Evidence map›Paper›PMID 29293274›Full record

ArticleAlcoholism, clinical and experimental research2018

Trends in Alcohol-Related Emergency Department Visits in the United States: Results from the Nationwide Emergency Department Sample, 2006 to 2014.

Aaron M White, Megan E Slater, Grace Ng, Ralph Hingson, Rosalind Breslow

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Article in Alcoholism, clinical and experimental research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 121 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
121citing papers in PubMed, 5 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

121 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Phenobarbital treatment of alcohol withdrawal in the emergency department: A systematic review and meta-analysis.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2024
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  7. Emergency department-initiated oral naltrexone for patients with moderate to severe alcohol use disorder: A pilot feasibility study.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025
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61 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Aaron M WhiteOffice of the Director, National Institute on Alcohol Abuse and Alcoholism, Rockville, Maryland.ORCID 0000-0002-1610-6040
Megan E SlaterCSR Incorporated, Arlington, Virginia.
Grace NgDivision of Epidemiology and Prevention Research, National Institute on Alcohol Abuse and Alcoholism, Rockville, Maryland.
Ralph HingsonDivision of Epidemiology and Prevention Research, National Institute on Alcohol Abuse and Alcoholism, Rockville, Maryland.
Rosalind BreslowDivision of Epidemiology and Prevention Research, National Institute on Alcohol Abuse and Alcoholism, Rockville, Maryland.ORCID 0000-0003-1010-8472

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute alcohol consumption and chronic alcohol consumption increase the burden placed on emergency departments (EDs) by contributing to injury and disease. Whether the prevalence of alcohol-related ED visits in the United States has changed in recent years is unknown. The purpose of this study was to examine trends in ED visits involving acute and chronic alcohol consumption in the United States by age and sex between 2006 and 2014.

methodsData from the Nationwide Emergency Department Sample (NEDS), the largest all-payer ED database in the United States involving 945 hospitals in 33 states and Washington, DC, were analyzed to assess changes in prevalence and rates of ED visits involving acute and chronic alcohol consumption by age and sex over time among persons aged ≥12 between 2006 and 2014.

resultsBetween 2006 and 2014, the number of ED visits involving alcohol consumption increased 61.6%, from 3,080,214 to 4,976,136. The rate increased 47% from 1,223 to 1,802 per 100,000 population and the total cost of such visits increased 272% from $4.1 billion to $15.3 billion. The number of acute alcohol-related ED visits increased 51.5% from 1,801,006 to 2,728,313 and the rate increased 40% from 720.9 to 1,009.6 per 100,000 population. The number chronic alcohol-related visits increased 75.7% from 1,279,208 to 2,247,823 and the rate increased 57.9% from 502.2 to 792.9 per 100,000. The annual percentage change in rates of all alcohol-related ED visits was larger for females than for males (5.3% vs. 4.0%). Other drug involvement increased the likelihood of admission for inpatient treatment.

conclusionsAlcohol consumption contributed to an increasing number of ED visits in the United States between 2006 and 2014, especially among females. Increased utilization of evidence-based interventions is needed.

Indexed as

AdolescentAdultAgedAged, 80 and overAlcoholic IntoxicationAlcohol-Related DisordersChildDatabases, FactualEmergency Service, HospitalFemaleHealth Care CostsHospitalizationHumansMaleMiddle AgedPrevalenceAlcoholEmergency DepartmentInjuryOverdoseTrend

Identifiers

PMID29293274

What OpenQuestion holds

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Registered trials

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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.