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Record W2942813050 · doi:10.1097/cxa.0000000000000033

Alcohol-related Emergency Department Visits Among Adolescents and Young Adults in Sherbrooke, Canada

2018· article· en· W2942813050 on OpenAlex
Catherine Paradis, Louis-Olivier Cyr, Claude Cyr

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.
venuePublished in a venue whose home country is Canada.
aboutThe title or abstract carries a Canadian signal from the geographic lexicon.

Bibliographic record

VenueThe Canadian Journal of Addiction · 2018
Typearticle
Languageen
FieldHealth Professions
TopicHomelessness and Social Issues
Canadian institutionsUniversité de SherbrookeCanadian Centre on Substance Use and Addiction
Fundersnot available
KeywordsEmergency departmentMedicineContext (archaeology)Alcohol intoxicationAlcoholYoung adultInjury preventionEmergency medicineFamily medicinePediatricsMedical emergencyPoison controlPsychiatryGerontology

Abstract

fetched live from OpenAlex

ABSTRACTRésumé Objective: To describe alcohol-related emergency department (ED) consultations by adolescents and young adults, including severe alcohol intoxication. Method(s): This retrospective study was done in the 2 EDs of Sherbrooke (Quebec). All alcohol-related emergency visits among adolescent (12–17 years of age) and young adults (18–24 years of age) between January 1, 2012 and January 1, 2017 were described. Data include demographic information, the immediate drinking context leading to the ED consultation, means of transport, coingestion of other substances, laboratory data, clinical outcomes, and the type of counseling and follow-up services being offered. Results: On a total of 855 consultations, 56% were males. The median age was 20. Beverages with high alcohol content were consumed in 75% of cases. An altered level of consciousness was described in 68% of cases and 23% of patients had a condition presenting a potential threat to life. A majority of cases (57%) presented with at least 1 medical complication associated with alcohol intoxication. Only 29% had consumed a concurrent substance. The average blood alcohol concentration was 209 mg/dL. Half of patients were alone at the ED and only 52% were offered counseling and 40% a follow-up. Conclusions: Youth alcohol intoxication happens too often and is a serious medical emergency. Alcohol-related ED consultations are an opportunity for health professionals to intervene with youth. Young people need to be aware that beverages with high alcohol content can be extremely dangerous and alcohol regulations should be revised to restrict access to these products. Objectif: Décrire les consultations des services d’urgence liées à l’alcool par les adolescents et les jeunes adultes, y compris l’intoxication grave à l’alcool. Méthode(s): Cette étude rétrospective a été réalisée dans les deux services des urgences (SU) de Sherbrooke (Québec). Toutes les visites à l’urgence liées à l’alcool chez les adolescents (12-17 ans) et les jeunes adultes (18-24 ans) entre le 1er janvier 2012 et le 1er janvier 2017 ont été décrites. Les données comprennent les informations démographiques, le contexte de consommation immédiate qui a conduit à la consultation aux urgences, les moyens de transport, la co-ingestion d’autres substances, les données de laboratoire, les résultats cliniques et le type de services de conseil et de suivi proposés. Résultats: Sur un total de 855 consultations, 56% étaient des hommes. L’âge médian était de 20 ans. Des boissons à forte teneur en alcool étaient consommées dans 75% des cas. Un niveau de conscience altéré a été décrit dans 68% des cas et 23% des patients étaient atteints d’une affection pouvant constituer un danger de mort. Une majorité de cas (57%) ont présenté au moins une complication médicale associée à une intoxication alcoolique. Seulement 29% avaient consommé une substance concurrente. La concentration moyenne d’alcool dans le sang était de 209 mg / dl. La moitié des patients étaient seuls à l’urgence, 52% seulement avaient bénéficié d’une consultation et 40% d’un suivi. Conclusion: L’intoxication par l’alcool chez les jeunes est trop fréquente et constitue une urgence médicale grave. Les consultations aux urgences liées à l’alcool sont une opportunité pour les professionnels de la santé d’intervenir auprès des jeunes. Les jeunes doivent être conscients que les boissons à forte teneur en alcool peuvent être extrêmement dangereuses et les réglementations en matière d’alcool doivent être révisées pour limiter l’accès à ces produits.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.038
Threshold uncertainty score0.667

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.017
GPT teacher head0.300
Teacher spread0.284 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it