Article Text

Download PDFPDF

Review: Screening and intervention for alcohol misuse in emergency rooms reduces alcohol-related injuries

Statistics from Altmetric.com

Alys Havard

Correspondence to: Alys Havard, National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW 2052, Australia; a.havard@unsw.edu.au

QUESTION

Question:

What is the evidence for emergency room based interventions for alcohol use?

Outcomes:

Frequency or quantity of alcohol consumption, frequency of heavy drinking consumption, and consequences during follow-up (for example, alcohol-related injuries).

METHODS

Design:

Systematic review with meta-analysis.

Data sources:

MEDLINE, EMBASE, PsychINFO, CCTR, DARE, CDSR, ACP Journal Club, Global Health, SWAB, Current Contents Connect and Web of Science, were searched between January 1996 and July 2007.

Study selection and analysis:

Intervention studies published in a peer-reviewed journal examining the effectiveness of emergency room treatment (including counselling, motivational interviewing, pharmacological treatment or advice) on an alcohol-related outcome. The Centers for Disease Control and Prevention Guide to Community Preventative Services Data Collection Instrument criteria and the Cochrane Effective Practise and Organisation of Care Review Group Data Collection Checklist were used to appraise included studies and aid data collection. Only RCTs were pooled in meta-analyses. Standardised mean difference was calculated for continuous outcomes (frequency of alcohol consumption or binge …

View Full Text

Supplementary materials

  • web only references 11/3/88

    Notes

    The criteria used to select participants differed, most studies (10/13 studies) required some evidence of alcohol exposure, and this was assessed in a number of ways, including: blood alcohol concentration >0%; Cut-down, Annoyed, Guilt Eye-opener score 1; Alcohol Use Disorders Identification Test score >5; National Institute on Alcohol Abuse and Addiction definition of hazardous drinking; positive Paddington Alcohol Test score; and self report of consumption in past 6 hours. Most studies did not include people with a high level of intoxication, or people with a diagnosis of alcohol dependence.

    Files in this Data Supplement:

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.