Spoedeisende hulp door overmatig gebruik van alcohol: is ‘voordrinken’ een risicofactor?

Alcohol-related emergency department attendances: is preloading a risk factor? Cross-sectional survey.
Boyle A, Wee N, Harris R, Tompkins A, Soper M, Porter C.
Int J Emerg Med. 2010 Jul 13;3(3):151-5.
PMID: 21031038

Voordat mensen uitgaan wordt thuis veel gedronken waardoor steeds vaker een spoedeisende hulpafdeling moet worden bezocht door overmatig alcoholgebruik. Dit onderzoek gaat hierop in, ook wil men vaststellen waar mensen gewond of onwel raken door overmatig alcolholgebruik.

Resultaten: het onderzoek heeft niet kunnen aantonen dat doordat mensen thuis al veel drinken ze later tijdens het uitgaan een spoedeisende hulpafdeling moeten bezoeken. Er wordt veel gedronken in openbare gelegenheden. Vrouwen drinken vaker thuis voordat ze uitgaan.
Het onderzoek toonde verder aan dat 76 procent van de ondervraagde patienten op andere plaatsen gewond raakten dan waar ze eerst hebben gedronken of waar ze veel hebben gedronken.

INTRODUCTION: 'Preloading' is a phenomenon where people drink alcohol at a private residence before going out. We aimed to identify whether preloading is a risk factor for alcohol-related emergency department attendance. We also wanted to identify where people became injured or unwell.

METHODS: We conducted a cross-sectional, anonymous, survey at peak drinking times in our emergency department. We interviewed adult patients who presented to our emergency department with an alcohol-related presentation over an 8-week period.

RESULTS: We approached 1,079 patients. One hundred sixty-one had suffered an alcohol-related problem while out drinking; 27% of women and 14% of men had their first drink at home. There was no particular presentation or age group that was associated with preloading. Seventy percent of patients stated that they had drunk most of their alcohol at a public place; 76% of patients suffered their alcohol-related problem at a site different from where they had drunk most of their alcohol or where they had had their first drink.

CONCLUSION: Preloading is more common in women than men. Preloading is common in alcohol-related emergency department attendances. The proportions of patients preloading in this study are lower than in other studies conducted in different environments. Preloading is not a risk factor for alcohol-related emergency department attendance. Polices to reduce alcohol-related harm should continue to focus on bars, nightclubs and pubs.

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