Evidence map›Paper›PMID 34060168›Full record

ArticleAddiction (Abingdon, England)2021

Changes in alcohol-related hospital visits during COVID-19 in New York City.

Jonathan Schimmel, Carmen Vargas-Torres, Nicholas Genes, Marc A Probst, Alex F Manini

Abstract read
In one paragraph

Article in Addiction (Abingdon, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. 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
    Pooled it
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  9. Alcohol-Related Hospitalizations During the Initial COVID-19 Lockdown in Massachusetts: An Interrupted Time-Series Analysis.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2023
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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

5 authors.

Jonathan SchimmelDepartment of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID 0000-0002-6383-8308
Carmen Vargas-TorresDepartment of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Nicholas GenesDepartment of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Marc A ProbstDepartment of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Alex F ManiniDivision of Medical Toxicology, Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, Elmhurst Hospital Center, New York, NY, USA.

Funding

Predicting medical consequences of novel fentanyl analog overdose using the Toxicology Investigators Consortium (TOXIC) R01DA048009 · NIDA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Alex Francis Manini · 2020 to 2026
$6.7M
Practical Approaches to Care in Emergency Syncope (PACES)R01HL149680 · NHLBI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI PROBST, MARC · 2020 to 2024
$4.6M
National Institutes of Health (NIH) R01DA048009National Institutes of Health (NIH) R01HL149680NHLBI NIH HHS R01 HL149680NIDA NIH HHS R01 DA048009
6 · The paper itself

Abstract

BACKGROUND AND

aimsIncreased alcohol consumption has been proposed as a potential consequence of the coronavirus disease 2019 (COVID-19) pandemic. There has been little scrutiny of alcohol use behaviors resulting in hospital visits, which is essential to guide pandemic public policy. We aimed to determine whether COVID-19 peak restrictions were associated with increased hospital visits for alcohol use or withdrawal. Secondary objectives were to describe differences based on age, sex and race, and to examine alcohol-related complication incidence.

designMulti-center, retrospective, pre-post study.

settingNew York City health system with five participating hospitals.

participantsAdult emergency department encounters for alcohol use, alcoholic gastritis or pancreatitis or hepatitis, alcohol withdrawal syndrome, withdrawal seizure or delirium tremens. MEASUREMENTS: Age, sex, race, site and encounter diagnosis. Encounters were compared between 2019 and 2020 for 1 March to 31 May.

findingsThere were 2790 alcohol-related visits during the 2019 study period and 1793 in 2020, with a decrease in total hospital visits. Of 4583 alcohol-related visits, median age was 47 years, with 22.3% females. In 2020 there was an increase in percentage of visits for alcohol withdrawal [adjusted odds ratio (aOR) = 1.34, 95% confidence interval (CI) = 1.07-1.67] and withdrawal with complications (aOR = 1.40, 95% CI = 1.14-1.72), and a decline in percentage of hospital visits for alcohol use (aOR = 0.70, 95% CI = 0.59-0.85) and use with complications (aOR = 0.71, 95% CI = 0.58-0.88). It is unknown whether use visit changes mirror declines in other chief complaints. The age groups 18-29 and 60-69 years were associated with increased visits for use and decreased visits for withdrawal, as were non-white race groups. Sex was not associated with alcohol-related visit changes despite male predominance.

conclusionsIn New York City during the initial COVID-19 peak (1 March to 31 May 2020), hospital visits for alcohol withdrawal increased while those for alcohol use decreased.

Indexed as

COVID-19AdultEmergency Service, HospitalFemaleHospitalsHumansMaleMiddle AgedNew York CityRetrospective StudiesSARS-CoV-2Alcoholalcoholic gastritisalcoholic hepatitisalcoholic pancreatitisalcohol use disorderalcohol withdrawalCOVIDdelirium tremensquarantine

Identifiers

PMID34060168
PMCPMC8212089

What OpenQuestion holds

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Registered trials

None linked

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.