ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2020
Mortality among patients with frequent emergency department use for alcohol-related reasons in Ontario: a population-based cohort study.
Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05375682 (Integrating Care for Patients With Alcohol Liver Disease and Mental Health and Alcohol Use Disorders), which is not on this map. Cited by 22 papers.
What it found
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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.
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.
Integrating Care for Patients With Alcohol Liver Disease and Mental Health and Alcohol Use Disorders: A Pilot Study
Who cites it
22 citing papers in PubMed, 42 citations in OpenAlex.
- Alcohol-Related Frequent Attenders to Emergency Departments: A Scoping Review with Implications for Singapore.Journal of clinical medicine · 2026Review
- Sex differences in the 1-year outcomes of emergency department patients with alcohol withdrawal.CJEM · 2026Article
- Sex differences in the one-year outcomes of emergency department patients with alcohol withdrawal.CJEM · 2026Article
- A 3-year experience of an Australian short-stay Psychiatric, Alcohol and Non-prescription Drug Assessment Unit: unit activity and the patient experience.Emergency medicine journal : EMJ · 2025Article
- Article
- [Black box: Attenders with psychosocial needs in the emergency department].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2024Article
- Outcomes in Clinical Subgroups of Patients With Alcohol-Related Hospitalizations.JAMA network open · 2024Article
- Long-term outcome of alcohol withdrawal seizures.European journal of neurology · 2024Article
- Longitudinal Outcomes of the top 20 Utilizers of VA Connecticut's Psychiatric Emergency Services Between 2010 and 2020.Community mental health journal · 2023Article
- Mortality Rate Among Patients with Alcohol Use Disorder with Two or More Readmissions to the Hospital.Journal of community hospital internal medicine perspectives · 2023Article
- Mortality Risk Following Nonfatal Injuries With Alcohol Use Disorder Involvement: A One-Year Follow-Up of Emergency Department Patients Using Linked Administrative Data.Journal of studies on alcohol and drugs · 2022Article
- Why Are Some Male Alcohol Misuse Disorder Patients High Utilisers of Emergency Health Services? An Asian Qualitative Study.International journal of environmental research and public health · 2022Article
- Characterizing people with frequent emergency department visits and substance use: a retrospective cohort study of linked administrative data in Ontario, Alberta, and B.C., Canada.BMC emergency medicine · 2022Article
- Socioeconomic and Geographic Disparities in Emergency Department Visits due to Alcohol in Ontario: A Retrospective Population-level Study from 2003 to 2017.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2022Article
- Acute injury mortality and all-cause mortality following emergency department presentation for alcohol use disorder.Drug and alcohol dependence · 2022Article
- Assessment of Age and Sex Differences in Risk of 1-Year Mortality After Emergency Department Visits Caused by Alcohol Use.JAMA network open · 2022Article
- Association of obstructive sleep apnea and opioids use on adverse health outcomes: A population study of health administrative data.PloS one · 2022Article
- Prevention of alcohol withdrawal seizure recurrence and treatment of other alcohol withdrawal symptoms in the emergency department: a rapid review.BMC emergency medicine · 2021Review
- Use of pharmacotherapy for alcohol use disorder in Manitoba, Canada: A whole-population cohort study.PloS one · 2021Article
- Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLittle is known about the risk of death among people who visit emergency departments frequently for alcohol-related reasons, including whether mortality risk increases with increasing frequency of visits. Our primary objective was to describe the sociodemographic and clinical characteristics of this high-risk population and examine their 1-year overall mortality, premature mortality and cause of death as a function of emergency department visit frequency in Ontario, Canada.
methodsWe conducted a population-based retrospective cohort study using linked health administrative data (Jan. 1, 2010, to Dec. 31, 2016) in Ontario for people aged 16-105 years who made at least 2 emergency department visits for mental or behavioural disorders due to alcohol within 1 year. We subdivided the cohort based on visit frequency (2, 3 or 4, or ≥ 5). The primary outcome was 1-year mortality, adjusted for age, sex, income, rural residence and presence of comorbidities. We examined premature mortality using years of potential life lost (YPLL).
resultsOf the 25 813 people included in the cohort, 17 020 (65.9%) had 2 emergency department visits within 1 year, 5704 (22.1%) had 3 or 4 visits, and 3089 (12.0%) had 5 or more visits. Males, people aged 45-64 years, and those living in urban centres and lower-income neighbourhoods were more likely to have 3 or 4 visits, or 5 or more visits. The all-cause 1-year mortality rate was 5.4% overall, ranging from 4.7% among patients with 2 visits to 8.8% among those with 5 or more visits. Death due to external causes (e.g., suicide, accidents) was most common. The adjusted mortality rate was 38% higher for patients with 5 or more visits than for those with 2 visits (adjusted hazard ratio 1.38, 95% confidence interval 1.19-1.59). Among 25 298 people aged 16-74 years, this represented 30 607 YPLL.
interpretationWe observed a high mortality rate among relatively young, mostly urban, lower-income people with frequent emergency department visits for alcohol-related reasons. These visits are opportunities for intervention in a high-risk population to reduce a substantial mortality burden.
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