Using the Cardiff model to reduce late‐night alcohol‐related presentations in regional Australia

Author:

Baker Tim12ORCID,Taylor Nicholas34,Kloot Kate25,Miller Peter3,Egerton‐Warburton Diana6,Shepherd Jonathan7

Affiliation:

1. Centre for Rural Emergency Medicine, Faculty of Health Deakin University Warrnambool Victoria Australia

2. South West Healthcare Warrnambool Victoria Australia

3. School of Psychology, Faculty of Health Deakin University Geelong Victoria Australia

4. National Drug Research Institute Curtin University Perth Victoria Australia

5. School of Medicine Deakin University Warrnambool Victoria Australia

6. School of Clinical Sciences at Monash Health Monash University Clayton Victoria Australia

7. Crime and Security Research Institute Cardiff University Wales UK

Abstract

AbstractIntroductionThe 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.ObjectiveThis study assessed whether this approach would reduce the number of alcohol‐associated presentations during high‐alcohol hours (HAH) in a regional ED.DesignFrom 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.FindingsITS 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.DiscussionOur 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.ConclusionThis intervention continues to have promise for reducing alcohol‐related harm.

Funder

National Health and Medical Research Council

Publisher

Wiley

Subject

Family Practice,Public Health, Environmental and Occupational Health

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