Ambulance attendance for substance and/or alcohol use in a pandemic: Interrupted time series analysis of incidents
Introduction The ambulance attendance for substance and/or alcohol use in a pandemic (ASAP) study explores incidents during the COVID‐19 lockdown in the East Midlands region of the United Kingdom (23 March–4 July 2020). Method Retrospective cross‐sectional count per day of ambulance attendances from...
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| Veröffentlicht in: | Drug and alcohol review 2022-05, Vol.41 (4), p.932-940 |
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| creator | Mason, Rachael Roberts, Amanda Spaight, Robert Shaw, Debbie Whitley, Gregory Adam Hogue, Todd E. Siriwardena, Aloysius Niroshan Rogers, Jim Law, Graham R. |
| description | Introduction
The ambulance attendance for substance and/or alcohol use in a pandemic (ASAP) study explores incidents during the COVID‐19 lockdown in the East Midlands region of the United Kingdom (23 March–4 July 2020).
Method
Retrospective cross‐sectional count per day of ambulance attendances from the East Midlands Ambulance Service Trust. Ambulance attendances relating to alcohol or other drug use in the year prior, during lockdown and weeks following, were examined using interrupted time series analysis by patient demographics and geographical location.
Results
A total of 36 104 records were identified (53.7% male, 84.5% ethnicity classified as White, mean age 38.4 years). A significant drop in the number of attendances per day at the start of lockdown (−25.24, confidence interval − 38.16, −12.32) was observed, followed by a gradual increase during the ongoing lockdown period (0.36, confidence interval 0.23, 0.46). Similar patterns were found across genders, age groups 16–64 and urban/rural locations.
Discussion and Conclusion
The pattern of ambulance attendances for alcohol or other drug use changed during the COVID‐19 lockdown period. Lockdown significantly affected the use of ambulances for incidents involving alcohol or other drug use, impacting on health‐care services. Further research into hazardous use of alcohol or other drugs during the lockdown periods is needed to inform policy, planning and public health initiatives. |
| doi_str_mv | 10.1111/dar.13453 |
| format | Article |
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The ambulance attendance for substance and/or alcohol use in a pandemic (ASAP) study explores incidents during the COVID‐19 lockdown in the East Midlands region of the United Kingdom (23 March–4 July 2020).
Method
Retrospective cross‐sectional count per day of ambulance attendances from the East Midlands Ambulance Service Trust. Ambulance attendances relating to alcohol or other drug use in the year prior, during lockdown and weeks following, were examined using interrupted time series analysis by patient demographics and geographical location.
Results
A total of 36 104 records were identified (53.7% male, 84.5% ethnicity classified as White, mean age 38.4 years). A significant drop in the number of attendances per day at the start of lockdown (−25.24, confidence interval − 38.16, −12.32) was observed, followed by a gradual increase during the ongoing lockdown period (0.36, confidence interval 0.23, 0.46). Similar patterns were found across genders, age groups 16–64 and urban/rural locations.
