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This study is intended to evaluate the prevalence of chronically inebriated patients in the Emergeny Department (ED). Patients will be identified prospectively by screening all patients (24/7) presenting to the ED for one month. A running tally of all patients in the ED will be kept. Of these patients, any patient that is noted to have alcohol intoxication will be identified. The chart of that patient will be reviewed for details about the patient's alcohol use and for the patient's suitability for a sobering house, which is a place where intoxicated patients can go to await sobriety. The chart will also be reviewed for the number of previous visits for alcohol use to our hospital ever and in the last year.
For this cross-sectional study, all patients presenting to the ED of an urban, Level 1 trauma center for one month were prospectively screened by trained research associates. When an intoxicated patient was identified, study information including patient demographics, diagnoses, vital signs, blood alcohol concentration (BAC), GCS on arrival, ability to ambulate independently on arrival, use of physical or chemical restraint, previous ED visits, length of stay, and health insurance was collected. Data was analyzed using descriptive statistics.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intoxicated patients | patients in the Emergency Department who appear to be intoxicated with ethanol. |
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| Measure | Description | Time Frame |
|---|---|---|
| Intoxicated Patients Eligible for a Sobering House | Determine the proportion of patients in the emergency department that are intoxicated and how many of those would be eligible to go to a sobering house. Eligibility for a sobering house is at the discretion of the treating physician and includes the ability to ambulate without assistance and no further acute need for medical treatments. | Eligibility for a sobering house is assessed during the current ED admission. The study ends when patient is discharged from the ED, an expected average time of 9 hours. |
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Inclusion Criteria:
Exclusion Criteria:
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Patients in the emergency department for alcohol intoxication
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| Name | Affiliation | Role |
|---|---|---|
| James Miner, MD | Hennepin County Medical Center, Minneapolis | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hennepin County Medical Center | Minneapolis | Minnesota | 55415 | United States |
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| ID | Title | Description |
|---|---|---|
| FG000 | Intoxicated Patients | patients in the Emergency Department who appear to be intoxicated with ethanol. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Intoxicated Patients | patients in the Emergency Department who appear to be intoxicated with ethanol. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Intoxicated Patients Eligible for a Sobering House | Determine the proportion of patients in the emergency department that are intoxicated and how many of those would be eligible to go to a sobering house. Eligibility for a sobering house is at the discretion of the treating physician and includes the ability to ambulate without assistance and no further acute need for medical treatments. | Posted | Count of Participants | Participants | Eligibility for a sobering house is assessed during the current ED admission. The study ends when patient is discharged from the ED, an expected average time of 9 hours. |
|
1824 minutes
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Intoxicated Patients | patients in the Emergency Department who appear to be intoxicated with ethanol. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| hospital admission | Nervous system disorders | Systematic Assessment | admitted to the hospital for care related to alcohol intoxication during emergency department observation period |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| unable to ambulate independently or provide basic medical information | Nervous system disorders | Systematic Assessment | during ED observation period |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Director of Research | Hennepin Healthcare Department of Emergency Medicine | 6128733000 | james.miner@hmced.org |
| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Mar 13, 2011 | Aug 23, 2022 | Prot_000.pdf |
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| ID | Term |
|---|---|
| D000435 | Alcoholic Intoxication |
| ID | Term |
|---|---|
| D019973 | Alcohol-Related Disorders |
| D019966 | Substance-Related Disorders |
| D064419 | Chemically-Induced Disorders |
| D001523 | Mental Disorders |
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| Participants |
|
| Age, Continuous | Median | Inter-Quartile Range | years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race and Ethnicity Not Collected | Race and Ethnicity were not collected from any participant. | Count of Participants | Participants |
|
| Units |
|---|
| Counts |
|---|
| Participants |
|
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| 0 |
| 668 |
| 50 |
| 668 |
| 505 |
| 668 |
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| endotracheal intubation | Respiratory, thoracic and mediastinal disorders | Systematic Assessment | intubation during observation in emergency department |
|
|
| agitation requiring physical restraint | Nervous system disorders | Systematic Assessment | during ED observation |
|
| agitation requiring sedation | Nervous system disorders | Systematic Assessment | during ED observation period |
|
| procedure performed | Surgical and medical procedures | Systematic Assessment | during ED observation period |
|
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