Cited by 250Substance Abuse Treatment and OutcomesEmergency and Acute Care StudiesAlcohol Consumption and Health Effects

Systematic review and meta-analyses of strategies targeting alcohol problems in emergency departments: interventions reduce alcohol-related injuries.

Havard, Alys, Shakeshaft, Anthony, Sanson‐Fisher, Rob·2008·Addiction

Abstract

Aims To critique the methodological adequacy of evaluations of emergency department (ED)-based interventions for alcohol problems and to conduct a meta-analysis to examine the extent to which interventions in this setting are effective in reducing alcohol consumption and related harm. Methods An electronic search of 11 databases and a manual search of reference lists were conducted to identify studies published in peer-review journals between January 1996 and July 2007 (inclusive). Studies evaluating the outcome of an intervention designed to reduce alcohol problems in patients presenting to the ED were eligible for inclusion. Methodological data were extracted using review criteria adapted from the both the Center for Disease Control (CDC) Guide to Community Preventive Services Data Collection Instrument and the Cochrane Effective Practice and Organization of Care Review Group Data Collection Checklist. Continuous outcomes were pooled using a fixed effect inverse variance approach while binary outcomes were pooled in a generic inverse variance meta-analysis. Results Thirteen studies were identified for inclusion in the review. Methodological quality was found to be reasonable, with the exception of poor reporting of effect-size information and inconsistent selection of outcome measures. Meta-analyses revealed that interventions did not significantly reduce subsequent alcohol consumption, but were associated with approximately half the odds of experiencing an alcohol-related…

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Crossref · 10.1111/j.1360-0443.2007.02072.x

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  • A prior meta-analysis of emergency department alcohol strategies reported no significant drinking reduction from brief intervention, but a 50% lower rate of alcohol-related injury.

    “A recent meta-analysis of strategies targeting alcohol problems in the ED found that BI did not significantly reduce drinking but was associated with a 50% reduction in alcohol-related injury.25”

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Authors
Havard, A., Shakeshaft, A., & Sanson‐Fisher, R.
Affiliations
  • UNSW Sydney (AU)
  • University of Newcastle Australia (AU)
Corresponding author
Havard, Alys
Venue
Addiction
Publisher
Wiley
Published
2008-01-09
Volume
103
Issue
3
Pages
368-376
ISSN
  • 0965-2140 (ISSN-L)
  • 1360-0443
OpenAlex
W2136540139
Cited by
250
References
49
Citations by year
2026: 1 · 2025: 4 · 2024: 7 · 2023: 5 · 2022: 3 · 2021: 9 · 2020: 8 · 2019: 5 · 2018: 10 · 2017: 20 · 2016: 13 · 2015: 31 · 2014: 27 · 2013: 21 · 2012: 27
FWCI
1.97
Type
journal article
Language
en
Open access
closed
Locations
  • Addiction (publishedVersion)
  • PubMed (publishedVersion)
  • NOVA (University of Newcastle Australia) (submittedVersion)
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
Keywords
alcohol problems, emergency department interventions, alcohol-related injuries, alcohol consumption, harm reduction, intervention effectiveness, methodological quality, outcome measures, effect size reporting
MeSH terms
Alcohol Drinking, Emergency Service, Hospital, Humans, Research Design, Wounds and Injuries, Alcohol-Related Disorders

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