Academic
Publications
Repeated ambulance use by patients with acute alcohol intoxication, seizure disorder, and respiratory illness

Repeated ambulance use by patients with acute alcohol intoxication, seizure disorder, and respiratory illness,10.1016/S0735-6757(98)90031-6,American J

Repeated ambulance use by patients with acute alcohol intoxication, seizure disorder, and respiratory illness   (Citations: 15)
BibTex | RIS | RefWorks Download
Three chronic conditions were examined—acute alcohol intoxication, seizure disorder, and respiratory illness—to quantify the extent of repetitive emergency medical services (EMS) use in a defined population. Urban EMS system ambulance data from 1992 to 1994 were analyzed for the three designated conditions with respect to transports by condition and individual patient. Analysis by χ2 was used for comparing proportions. Analysis of variance after square root transformation was used to evaluate differences among means. The total number of transports analyzed was 15,541: 7,488 for acute alcohol intoxication, 4,670 for respiratory illness, and 3,383 for seizure disorder. These transports involved 8,692 patients who were transported at least once for one of the three designated conditions. The mean number of transports for alcohol was 1.96 (95% confidence intervals [CI]: 1.92, 2.01), seizure 1.32 (95% CI: 1.27, 1.36), and respiratory 1.18 (95% CI: 1.15, 1.21). Of 369 patients transported five or more times during the study period, 260 (70.5%) were for alcohol, 56 (15.2%) for seizure, and 53 (14.4%) for respiratory complaints. This group comprised only 4.3% of patients, but 28.4% of all transports. Acute alcohol intoxication resulted in more repetitive ambulance transports than either seizure disorder or respiratory illness. A small number of patients were responsible for a large number of transports. Focused intervention for patients with high ambulance transport deserves further study.
Journal: American Journal of Emergency Medicine - AMER J EMERG MED , vol. 16, no. 2, pp. 141-144, 1998
Cumulative Annual
View Publication
The following links allow you to view full publications. These links are maintained by other sources not affiliated with Microsoft Academic Search.
    • ...Data exist concerning the frequency of alcohol- or drug-related offences or accidents [2, 3, 4, 5] and injuries related to alcohol intake [6]...
    • ...The rate of alcohol- or drug-related offences in road traffic, occupational accidents, and suicide attempts has been investigated in various studies [1, 2, 3, 5, 7]. Concerning road traffic offences a continuous reduction in alcohol-related accidents has been observed since the early 1970s [1]...
    • ...These results are comparable to those of other recent studies [2, 3] reporting a high frequency of repeated transport and ambulance use due to alcohol intoxication without noticing severe life-threatening conditions among these patients...
    • ...If the additional costs of repeated transports and ambulance use due to drug and alcohol intake without an emergency intervention [2, 3] are taken in account, the social cost dimension increases even more...

    F.-X. Huberet al. Problems and costs associated with alcohol and drug abuse in emergency...

Sort by: