic><topic>Emergency Service, Hospital - economics</topic><topic>Emergency Service, Hospital - trends</topic><topic>Female</topic><topic>Females</topic><topic>Health Care Costs</topic><topic>Hospitalization - economics</topic><topic>Hospitalization - statistics &amp; numerical data</topic><topic>Humans</topic><topic>Injury</topic><topic>Male</topic><topic>Males</topic><topic>Middle Aged</topic><topic>Overdose</topic><topic>Prevalence</topic><topic>Sex Distribution</topic><topic>Trend</topic><topic>Trends</topic><topic>United States - epidemiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>White, Aaron M.</creatorcontrib><creatorcontrib>Slater, Megan E.</creatorcontrib><creatorcontrib>Ng, Grace</creatorcontrib><creatorcontrib>Hingson, Ralph</creatorcontrib><creatorcontrib>Breslow, Rosalind</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Criminal Justice (Alumni)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Alcoholism, clinical and experimental research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>White, Aaron M.</au><au>Slater, Megan E.</au><au>Ng, Grace</au><au>Hingson, Ralph</au><au>Breslow, Rosalind</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Trends in Alcohol‐Related Emergency Department Visits in the United States: Results from the Nationwide Emergency Department Sample, 2006 to 2014</atitle><jtitle>Alcoholism, clinical and experimental research</jtitle><addtitle>Alcohol Clin Exp Res</addtitle><date>2018-02</date><risdate>2018</risdate><volume>42</volume><issue>2</issue><spage>352</spage><epage>359</epage><pages>352-359</pages><issn>0145-6008</issn><eissn>1530-0277</eissn><abstract>Background Acute alcohol consumption and chronic alcohol consumption increase the burden placed on emergency departments (EDs) by contributing to injury and disease. Whether the prevalence of alcohol‐related ED visits in the United States has changed in recent years is unknown. The purpose of this study was to examine trends in ED visits involving acute and chronic alcohol consumption in the United States by age and sex between 2006 and 2014. Methods Data from the Nationwide Emergency Department Sample (NEDS), the largest all‐payer ED database in the United States involving 945 hospitals in 33 states and Washington, DC, were analyzed to assess changes in prevalence and rates of ED visits involving acute and chronic alcohol consumption by age and sex over time among persons aged ≥12 between 2006 and 2014. Results Between 2006 and 2014, the number of ED visits involving alcohol consumption increased 61.6%, from 3,080,214 to 4,976,136. The rate increased 47% from 1,223 to 1,802 per 100,000 population and the total cost of such visits increased 272% from $4.1 billion to $15.3 billion. The number of acute alcohol‐related ED visits increased 51.5% from 1,801,006 to 2,728,313 and the rate increased 40% from 720.9 to 1,009.6 per 100,000 population. The number chronic alcohol‐related visits increased 75.7% from 1,279,208 to 2,247,823 and the rate increased 57.9% from 502.2 to 792.9 per 100,000. The annual percentage change in rates of all alcohol‐related ED visits was larger for females than for males (5.3% vs. 4.0%). Other drug involvement increased the likelihood of admission for inpatient treatment. Conclusions Alcohol consumption contributed to an increasing number of ED visits in the United States between 2006 and 2014, especially among females. Increased utilization of evidence‐based interventions is needed. Between 2006 to 2014, the number of acute alcohol‐related emergency department visits in the United States increased 51.5% from 1,801,006 to 2,728,313 and the rate increased 40% from 720.9 to 1009.6 per 100,000 population. The number of chronic alcohol‐related visits increased 75.6% from 1,279,208 to 2,247,823 and the rate increased 57.9% from 502.2 to 792.9 per 100,000. Per capita consumption remained stable during this time. The overall increases in rates were larger for females than males.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>29293274</pmid><doi>10.1111/acer.13559</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-1010-8472</orcidid><orcidid>https://orcid.org/0000-0002-1610-6040</orcidid><oa>free_for_read</oa></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete; Journals@Ovid Complete
subjects Adolescent
Adult
Aged
Aged, 80 and over
Alcohol
Alcohol use
Alcohol-Related Disorders - epidemiology
Alcoholic Intoxication - epidemiology
Alcohols
Child
Databases, Factual
Emergencies
Emergency Department
Emergency medical services
Emergency Service, Hospital - economics
Emergency Service, Hospital - trends
Female
Females
Health Care Costs
Hospitalization - economics
Hospitalization - statistics & numerical data
Humans
Injury
Male
Males
Middle Aged
Overdose
Prevalence
Sex Distribution
Trend
Trends
United States - epidemiology
Young Adult
title Trends in Alcohol‐Related Emergency Department Visits in the United States: Results from the Nationwide Emergency Department Sample, 2006 to 2014
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