Discussion and Conclusion
The pattern of ambulance attendances for alcohol or other drug use changed during the COVID‐19 lockdown period. Lockdown significantly affected the use of ambulances for incidents involving alcohol or other drug use, impacting on health‐care services. Further research into hazardous use of alcohol or other drugs during the lockdown periods is needed to inform policy, planning and public health initiatives.</description><identifier>ISSN: 0959-5236</identifier><identifier>EISSN: 1465-3362</identifier><identifier>DOI: 10.1111/dar.13453</identifier><identifier>PMID: 35231136</identifier><language>eng</language><publisher>Melbourne: John Wiley & Sons Australia, Ltd</publisher><subject>Adult ; Age differences ; alcohol drinking ; Alcohol use ; Ambulance services ; Ambulances ; Attendance ; Communicable Disease Control ; Confidence intervals ; COVID-19 ; Cross-Sectional Studies ; Drug abuse ; Drug use ; emergency treatment ; epidemiology ; Ethnicity ; Female ; Health care ; Health initiatives ; Humans ; Interrupted Time Series Analysis ; Male ; Original Paper ; pandemic ; Pandemics ; Public health ; Retrospective Studies ; substance use ; Substance-Related Disorders - epidemiology ; Time series</subject><ispartof>Drug and alcohol review, 2022-05, Vol.41 (4), p.932-940</ispartof><rights>2022 The Authors. published by John Wiley & Sons Australia, Ltd on behalf of Australasian Professional Society on Alcohol and other Drugs.</rights><rights>2022 The Authors. Drug and Alcohol Review published by John Wiley & Sons Australia, Ltd on behalf of Australasian Professional Society on Alcohol and other Drugs.</rights><rights>2022. This article is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4433-68d5c263c965f4bb8caa1c59ad530911a7c3e8491fda3a3105cca377f9ef3073</citedby><cites>FETCH-LOGICAL-c4433-68d5c263c965f4bb8caa1c59ad530911a7c3e8491fda3a3105cca377f9ef3073</cites><orcidid>0000-0002-1892-4223 ; 0000-0003-2484-8201 ; 0000-0003-0532-4007 ; 0000-0002-2889-9551 ; 0000-0003-4361-5876 ; 0000-0002-1898-6184 ; 0000-0002-0155-4916 ; 0000-0001-7904-0264 ; 0000-0003-2586-6815</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fdar.13453$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fdar.13453$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,315,782,786,887,1419,27933,27934,31008,45583,45584</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35231136$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mason, Rachael</creatorcontrib><creatorcontrib>Roberts, Amanda</creatorcontrib><creatorcontrib>Spaight, Robert</creatorcontrib><creatorcontrib>Shaw, Debbie</creatorcontrib><creatorcontrib>Whitley, Gregory Adam</creatorcontrib><creatorcontrib>Hogue, Todd E.</creatorcontrib><creatorcontrib>Siriwardena, Aloysius Niroshan</creatorcontrib><creatorcontrib>Rogers, Jim</creatorcontrib><creatorcontrib>Law, Graham R.</creatorcontrib><title>Ambulance attendance for substance and/or alcohol use in a pandemic: Interrupted time series analysis of incidents</title><title>Drug and alcohol review</title><addtitle>Drug Alcohol Rev</addtitle><description>Introduction
The ambulance attendance for substance and/or alcohol use in a pandemic (ASAP) study explores incidents during the COVID‐19 lockdown in the East Midlands region of the United Kingdom (23 March–4 July 2020).
Method
Retrospective cross‐sectional count per day of ambulance attendances from the East Midlands Ambulance Service Trust. Ambulance attendances relating to alcohol or other drug use in the year prior, during lockdown and weeks following, were examined using interrupted time series analysis by patient demographics and geographical location.
Results
A total of 36 104 records were identified (53.7% male, 84.5% ethnicity classified as White, mean age 38.4 years). A significant drop in the number of attendances per day at the start of lockdown (−25.24, confidence interval − 38.16, −12.32) was observed, followed by a gradual increase during the ongoing lockdown period (0.36, confidence interval 0.23, 0.46). Similar patterns were found across genders, age groups 16–64 and urban/rural locations.
