PDF(Pubmed)
Abstract：
Background Stress during a pandemic increases the risk of alcohol consumption, which may require pharmacological management. Methods An observational single-center retrospective study was conducted from 1 January 2018 to 31 December 2021, and divided into 2-year periods (2018-2019 and 2020-2021). This study focused on calls to one of the emergency departments (EDs) of seven hospitals in the Bari (Italy) metropolitan area for patients requiring emergency services (ESs) who were either admitted or not admitted, due to their refusal. Results A 30% reduction in emergency calls for alcohol-related issues and a 41.17% reduction in calls for patients who refused to be admitted to the ED were observed during the pandemic. During the pandemic, an inverse association was found between pharmacological treatment and number of calls coded green (non-critical) and yellow (fairly critical) in patients admitted to EDs. An inverse association was also found for calls coded green in patients not admitted to EDs and pharmacological treatment. Metadoxine was administered in almost all alcohol-related emergencies, primarily in conjunction with drugs acting on the gastrointestinal tract, irrespective of age, the period considered, and whether patients were admitted or not admitted to the ED. Conclusions ES is the first and only out-of-hospital service encountered by numerous patients with alcohol-use disorders who refuse to be admitted to the ED. These patients should be directed by ES personnel to a multidisciplinary program to receive treatment for drinking, improve their quality of life, and reduce sanitation costs.
摘要：
大流行期间的背景压力会增加饮酒的风险，这可能需要药理学管理。方法2018年1月1日至2021年12月31日进行单中心观察性回顾性研究，分为2年（2018-2019年和2020-2021年）。这项研究的重点是致电巴里（意大利）都市区的七家医院的急诊科（ED）之一，要求入院或未入院的需要急诊服务（ES）的患者，由于他们的拒绝。结果在大流行期间，与酒精有关的问题的紧急呼叫减少了30％，拒绝接受ED的患者的呼叫减少了41.17％。大流行期间,在接受ED的患者中,药物治疗与绿色(非关键)和黄色(相当关键)的呼叫数量呈负相关.在未接受ED和药物治疗的患者中，绿色编码的呼叫也呈负相关。美他多辛在几乎所有与酒精有关的紧急情况中都被使用，主要与作用于胃肠道的药物结合，不论年龄,所考虑的时期,以及患者是否入院或未入院。结论ES是许多拒绝接受ED的酒精使用障碍患者遇到的第一个也是唯一的院外服务。这些患者应由ES人员指导进行多学科计划，以接受饮酒治疗，提高他们的生活质量，降低卫生成本。
