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Reduced Pharmacological Intervention of Prehospital Services for Acute Alcohol Intoxication during the COVID-19 Pandemic in A Large District of Southern Italy.
Giustino, Arcangela; Natola, Annamaria; Savoia, Giovanni; De Salvia, Maria Antonietta; Finelli, Carmine.
Afiliación
  • Giustino A; Department of Precision and Regenerative Medicine and Ionian Area, Medical School, University of Bari "Aldo Moro", Piazza Giulio Cesare, 11, 70124 Bari, Italy.
  • Natola A; Operations Centre of Emergency Services (118)-Policlinico Hospital, Piazza Giulio Cesare, 11, 70124 Bari, Italy.
  • Savoia G; Operations Centre of Emergency Services (118)-Policlinico Hospital, Piazza Giulio Cesare, 11, 70124 Bari, Italy.
  • De Salvia MA; Department of Precision and Regenerative Medicine and Ionian Area, Medical School, University of Bari "Aldo Moro", Piazza Giulio Cesare, 11, 70124 Bari, Italy.
  • Finelli C; Department of Internal Medicine, Hospital "A. Maresca"-ASL Naples 3 Sud, Via Montedoro, 1, 80059 Torre del Greco (Naples), Italy.
J Clin Med ; 13(11)2024 May 23.
Article en En | MEDLINE | ID: mdl-38892768
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Clin Med Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Clin Med Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Suiza