Frequency of alcohol use among injured adult patients presenting to a Ghanaian emergency department
Open accessAbstract
Study objective Injuries are the cause of almost 6 million deaths annually worldwide, with 15% to 20% alcohol associated. The frequency of alcohol-associated injury varies among countries and is unknown in Ghana. We determined the frequency of positive alcohol test results among injured adults in a Ghanaian emergency department (ED).Methods This is a cross-sectional chart review of consecutive injured patients aged 18 years or older presenting to the Komfo Anokye Teaching Hospital ED for care within 8 hours of injury. Patients were tested for presence of alcohol with a breathalyzer or a saliva alcohol test. Patients were excluded if they had minor injuries resulting in referral to a separate outpatient clinic, or death before admission. Alcohol test results, subject, and injury characteristics were collected. Proportions with 95% confidence intervals were calculated.Results Injured adult patients (2,488) presented to the ED from November 2014 to April 2015, with 1,085 subjects (43%) included in this study. Three hundred eighty-two subjects (35%; 95% confidence interval 32% to 38%) tested alcohol positive. Forty-two percent of men (320/756), 40% of subjects aged 25 to 44 years (253/626), 42% of drivers (66/156), 42% of pedestrians (85/204), 49% of assault victims (82/166), 40% of those seriously injured (124/311), and 53% of subjects who died in the ED (8/15) had positive results for presence of alcohol.Conclusion The frequency of alcohol-associated injury was 35% among tested subjects in this Ghanaian tertiary care hospital ED. These findings have implications for health policy-, ED- and legislative-based interventions, and acute care.
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Approximately one in five people attending health care facilities in sub-Saharan Africa meet the criteria for AUD.
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- Authors
- Forson, P. K., Gardner, A., Oduro, G., Bonney, J., Biney, E. A., Oppong, C., Momade, E., & Maio, R. F.
- Affiliations
- Kwame Nkrumah University of Science and Technology (GH)
- University of Michigan (US)
- Corresponding author
- Gardner, Andrew
- Venue
- Annals of Emergency Medicine
- Publisher
- Elsevier BV
- Published
- 2016-10
- Volume
- 68
- Issue
- 4
- Pages
- 492-500.e6
- ISSN
- 0196-0644 (ISSN-L)
- PMC
- PMC5036991
- OpenAlex
- W2398554421
- Cited by
- 15
- References
- 29
- Citations by year
- 2024: 2 · 2023: 1 · 2022: 5 · 2020: 3 · 2018: 1 · 2017: 3
- FWCI
- 1.25
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Annals of Emergency Medicine (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Fogarty International Center (R25TW009345)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Emergency Medicine › Trauma and Emergency Care Studies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Injury Epidemiology and Prevention
- Keywords
- alcohol consumption, emergency department patients, alcohol testing, breathalyzer, drunk driving, pedestrian injuries, assault victims, injury severity, alcohol-related mortality, Ghana
- MeSH terms
- Adolescent, Adult, Aged, Alcohol Drinking, Cross-Sectional Studies, Emergency Service, Hospital, Female, Ghana, Humans, Male, Middle Aged, Wounds and Injuries, Young Adult
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