Largest ever study of alcohol harm in EDs reveals huge toll

Clinical Assoc Prof
Diana Egerton-Warburton

One in twelve presentations to hospital emergency departments (EDs) are alcohol-related, according to latest research conducted by Monash University and the Australasian College for Emergency Medicine (ACEM).

In the largest study of its kind ever undertaken, eight emergency departments across Australia and New Zealand were monitored over one week in December 2014.

The study found that one in twelve or 8.3% of all presentations were alcohol-related.

“That equates to more than half a million alcohol-related patients attending EDs every year across Australia and New Zealand,” said lead study author Adjunct Clinical Associate Professor Diana Egerton-Warburton at Monash University.

“Our study confirms that alcohol is having a huge impact on our emergency departments.”

Over 9,600 patients were screened as part of the study, which also found that alcohol-affected patients were more likely to require urgent resuscitation and arrive by ambulance and with police.

“One drunk person can disrupt an entire ED,” said Professor Egerton-Warburton, who is also Chair of ACEM’s Public Health Committee.

“They are often violent and aggressive, make staff feel unsafe and negatively impact on the care of other patients.”

“The sheer volume of alcohol-affected patients means they disrupt EDs more than patients affected by ICE.”

ACEM is calling on Australian and New Zealand Governments to introduce firmer measures to limit the availability of alcohol.

“The measures included in the NSW ‘Lockout’ laws – particularly early closure – have demonstrated beyond doubt that when you reduce availability, you reduce harm,”  Professor Warburton said.

“Other jurisdictions should follow NSW and now Queensland in introducing early closing times and reducing the availability of alcohol. Policy makers have the power to reduce the tide of human tragedy from alcohol harm.”