Health consequences of alcohol abuse on the example of patients of the Emergency Department at the University Hospital in Bialystok

2020 ◽  
Vol 7 (4) ◽  
pp. 272-277
Author(s):  
Sylwia Jabłońska ◽  
Paulina Bakier ◽  
Mateusz Lech ◽  
Rafał Milewski ◽  
Jerzy Robert Ładny ◽  
...  
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Health Care System ◽  
Emergency Departments ◽  
Laboratory Tests ◽  
Alcohol Concentration ◽  
University Hospital ◽  
Blood Alcohol ◽  
The University ◽  
Care System

The aim: To assess patients admitted to the Emergency Department requiring hospitalization in whom the presence of alcohol has been stated in laboratory tests. Material and methods: The study was conducted on the basis of medical documentation analysis of 134 patients treated in Emergency Department in whom blood alcohol has been stated. The study included: sociodemographic data, blood alcohol concentration, the reason for hospitalization, the average duration of hospitalization and the patient’s future. Results: Retrospective study was based on medical records of134patients treated in the Emergency Department of the University Hospital in Bialystok from 01/01/2016 to 01/06/2016.The analysis took into account patients whose laboratory tests results showed an alcohol concentration above 0.004 ‰.The most common reason for hospitalization for examined patients was alcohol intoxicationa 26%.For 25% of examined patients, the cause of hospitalization was alcohol addiction syndrome, 19%drug poisoning,13% gastrointestinal bleeding. Almost 20% of patients was hospitalized in the Emergency Department with multiple injuries. Conclusions: The majority of patients hospitalized in Emergency Departments are patients under the influence of alcohol. Such patients are a cause of Emergency Departments overload, which are not efficient due to the number of patients who use the services of EDs instead primary healthcare facilities. Other causes of hospitalization of alcoholic patients are associated with constant exposure to alcohol. Such situation suggests changes in the health care system which would relieve EDs and involve other units of the health care system. The system should focus on education and treatment of patients by non-invasive methods, i.e. psychotherapy or other psychological help.

scholarly journals P1546UK ANNUAL THERAPY COST OF DIALYSIS WITH THE QUANTA SC+ PERSONAL HAEMODIALYSIS SYSTEM

2020 ◽  
Vol 35 (Supplement_3) ◽  
Author(s):  
Thomas Ferguson ◽  
Paul Komenda ◽  
Gerard Harper ◽  
John Milad
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Health Care System ◽  
Self Care ◽  
Emergency Department Visits ◽  
Weekend Effect ◽  
Care At Home ◽  
The Uk ◽  
Care System ◽  
At Home

Abstract Background and Aims The number of patients receiving dialysis is increasing in the United Kingdom, costing the National Health Service (NHS) over 500 million GBP annually. New personal haemodialysis systems are being developed, such as the Quanta SC+, that are smaller and simpler to use by patients while providing the clearances of conventional systems. Increasing uptake of lower intensity assistance and full self-care dialysis may provide economic benefits to the public health payer. In addition, promotion of every other day dialysis (3.5x weekly) may improve costs to the health system by helping to close the “post-weekend effect” with increased emergency department use and hospitalisations following the long interdialytic gap. As such, we aimed to describe the annual therapy costs of using SC+ in the UK for 3x weekly and 3.5x weekly dialysis regimens, both for self-care haemodialysis provided in-centre and at home in comparison to dialysis provided with conventional machines from the perspective of the health care system. Method Cost minimisation approach. Costs for human resources, equipment, and consumables were sourced from the dialysis machine developer (Quanta Dialysis Technologies). Other costs, such as facility expenses, dialysis-related drugs, avoided emergency department and hospitalisation events, and utilities were taken from a review of the literature. Costs are provided in 2018 GBP. Results Therapy provided as self-care in-centre or full self-care at home were found to have similar costs (£33,721 in-centre versus £33,836 at home for the 3x weekly regimen). Costs increased to £37,238 for self-care in-centre and £35,557 at home for the 3.5x weekly regimen. A comparator cost of £39,416 was established for dialysis provided with conventional machines in-hospital 3x weekly. For each dialysis patient, the health care system is anticipated to save £3,666 in costs associated with excess hospital stays and £2,176 in costs associated with excess emergency department visits. Conclusion In the UK, SC+ offers cost savings when used both for self-care in-centre and full self-care at home in comparison to dialysis provided in the clinic using conventional machines.

scholarly journals Cost effectiveness of bilateral risk-reducing mastectomy and salpingo-oophorectomy

2019 ◽  
Vol 24 (1) ◽  
Author(s):  
Michael G. Schrauder ◽  
Lisa Brunel-Geuder ◽  
Lothar Häberle ◽  
Marius Wunderle ◽  
Juliane Hoyer ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Cost Effective ◽  
University Hospital ◽  
Inherited Susceptibility ◽  
Combined Operations ◽  
Deep Inferior Epigastric Perforator ◽  
Small Benefit ◽  
Risk Reducing ◽  
Care System

Abstract Background Growing demand for risk-reducing surgery in individuals with inherited susceptibility to cancer leads to the question whether these procedures are cost effective for the executing hospitals. This study compared the clinical costs for bilateral risk-reducing mastectomy (BRRM) with and without different types of reconstruction, risk-reducing salpingo-oophorectomy (RRSO), and their combinations with corresponding reimbursements in the statutory health-care system in Germany. Patients and methods Real total costs of care for BRRM with and without reconstruction, RRSO, and their combinations were calculated as the sum of all personnel and technical costs. These costs calculated in a German University hospital were compared with the sum of all reimbursements in the German DRG-based health-care system. Results While sole RRSO, BRRM without reconstruction, and BRRM with secondary DIEP (deep inferior epigastric perforator)—reconstruction still result in a small benefit, we even found shortfalls for the hospital with all other prophylactic operations under consideration. The calculated deficits were especially high for BRRM with implant-based breast reconstruction and for combined operations when the risk reduction is achieved with a minimum of separate operations. Conclusions Risk-reducing surgery in BRCA-mutation carriers is frequently not cost-covering for the executing hospitals in the German health-care system. Thus, appropriate concepts are required to ensure a nationwide care.

Gatekeeping in the health care system: how to predict justified and respective non-justified visits to emergency departments?

2011 ◽  
Vol 19 (5) ◽  
pp. 433-443
Author(s):  
Clemens Rissbacher ◽  
Christof Rissbacher ◽  
Sabine Röhlich ◽  
Dagmar Meraner
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Emergency Departments ◽  
Care System

scholarly journals STD Testing and Compliance with CDC and USPSTF HIV Testing Guidelines in a Regional Cohort of Emergency Departments

2014 ◽  
Vol 6 (1) ◽  
Author(s):  
Fredric M. Hustey ◽  
Michael P. Phelan ◽  
Sharon O'keefe ◽  
Tracy M. Barbour
Keyword(s):  
Health Care ◽  
Hiv Testing ◽  
Health Care System ◽  
Emergency Departments ◽  
Hiv Screening ◽  
Std Testing ◽  
The Usa ◽  
Living With Hiv ◽  
Care System ◽  
Hiv Aids

In 2003, the CDC estimated that 1 million people in the USA were living with HIV/AIDS, and  25% were undiagnosed. For many such patients the ED may be the only contact with the health care system. This study assessed compliance with CDC and USPTF guidelines for HIV testing in patients seeking evaluation for STDs in a regional cohort of emergency departments. 13927 patients patients underwent screening for STDs during the study period. Only 397 (2.85%) also received HIV screening while 107 (0.8%) received both HIV and syphyllis screening as per federal recommendations.

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