Discussion and Conclusion
The pattern of ambulance attendances for alcohol or other drug use changed during the COVID‐19 lockdown period. Lockdown significantly affected the use of ambulances for incidents involving alcohol or other drug use, impacting on health‐care services. Further research into hazardous use of alcohol or other drugs during the lockdown periods is needed to inform policy, planning and public health initiatives.</description><subject>Adult</subject><subject>Age differences</subject><subject>alcohol drinking</subject><subject>Alcohol use</subject><subject>Ambulance services</subject><subject>Ambulances</subject><subject>Attendance</subject><subject>Communicable Disease Control</subject><subject>Confidence intervals</subject><subject>COVID-19</subject><subject>Cross-Sectional Studies</subject><subject>Drug abuse</subject><subject>Drug use</subject><subject>emergency treatment</subject><subject>epidemiology</subject><subject>Ethnicity</subject><subject>Female</subject><subject>Health care</subject><subject>Health initiatives</subject><subject>Humans</subject><subject>Interrupted Time Series Analysis</subject><subject>Male</subject><subject>Original Paper</subject><subject>pandemic</subject><subject>Pandemics</subject><subject>Public health</subject><subject>Retrospective Studies</subject><subject>substance use</subject><subject>Substance-Related Disorders - epidemiology</subject><subject>Time series</subject><issn>0959-5236</issn><issn>1465-3362</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp1kUFP3DAQha2qqCzQQ_9AZaknDmHtTJxseqi0ohSQVkJC3K2JPSlGSby1E9D--xqyReWAL7ZmvnlvrMfYFynOZDpLi-FMQqHgA1vIolQZQJl_ZAtRqzpTOZSH7CjGByFErlT-iR1CKkoJ5YKFdd9MHQ6GOI4jDfbl2frA49TEcW4MdpkK2Bl_7zs-ReJu4Mi3qUG9M9_59TBSCNN2JMtH1xOPFBzFNIndLrrIfZtGjLM0jPGEHbTYRfq8v4_Z3a-Lu_OrbHNzeX2-3mSmKACycmWVyUswdanaomlWBlEaVaNVIGopsTJAq6KWrUVAkEIZg1BVbU0tiAqO2Y9Zdjs1PVmTrAN2ehtcj2GnPTr9tjO4e_3bP-qkLVX1LPBtLxD8n4niqB_8FNKPos5LtRLJslKJOp0pE3yMgdpXByn0czo6paNf0kns1_9XeiX_xZGA5Qw8uY527yvpn-vbWfIv74Obeg</recordid><startdate>202205</startdate><enddate>202205</enddate><creator>Mason, Rachael</creator><creator>Roberts, Amanda</creator><creator>Spaight, Robert</creator><creator>Shaw, Debbie</creator><creator>Whitley, Gregory Adam</creator><creator>Hogue, Todd E.</creator><creator>Siriwardena, Aloysius Niroshan</creator><creator>Rogers, Jim</creator><creator>Law, Graham R.</creator><general>John Wiley & Sons Australia, Ltd</general><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>WIN</scope><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>7QJ</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-1892-4223</orcidid><orcidid>https://orcid.org/0000-0003-2484-8201</orcidid><orcidid>https://orcid.org/0000-0003-0532-4007</orcidid><orcidid>https://orcid.org/0000-0002-2889-9551</orcidid><orcidid>https://orcid.org/0000-0003-4361-5876</orcidid><orcidid>https://orcid.org/0000-0002-1898-6184</orcidid><orcidid>https://orcid.org/0000-0002-0155-4916</orcidid><orcidid>https://orcid.org/0000-0001-7904-0264</orcidid><orcidid>https://orcid.org/0000-0003-2586-6815</orcidid></search><sort><creationdate>202205</creationdate><title>Ambulance attendance for substance and/or alcohol use in a pandemic: Interrupted time series analysis of incidents</title><author>Mason, Rachael ; Roberts, Amanda ; Spaight, Robert ; Shaw, Debbie ; Whitley, Gregory Adam ; Hogue, Todd E. ; Siriwardena, Aloysius Niroshan ; Rogers, Jim ; Law, Graham R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4433-68d5c263c965f4bb8caa1c59ad530911a7c3e8491fda3a3105cca377f9ef3073</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adult</topic><topic>Age differences</topic><topic>alcohol drinking</topic><topic>Alcohol use</topic><topic>Ambulance services</topic><topic>Ambulances</topic><topic>Attendance</topic><topic>Communicable Disease Control</topic><topic>Confidence intervals</topic><topic>COVID-19</topic><topic>Cross-Sectional Studies</topic><topic>Drug abuse</topic><topic>Drug use</topic><topic>emergency treatment</topic><topic>epidemiology</topic><topic>Ethnicity</topic><topic>Female</topic><topic>Health care</topic><topic>Health initiatives</topic><topic>Humans</topic><topic>Interrupted Time Series Analysis</topic><topic>Male</topic><topic>Original Paper</topic><topic>pandemic</topic><topic>Pandemics</topic><topic>Public health</topic><topic>Retrospective Studies</topic><topic>substance use</topic><topic>Substance-Related Disorders - epidemiology</topic><topic>Time series</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mason, Rachael</creatorcontrib><creatorcontrib>Roberts, Amanda</creatorcontrib><creatorcontrib>Spaight, Robert</creatorcontrib><creatorcontrib>Shaw, Debbie</creatorcontrib><creatorcontrib>Whitley, Gregory Adam</creatorcontrib><creatorcontrib>Hogue, Todd E.