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Home > Critical role of general practitioners in preventing readmission following emergency department alcohol screening and brief intervention management of alcohol-related problems.

Hazeldine, Simon and Davies, Imogen and Tait, Robert J and Olynyk, John K (2021) Critical role of general practitioners in preventing readmission following emergency department alcohol screening and brief intervention management of alcohol-related problems. Journal of Primary Care & Community Health, 12, p. 21501327211027437. https://doi.org/10.1177/21501327211027437.

External website: https://journals.sagepub.com/doi/full/10.1177/2150...

INTRODUCTION/OBJECTIVES: Alcohol screening and brief intervention (ASBI) strategies are useful in general practice (GP) but their effectiveness in the emergency department (ED) is unclear. We evaluated the effect of ED-based ASBI on re-admissions.

METHODS: 453 ED subjects exceeding the threshold score on the three-item Alcohol Use Disorders Identification Test-Consumption (females 3+: males 4+) were randomized. We conducted telephone follow-up at 1 and 3 months and recorded hospital events 6 months pre- and post-enrolment.

RESULTS: Median weekly alcohol use was 20 standard drinks (interquartile range (IQR) 9-45) on enrolment. After 3 months, 247 (55%) were able to be re-interviewed. Median alcohol use was 10 drinks (IQR 4-26). Six months later, subjects receiving ED-ASBI without GP follow-up had significantly greater risk of re-admission compared with those having GP follow-up (OR 1.68, 95%CI 1.06-2.65;  = .028).

CONCLUSIONS: ASBI reduces the likelihood of ED re-presentation only in subjects who have GP follow-up.


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