{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,15]],"date-time":"2025-05-15T06:46:47Z","timestamp":1747291607169,"version":"3.38.0"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,1,16]],"date-time":"2025-01-16T00:00:00Z","timestamp":1736985600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,1,16]],"date-time":"2025-01-16T00:00:00Z","timestamp":1736985600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100001636","name":"University College Cork","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100001636","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Ir J Med Sci"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>Alcohol, a significant public health concern, contributes to a substantial burden on emergency services. Identifying avoidable causes of Emergency Department (ED) presentations may reduce hospital overcrowding and benefit public health.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Aims<\/jats:title>\n            <jats:p>This prevalence study aims to provide a detailed analysis of patients presenting to the ED at Mercy University Hospital (MUH) as \u201cApparently Drunk\u201d in 2022 and 2023.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>Data were sourced from the Integrated Patient Management Information System at MUH. All patients recorded as \u201cApparently Drunk\u201d were included. Data collected included demographics, associated injuries or complaints, mode of arrival, admission status, and discharge status. Descriptive statistics were used to summarise the data and trends were examined by comparing 2022 and 2023 data.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>A total of 1662 presentations were categorised as \u201cApparently Drunk,\u201d representing 3% of all ED visits. There was an 18% increase in such presentations from 2022 to 2023. The majority of patients were male (72%). The median age was 39\u00a0years. Notably, 23% of the presentations involved people experiencing homelessness, and 81% were conveyed by ambulance. Significant associated injuries included head injuries (7%), falls\/collapses (6%), mental health issues (5%), and assaults (4%).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>The findings indicate a growing trend in patients presenting to the ED as \u201cApparently Drunk\u201d. The high incidence among people experiencing homelessness and the substantial resource utilisation underscores the need for targeted public health interventions and integrated services. Policymakers should consider these findings in the context of potential legislative changes that may impact alcohol availability.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s11845-025-03868-w","type":"journal-article","created":{"date-parts":[[2025,1,16]],"date-time":"2025-01-16T04:16:00Z","timestamp":1737000960000},"page":"375-384","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Examination of patients presenting to the emergency department as \u201capparently drunk\u201d"],"prefix":"10.1007","volume":"194","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2358-5975","authenticated-orcid":false,"given":"Michael","family":"Hanrahan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0574-7579","authenticated-orcid":false,"given":"Mary","family":"O\u2019Mahony","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darren","family":"McLoughlin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Sheahan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,1,16]]},"reference":[{"key":"3868_CR1","unstructured":"Doyle A, Mongan D, Galvin B (2024) Alcohol: availability, affordability, related harm, and policy in Ireland. HRB overview series 13. Dublin: Health Research Board"},{"key":"3868_CR2","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12889-019-7666-4","volume":"19","author":"C O\u2019Dwyer","year":"2019","unstructured":"O\u2019Dwyer C, Mongan D, Millar SR et al (2019) Drinking patterns and the distribution of alcohol-related harms in Ireland: evidence for the prevention paradox. BMC Public Health 19:1\u20139. https:\/\/doi.org\/10.1186\/s12889-019-7666-4","journal-title":"BMC Public Health"},{"key":"3868_CR3","doi-asserted-by":"publisher","first-page":"e021932","DOI":"10.1136\/bmjopen-2018-021932","volume":"8","author":"B McNicholl","year":"2018","unstructured":"McNicholl B, Goggin D, O\u2019Donovan D (2018) Alcohol-related presentations to emergency departments in Ireland: a descriptive prevalence study. BMJ Open 8:e021932. https:\/\/doi.org\/10.1136\/bmjopen-2018-021932","journal-title":"BMJ Open"},{"key":"3868_CR4","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1016\/j.puhe.2023.11.016","volume":"227","author":"T Maharaj","year":"2024","unstructured":"Maharaj T, Fitzgerald N, Gilligan E et al (2024) Alcohol-related emergency department presentations and hospital admissions around the time of minimum unit pricing in Ireland. Public Health 227:38\u201341. https:\/\/doi.org\/10.1016\/j.puhe.2023.11.016","journal-title":"Public Health"},{"issue":"10078","key":"3868_CR5","doi-asserted-by":"publisher","first-page":"1558","DOI":"10.1016\/S0140-6736(16)32420-5","volume":"389","author":"R Burton","year":"2017","unstructured":"Burton R, Henn C, Lavoie D et al (2017) A rapid evidence review of the effectiveness and cost-effectiveness of alcohol control policies: an English perspective. Lancet 389(10078):1558\u20131580. https:\/\/doi.org\/10.1016\/S0140-6736(16)32420-5","journal-title":"Lancet"},{"issue":"3","key":"3868_CR6","doi-asserted-by":"publisher","first-page":"530","DOI":"10.1111\/j.1360-0443.2011.03643.x","volume":"107","author":"I Rossow","year":"2012","unstructured":"Rossow I, Norstr\u00f6m T (2012) The impact of small changes in bar closing hours on violence. The Norwegian experience from 18 cities. Addiction 107(3):530\u20137. https:\/\/doi.org\/10.1111\/j.1360-0443.2011.03643.x","journal-title":"Addiction"},{"issue":"4","key":"3868_CR7","doi-asserted-by":"publisher","first-page":"e2641644","DOI":"10.26181\/22246558.v1","volume":"26","author":"C Wilkinson","year":"2016","unstructured":"Wilkinson C, Livingston M, Room R (2016) Impacts of changes to trading hours of liquor licences on alcohol-related harm: a systematic review 2005\u20132015. Public Health Res Pract 26(4):e2641644. https:\/\/doi.org\/10.26181\/22246558.v1","journal-title":"Public Health Res Pract"},{"issue":"6","key":"3868_CR8","doi-asserted-by":"publisher","first-page":"955","DOI":"10.1111\/add.12886","volume":"110","author":"MC de Goeij","year":"2015","unstructured":"de Goeij MC, Veldhuizen EM, Buster MC et al (2015) The impact of extended closing times of alcohol outlets on alcohol-related injuries in the nightlife areas of Amsterdam: a controlled before-and-after evaluation. Addiction 110(6):955\u2013964. https:\/\/doi.org\/10.1111\/add.12886","journal-title":"Addiction"},{"issue":"8","key":"3868_CR9","doi-asserted-by":"publisher","first-page":"1471","DOI":"10.1111\/add.16192","volume":"118","author":"M Kowalski","year":"2023","unstructured":"Kowalski M, Livingston M, Wilkinson C et al (2023) An overlooked effect: domestic violence and alcohol policies in the night-time economy. Addiction 118(8):1471\u20131481. https:\/\/doi.org\/10.1111\/add.16192","journal-title":"Addiction"},{"issue":"5","key":"3868_CR10","doi-asserted-by":"publisher","first-page":"698","DOI":"10.1111\/1742-6723.13955","volume":"34","author":"JW Deacon","year":"2022","unstructured":"Deacon JW, Preisz P, Chambers AJ (2022) Sydney \u2018lockout\u2019liquor licensing law restrictions have been associated with a sustained reduction in emergency department presentations from assaults over 5 years. Emerg Med Australas 34(5):698\u2013703. https:\/\/doi.org\/10.1111\/1742-6723.13955","journal-title":"Emerg Med Australas"},{"issue":"8","key":"3868_CR11","doi-asserted-by":"publisher","first-page":"1752","DOI":"10.1002\/hec.4550","volume":"31","author":"C Green","year":"2022","unstructured":"Green C, Krehic L (2022) An extra hour wasted? Bar closing hours and traffic accidents in Norway. 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