</creatorcontrib><creatorcontrib>Siriwardena, Aloysius Niroshan</creatorcontrib><creatorcontrib>Rogers, Jim</creatorcontrib><creatorcontrib>Law, Graham R.</creatorcontrib><collection>Wiley Online Library (Open Access Collection)</collection><collection>Wiley Online Library (Open Access Collection)</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Drug and alcohol review</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mason, Rachael</au><au>Roberts, Amanda</au><au>Spaight, Robert</au><au>Shaw, Debbie</au><au>Whitley, Gregory Adam</au><au>Hogue, Todd E.</au><au>Siriwardena, Aloysius Niroshan</au><au>Rogers, Jim</au><au>Law, Graham R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ambulance attendance for substance and/or alcohol use in a pandemic: Interrupted time series analysis of incidents</atitle><jtitle>Drug and alcohol review</jtitle><addtitle>Drug Alcohol Rev</addtitle><date>2022-05</date><risdate>2022</risdate><volume>41</volume><issue>4</issue><spage>932</spage><epage>940</epage><pages>932-940</pages><issn>0959-5236</issn><eissn>1465-3362</eissn><abstract>Introduction
The ambulance attendance for substance and/or alcohol use in a pandemic (ASAP) study explores incidents during the COVID‐19 lockdown in the East Midlands region of the United Kingdom (23 March–4 July 2020).
Method
Retrospective cross‐sectional count per day of ambulance attendances from the East Midlands Ambulance Service Trust. Ambulance attendances relating to alcohol or other drug use in the year prior, during lockdown and weeks following, were examined using interrupted time series analysis by patient demographics and geographical location.
Results
A total of 36 104 records were identified (53.7% male, 84.5% ethnicity classified as White, mean age 38.4 years). A significant drop in the number of attendances per day at the start of lockdown (−25.24, confidence interval − 38.16, −12.32) was observed, followed by a gradual increase during the ongoing lockdown period (0.36, confidence interval 0.23, 0.46). Similar patterns were found across genders, age groups 16–64 and urban/rural locations.
Discussion and Conclusion
The pattern of ambulance attendances for alcohol or other drug use changed during the COVID‐19 lockdown period. Lockdown significantly affected the use of ambulances for incidents involving alcohol or other drug use, impacting on health‐care services. Further research into hazardous use of alcohol or other drugs during the lockdown periods is needed to inform policy, planning and public health initiatives.</abstract><cop>Melbourne</cop><pub>John Wiley & Sons Australia, Ltd</pub><pmid>35231136</pmid><doi>10.1111/dar.13453</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-1892-4223</orcidid><orcidid>https://orcid.org/0000-0003-2484-8201</orcidid><orcidid>https://orcid.org/0000-0003-0532-4007</orcidid><orcidid>https://orcid.org/0000-0002-2889-9551</orcidid><orcidid>https://orcid.org/0000-0003-4361-5876</orcidid><orcidid>https://orcid.org/0000-0002-1898-6184</orcidid><orcidid>https://orcid.org/0000-0002-0155-4916</orcidid><orcidid>https://orcid.org/0000-0001-7904-0264</orcidid><orcidid>https://orcid.org/0000-0003-2586-6815</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Access via Wiley Online Library; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Adult Age differences alcohol drinking Alcohol use Ambulance services Ambulances Attendance Communicable Disease Control Confidence intervals COVID-19 Cross-Sectional Studies Drug abuse Drug use emergency treatment epidemiology Ethnicity Female Health care Health initiatives Humans Interrupted Time Series Analysis Male Original Paper pandemic Pandemics Public health Retrospective Studies substance use Substance-Related Disorders - epidemiology Time series |
| title | Ambulance attendance for substance and/or alcohol use in a pandemic: Interrupted time series analysis of incidents |
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