UMEM Educational Pearls

This retrospective population cohort study looked at  first time ED visits for adolescents and young adults comparing those with visits related to alcohol to those not related to alcohol. Patients in the alcohol related visit group had  a threefold increased one year mortality rate.  Cause of death was trauma, poisoning by drug and alcohol. Risk factors include being male, age 20-29, history of mental health and having a visit for withdrawal.  

Adolescents and young adults presenting to an emergency department for an alcohol related complaint are high risk for one year mortality and deserve intervention and appropriate referral.

References

Academic Emergency MedicineVolume 31, Issue 3 p. 220-229
Mortality in adolescents and young adults following a first presentation to the emergency department for alcohol

Lyndsay D. Harrison MScAsnake Y. Dumicho MScAnan Bader Eddeen MScPeter Tanuseputro MD, MHScClaire E. Kendall MD, PhDJess G. Fiedorowicz MD, PhDTea Rosic MD … See all authors

https://doi.org/10.1111/acem.14843