{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T12:22:45Z","timestamp":1782476565710,"version":"3.54.5"},"reference-count":25,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2016,5,18]]},"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Alcohol is responsible for a proportion of emergency admissions to hospital, with acute alcohol intoxication and chronic alcohol dependency (CAD) implicated. This study aims to quantify the proportion of hospital admissions through our emergency department (ED) which were thought by the admitting doctor to be (largely or partially) a result of alcohol consumption.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>ED of a UK tertiary referral hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>All ED admissions occurring over 14\u2005weeks from 1 September to 8 December 2012. Data obtained for 5497 of 5746 admissions (95.67%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Primary outcome measures<\/jats:title>\n                    <jats:p>Proportion of emergency admissions related to alcohol as defined by the admitting ED clinician.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Secondary outcome measures<\/jats:title>\n                    <jats:p>Proportion of emergency admissions due to alcohol diagnosed with acute alcohol intoxication or CAD according to ICD-10 criteria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>1152 (21.0%, 95% CI 19.9% to 22.0%) of emergency admissions were thought to be due to alcohol. 74.6% of patients admitted due to alcohol had CAD, and significantly greater than the 26.4% with \u2018Severe\u2019 or \u2018Very Severe\u2019 acute alcohol intoxication (p&lt;0.001). Admissions due to alcohol differed to admissions not due to alcohol being on average younger (45 vs 56\u2005years, p&lt;0.001) more often male (73.4% vs 45.1% males, p&lt;0.001) and more likely to have a diagnosis synonymous with alcohol or related to recreational drug use, pancreatitis, deliberate self-harm, head injury, gastritis, suicidal ideation, upper gastrointestinal bleeds or seizures (p&lt;0.001). An increase in admissions due to alcohol on Saturdays reflects a surge in admissions with acute alcohol intoxication above the weekly average (p=0.003).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Alcohol was thought to be implicated in 21% of emergency admissions in this cohort. CAD is responsible for a significantly greater proportion of admissions due to alcohol than acute intoxication. Interventions designed to reduce alcohol-related admissions must incorporate measures to tackle CAD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2015-010005","type":"journal-article","created":{"date-parts":[[2016,6,21]],"date-time":"2016-06-21T23:22:59Z","timestamp":1466551379000},"page":"e010005","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":27,"title":["Quantifying alcohol-related emergency admissions in a UK tertiary referral hospital: a cross-sectional study of chronic alcohol dependency and acute alcohol intoxication"],"prefix":"10.1136","volume":"6","author":[{"given":"J","family":"Vardy","sequence":"first","affiliation":[{"name":"Emergency Department, Wishaw General Hospital, Wishaw, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T","family":"Keliher","sequence":"additional","affiliation":[{"name":"Emergency Department, Glasgow Royal Infirmary, Glasgow, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Fisher","sequence":"additional","affiliation":[{"name":"ICU Department, Glasgow Royal Infirmary, Glasgow, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F","family":"Ritchie","sequence":"additional","affiliation":[{"name":"Emergency Department, Glasgow Royal Infirmary, Glasgow, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C","family":"Bell","sequence":"additional","affiliation":[{"name":"Emergency Department, Glasgow Royal Infirmary, Glasgow, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Chekroud","sequence":"additional","affiliation":[{"name":"Emergency Department, Hairmyres Hospital, East Kilbride, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F","family":"Clarey","sequence":"additional","affiliation":[{"name":"Emergency Department, Glasgow Royal Infirmary, Glasgow, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L","family":"Blackwood","sequence":"additional","affiliation":[{"name":"Emergency Department, Glasgow Royal Infirmary, Glasgow, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L","family":"Barry","sequence":"additional","affiliation":[{"name":"Emergency Department, Glasgow Royal Infirmary, Glasgow, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E","family":"Paton","sequence":"additional","affiliation":[{"name":"Emergency Department, Glasgow Royal Infirmary, Glasgow, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Clark","sequence":"additional","affiliation":[{"name":"Emergency Department, Glasgow Royal Infirmary, Glasgow, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R","family":"Connelly","sequence":"additional","affiliation":[{"name":"Emergency Department, Glasgow Royal Infirmary, Glasgow, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2016,6,20]]},"reference":[{"key":"2025121523590684000_6.6.e010005.1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2009.02497.x"},{"key":"2025121523590684000_6.6.e010005.2","unstructured":"The Scottish Government website. 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