Using the Cardiff model to reduce late-night alcohol-related presentations in regional Australia.
Tim Baker, Nicholas Taylor, Kate Kloot and 3 others
PMID 37078513WHAT IT FOUND
Reports of recent alcohol use did not change after a regional emergency department shared injury data with venues, but the rate of injury presentations during late-night hours decreased slightly.
Key findings
01Presentations reporting recent alcohol use during high-alcohol hours did not change after the intervention.
02The monthly rate of injury presentations during high-alcohol hours decreased after the data-sharing intervention.
03Only 118 of the 521 last-drink cases with location data were linked to nightlife venues.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was done in one rural town, so the result may not apply to other settings. High-alcohol hours were used as a proxy for alcohol-related harm, but alcohol injuries can occur at other times. The emergency department only saw the more serious cases, so less serious alcohol-related harm may have been missed. Alcohol use was self-reported and was not checked with a breath alcohol test. The study did not assess whether staff asked the questions consistently. Last-drinks data were available only for the final 36 months, so the alcohol-reporting analysis had less information than the injury analysis. Data from March 2020 onward were excluded because of the pandemic. There was no randomisation or comparison emergency department.
Declared interests
The study was funded by the National Health and Medical Research Council and St Vincent's Health Australia under a partnership project. The authors declared no conflict of interest.
The easy way to misread this
Do not conclude that the last-drinks questions alone caused the injury reduction. The intervention also included quarterly letters to venues, data sharing with police and licensing authorities, and a local violence prevention board.