Evidence map›Paper›PMID 23502815›Full record

ArticleFrontline gastroenterology2013

Salford alcohol assertive outreach team: a new model for reducing alcohol-related admissions.

Neill R Hughes, Natalie Houghton, Haitham Nadeem, Jackie Bell, Suzanne McDonald, Noel Glynn, Christopher Scarfe, Bev Mackay, Anthony Rogers, Melanie Walters and 3 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Frontline gastroenterology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04447079 (Assertive Community Treatment for Alcohol Misuse Disorder Patients Who Are High Utilizers of Emergency Department Services), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.4field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04447079 not yet recruitingnot on this mapstarted 2020, after this paper: background citation

Assertive Community Treatment for Alcohol Misuse Disorder Patients Who Are High Utilizers of Emergency Department Services: - A Prospective, Multi-centre, Before-and-After Cohort Study

Typeobservational_patient_registrySponsorKhoo Teck Puat HospitalRan2020 to 2027Enrolled300ConditionsAlcoholism and Alcohol Abuse, Alcohol Use Disorder, EmergenciesArmsAssertive Community Treatment (ACT)
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Alcohol care teams: where are we now?Frontline gastroenterology · 2020
    Review
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 1 country.

Neill R HughesEmergency Department , Salford Royal NHS Foundation Trust , Salford , UK.
Natalie Houghton
Haitham Nadeem
Jackie Bell
Suzanne McDonald
Noel Glynn
Christopher Scarfe
Bev Mackay
Anthony Rogers
Melanie Walters
Martin Smith
Andrew McDonald
David Dalton
Salford Royal NHS Foundation Trust · GBMental Health Foundation · GBGreater Manchester Mental Health NHS Foundation Trust · GBHealth Foundation · GBSalford City Council · GBUniversity of Salford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAlcohol-related admissions are increasing. A significant number of these admissions are attributable to a small number of complex patients with other comorbidities who do not engage well with mainstream services. Assertive outreach teams have been used in the field of psychiatry to engage patients who are poorly compliant. This study examines whether an alcohol assertive outreach team (AAOT) can engage with this group and reduce hospital admissions.

designThe AAOT is a multidisciplinary team with medical, psychiatric, substance misuse, psychology, nursing and social work specialists. The team worked with patients with the highest number of alcohol-related admissions and case managed in a community setting for 6 months. The admission and emergency department attendances of the cohort were compared for the 3-month period before and after the intervention. Christo inventory for substance misuse services (CISS) scores were determined pre and post the intervention period.

results54 patients were case managed. The total number of admissions in 3 months fell from 151 prior to the intervention period to 50 following the intervention. Emergency department attendances also fell from 360 in 3 months to 146 following the intervention period. CISS scores fell from 11 preintervention to eight postintervention.

conclusionsAn AAOT model appears to reduce hospital admissions and emergency department attendances in a complex group of patients that display high alcohol-related admissions.

Indexed as

AlcoholHealth EconomicsPsychologyQuality Of Life

Identifiers

PMID23502815
PMCPMC3595141
OpenAlexW2113162260

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.