Young people with prior health service contacts have increased risk of repeated alcohol-related harm hospitalisations
Introduction: After a first alcohol-related hospitalisation in youth, subsequent hospitalisations may demonstrate an increased risk of further alcohol-related hospitalisations, but there is no existing data on this. Methods: A retrospective longitudinal study between July 1992 and June 2017 using li...
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| Format: | Journal Article |
| Language: | English |
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WILEY
2022
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| Online Access: | http://purl.org/au-research/grants/nhmrc/1099655 http://hdl.handle.net/20.500.11937/93233 |
| _version_ | 1848765714724290560 |
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| author | Sims, S.A. Pereira, Gavin Preen, D. Fatovich, D. O'Donnell, M. |
| author_facet | Sims, S.A. Pereira, Gavin Preen, D. Fatovich, D. O'Donnell, M. |
| author_sort | Sims, S.A. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Introduction: After a first alcohol-related hospitalisation in youth, subsequent hospitalisations may demonstrate an increased risk of further alcohol-related hospitalisations, but there is no existing data on this. Methods: A retrospective longitudinal study between July 1992 and June 2017 using linked hospital administrative data identified 23 464 Western Australian young people [9009 (38.4%) females and 14 455 (61.6%) males], aged 12–24 years hospitalised for at least one alcohol-related harm (ARH) episode of care. Cox regression was used to estimate hazard ratios (HR) between risk factors and repeated alcohol-related hospitalisation after the first discharge for ARH. Results: Of those admitted for an alcohol-related hospitalisation (n = 23 464), 21% (n = 4996) were readmitted for ARH. This high-risk sub-group comprised 46% (n = 16 017) of the total alcohol-related admissions (n = 34 485). After the first discharge for ARH, 16% (804) of people who experienced an alcohol-related readmission were readmitted within 1 month, and 51.8% (2589) were readmitted within 12 months. At increased risk of readmission were Aboriginal people and those with prior health service contacts occurring before their first alcohol-related hospitalisation, including illicit drug hospitalisations, mental health contacts and, in a sub-analysis, emergency department presentations. Discussion and Conclusions: The probability of a repeated ARH hospitalisation was highest in the first month after initial discharge. There is a high-risk sub-group of young people more likely to have a repeat ARH hospitalisation. This represents an opportunity to provide interventions to those most at risk of repeated ARH. |
| first_indexed | 2025-11-14T11:39:39Z |
| format | Journal Article |
| id | curtin-20.500.11937-93233 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-14T11:39:39Z |
| publishDate | 2022 |
| publisher | WILEY |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-932332023-10-09T07:35:55Z Young people with prior health service contacts have increased risk of repeated alcohol-related harm hospitalisations Sims, S.A. Pereira, Gavin Preen, D. Fatovich, D. O'Donnell, M. Science & Technology Life Sciences & Biomedicine Substance Abuse hospital readmission youth alcohol consumption International Classification of Disease data linkage health service MENTAL-HEALTH AUSTRALIA International Classification of Disease data linkage health service hospital readmission youth alcohol consumption Adolescent Australia Female Hospitalization Humans Longitudinal Studies Male Patient Readmission Retrospective Studies Humans Hospitalization Patient Readmission Retrospective Studies Longitudinal Studies Adolescent Australia Female Male Introduction: After a first alcohol-related hospitalisation in youth, subsequent hospitalisations may demonstrate an increased risk of further alcohol-related hospitalisations, but there is no existing data on this. Methods: A retrospective longitudinal study between July 1992 and June 2017 using linked hospital administrative data identified 23 464 Western Australian young people [9009 (38.4%) females and 14 455 (61.6%) males], aged 12–24 years hospitalised for at least one alcohol-related harm (ARH) episode of care. Cox regression was used to estimate hazard ratios (HR) between risk factors and repeated alcohol-related hospitalisation after the first discharge for ARH. Results: Of those admitted for an alcohol-related hospitalisation (n = 23 464), 21% (n = 4996) were readmitted for ARH. This high-risk sub-group comprised 46% (n = 16 017) of the total alcohol-related admissions (n = 34 485). After the first discharge for ARH, 16% (804) of people who experienced an alcohol-related readmission were readmitted within 1 month, and 51.8% (2589) were readmitted within 12 months. At increased risk of readmission were Aboriginal people and those with prior health service contacts occurring before their first alcohol-related hospitalisation, including illicit drug hospitalisations, mental health contacts and, in a sub-analysis, emergency department presentations. Discussion and Conclusions: The probability of a repeated ARH hospitalisation was highest in the first month after initial discharge. There is a high-risk sub-group of young people more likely to have a repeat ARH hospitalisation. This represents an opportunity to provide interventions to those most at risk of repeated ARH. 2022 Journal Article http://hdl.handle.net/20.500.11937/93233 10.1111/dar.13467 English http://purl.org/au-research/grants/nhmrc/1099655 http://purl.org/au-research/grants/nhmrc/1173991 http://creativecommons.org/licenses/by-nc-nd/4.0/ WILEY fulltext |
| spellingShingle | Science & Technology Life Sciences & Biomedicine Substance Abuse hospital readmission youth alcohol consumption International Classification of Disease data linkage health service MENTAL-HEALTH AUSTRALIA International Classification of Disease data linkage health service hospital readmission youth alcohol consumption Adolescent Australia Female Hospitalization Humans Longitudinal Studies Male Patient Readmission Retrospective Studies Humans Hospitalization Patient Readmission Retrospective Studies Longitudinal Studies Adolescent Australia Female Male Sims, S.A. Pereira, Gavin Preen, D. Fatovich, D. O'Donnell, M. Young people with prior health service contacts have increased risk of repeated alcohol-related harm hospitalisations |
| title | Young people with prior health service contacts have increased risk of repeated alcohol-related harm hospitalisations |
| title_full | Young people with prior health service contacts have increased risk of repeated alcohol-related harm hospitalisations |
| title_fullStr | Young people with prior health service contacts have increased risk of repeated alcohol-related harm hospitalisations |
| title_full_unstemmed | Young people with prior health service contacts have increased risk of repeated alcohol-related harm hospitalisations |
| title_short | Young people with prior health service contacts have increased risk of repeated alcohol-related harm hospitalisations |
| title_sort | young people with prior health service contacts have increased risk of repeated alcohol-related harm hospitalisations |
| topic | Science & Technology Life Sciences & Biomedicine Substance Abuse hospital readmission youth alcohol consumption International Classification of Disease data linkage health service MENTAL-HEALTH AUSTRALIA International Classification of Disease data linkage health service hospital readmission youth alcohol consumption Adolescent Australia Female Hospitalization Humans Longitudinal Studies Male Patient Readmission Retrospective Studies Humans Hospitalization Patient Readmission Retrospective Studies Longitudinal Studies Adolescent Australia Female Male |
| url | http://purl.org/au-research/grants/nhmrc/1099655 http://purl.org/au-research/grants/nhmrc/1099655 http://hdl.handle.net/20.500.11937/93233 |