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Using the Cardiff model to reduce late-night alcohol-related presentations in regional Australia
journal contribution
posted on 2023-05-05, 01:45 authored by Tim BakerTim Baker, Nicholas Taylor, Kate KlootKate Kloot, Peter MillerPeter Miller, D Egerton-Warburton, J ShepherdIntroduction: The Cardiff model is a data sharing approach that aims to reduce the volume of intoxicated patients in emergency departments (EDs). This approach has not been tested in a rural setting. Objective: This study assessed whether this approach would reduce the number of alcohol-associated presentations during high-alcohol hours (HAH) in a regional ED. Design: From July 2017, people over the age of 18 attending the ED were asked by the triage nurse (1) whether they had consumed alcohol in the past 12 h, (2) their typical alcohol consumption level, (3) the location where most alcohol was purchased and (4) the location of the last drink. From April 2018, quarterly letters were sent to the top five venues reported within the ED. Deidentified, aggregated data were shared with local police, licensing authorities and local government, identifying the top five venues reported in the ED and providing a summary of alcohol-related attendances to the ED. Interrupted time series analyses were used to estimate the influence of the intervention on monthly injury and alcohol-related ED presentations. Findings: ITS models found that there was a significant gradual decrease in the monthly rate of injury attendances during HAH (Coefficient = −0.004, p = 0.044). No other significant results were found. Discussion: Our study found that sharing last drinks data collected in the ED with a local violence prevention committee was associated with a small, but significant reduction in the rate of injury presentations compared with all ED presentations. Conclusion: This intervention continues to have promise for reducing alcohol-related harm.
History
Journal
Australian Journal of Rural HealthPagination
1-8Location
AustraliaPublisher DOI
ISSN
1038-5282eISSN
1440-1584Language
enPublisher
WileyUsage metrics
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alcoholemergencypublic healthrural healthsurveysPreventionEmergency CareClinical ResearchAlcoholism, Alcohol Use and HealthSubstance MisuseHealth ServicesPhysical Injury - Accidents and Adverse Effects3.1 Primary prevention interventions to modify behaviours or promote wellbeing3 Prevention of disease and conditions, and promotion of well-beingOral and gastrointestinalInjuries and accidents3 Good Health and Well BeingMedical and Health SciencesStudies in Human Society
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