{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T13:58:29Z","timestamp":1772891909305,"version":"3.50.1"},"reference-count":31,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2021,6,15]],"date-time":"2021-06-15T00:00:00Z","timestamp":1623715200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["R01HL149680"],"award-info":[{"award-number":["R01HL149680"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","award":["R01DA048009"],"award-info":[{"award-number":["R01DA048009"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Addiction"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Aims<\/jats:title><jats:p>Increased alcohol consumption has been proposed as a potential consequence of the coronavirus disease 2019 (COVID\u201019) pandemic. There has been little scrutiny of alcohol use behaviors resulting in hospital visits, which is essential to guide pandemic public policy. We aimed to determine whether COVID\u201019 peak restrictions were associated with increased hospital visits for alcohol use or withdrawal. Secondary objectives were to describe differences based on age, sex and race, and to examine alcohol\u2010related complication incidence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Multi\u2010center, retrospective, pre\u2013post study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>New York City health system with five participating hospitals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Adult emergency department encounters for alcohol use, alcoholic gastritis or pancreatitis or hepatitis, alcohol withdrawal syndrome, withdrawal seizure or delirium tremens.<\/jats:p><\/jats:sec><jats:sec><jats:title>Measurements<\/jats:title><jats:p>Age, sex, race, site and encounter diagnosis. Encounters were compared between 2019 and 2020 for 1\u00a0March to 31\u00a0May.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>There were 2790 alcohol\u2010related visits during the 2019 study period and 1793 in 2020, with a decrease in total hospital visits. Of 4583 alcohol\u2010related visits, median age was 47\u00a0years, with 22.3% females. In 2020 there was an increase in percentage of visits for alcohol withdrawal [adjusted odds ratio (aOR)\u00a0=\u00a01.34, 95% confidence interval (CI)\u00a0=\u00a01.07\u20131.67] and withdrawal with complications (aOR\u00a0=\u00a01.40, 95% CI\u00a0=\u00a01.14\u20131.72), and a decline in percentage of hospital visits for alcohol use (aOR\u00a0=\u00a00.70, 95% CI\u00a0=\u00a00.59\u20130.85) and use with complications (aOR\u00a0=\u00a00.71, 95% CI\u00a0=\u00a00.58\u20130.88). It is unknown whether use visit changes mirror declines in other chief complaints. The age groups 18\u201329 and 60\u201369\u00a0years were associated with increased visits for use and decreased visits for withdrawal, as were non\u2010white race groups. Sex was not associated with alcohol\u2010related visit changes despite male predominance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In New York City during the initial COVID\u201019 peak (1 March to 31 May 2020), hospital visits for alcohol withdrawal increased while those for alcohol use decreased.<\/jats:p><\/jats:sec>","DOI":"10.1111\/add.15589","type":"journal-article","created":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T05:28:46Z","timestamp":1622525326000},"page":"3525-3530","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Changes in alcohol\u2010related hospital visits during COVID\u201019 in New York City"],"prefix":"10.1111","volume":"116","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6383-8308","authenticated-orcid":false,"given":"Jonathan","family":"Schimmel","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine Icahn School of Medicine at Mount Sinai  New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carmen","family":"Vargas\u2010Torres","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Icahn School of Medicine at Mount Sinai  New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas","family":"Genes","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Icahn School of Medicine at Mount Sinai  New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc A.","family":"Probst","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Icahn School of Medicine at Mount Sinai  New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alex F.","family":"Manini","sequence":"additional","affiliation":[{"name":"Division of Medical Toxicology, Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai Elmhurst Hospital Center  New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,6,15]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(20)30088-8"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/alcalc\/agaa039"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/hep.31307"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00213-011-2236-1"},{"key":"e_1_2_8_6_1","unstructured":"AxelsonB.Coronavirus timeline in NY: here's how Gov. Cuomo has responded to COVID\u201019 pandemic since January[Internet]. April 14 2020[cited 2020 Aug 13]. Available from:www.syracuse.com\/coronavirus\/2020\/04\/coronavirus\u2010timeline\u2010in\u2010ny\u2010heres\u2010how\u2010gov\u2010cuomo\u2010has\u2010responded\u2010to\u2010covid\u201019\u2010pandemic\u2010since\u2010january.html(accessed 13 Aug 2020)."},{"key":"e_1_2_8_7_1","unstructured":"New York State.New York State Liquor Authority Guidance on Restrictions for Licensees and To\u2010Go & Delivery Sales in Response to COVID\u201019 Outbreak [Internet]. March 16 2020 [cited 2020 Aug 13]. Available from:https:\/\/sla.ny.gov\/Restrictions\u2010in\u2010Response\u2010to\u2010COVID\u201019(accessed 13 Aug 2020)."},{"key":"e_1_2_8_8_1","unstructured":"Associated Press News.Booze buying surges; senators push airlines for cash refunds [Internet]. March 31 2020[cited 2020 Aug 13]. Available from:www.apnews.com\/c407ecb931c6c528b4cceb0ecc216f0c(accessed 13 Aug 2020)."},{"key":"e_1_2_8_9_1","unstructured":"PattonL.Bloomberg. Americans Are Actually Drinking Less During the Pandemic[Internet]. June 23 2020[cited 2020 Aug 13]. Available from:www.bloomberg.com\/news\/articles\/2020\u201006\u201023\/are\u2010people\u2010drinking\u2010more\u2010booze\u2010during\u2010coronavirus\u2010apparently\u2010not(accessed 13 Aug 2020)."},{"key":"e_1_2_8_10_1","unstructured":"Centers for Disease Control and Prevention (CDC).COVID Data Tracker: United States COVID\u201019 Cases and Deaths by State [Internet]. [cited 2020 Aug 13]. Available at:www.cdc.gov\/covid\u2010data\u2010tracker(accessed 13 Aug 2020)."},{"key":"e_1_2_8_11_1","volume-title":"National Hospital Ambulatory Medical Care Survey: 2017 emergency department summary tables","author":"Rui P.","year":"2017"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6923e1"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/alcalc\/agw074"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2020.06.019"},{"key":"e_1_2_8_15_1","unstructured":"Canadian Centre on Substance Use and Addiction.25% of Canadians (aged 35\u201354) are drinking more while at home due to COVID\u201019 pandemic; cite lack of regular schedule stress and boredom as main factors. Summary reportApril2020 [Internet]. [cited 2020 Aug 13]. Available at:www.ccsa.ca\/sites\/default\/files\/2020\u201004\/CCSA\u2010NANOS\u2010Alcohol\u2010Consumption\u2010During\u2010COVID\u201019\u2010Report\u20102020\u2010en.pdf(accessed 13 Aug 2020)."},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu12061657"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17134677"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.3390\/foods9050675"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/alcalc\/agaa058"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17114065"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/pcn.13099"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajp.2020.102092"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.15275"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajad.13066"},{"key":"e_1_2_8_25_1","article-title":"The impact of COVID\u201019 on suicidal ideation and alcohol presentations to emergency departments in a large healthcare system","author":"Smalley C. 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