%0 Journal Article
%T Age at first alcohol-related hospital separation or emergency department presentation and rate of re-admission: a retrospective data linkage cohort of young Australians
%J Drug and alcohol review
%D 2022
%A Yuen, Wing S.
%A Leung, Janni
%A Man, Nicola
%A Chiu, Vivian
%A Gisev, Natasa
%A Livingston, Michael
%A Degenhardt, Louisa
%A Farrell, Michael
%A Pearson, Sallie-Anne
%A Dobbins, Timothy
%A Dunlop, Adrian
%A Mattick, Richard P.
%A Peacock, Amy
%V ePub
%N ePub
%P ePub-ePub
%X INTRODUCTION: Alcohol is a leading risk factor for death and disease in young people. We compare age-specific characteristics of young people who experience their first ('index') alcohol-related hospitalisation or emergency department (ED) presentation, and whether age at index predicts 12-month rates of readmission. <br><br>METHODS: We used a retrospective linked-data cohort of 10,300 people aged 12-20 years with an index alcohol-related hospital and/or ED record in New South Wales, Australia from 2005 to 2013. Age group (early adolescent [12-14 years], late adolescent [15-17 years], young adult [18-20 years]) and diagnosis fields were used in logistic regression analyses and to calculate incidence rates with adjustment for year of index event, sex, socioeconomic disadvantage and residence remoteness. <br><br>RESULTS: People who experienced their index event in early adolescence (adjusted relative risk ratio [ARRR] 0.45 [95% confidence interval 0.39, 0.52]) or late adolescence (ARRR 0.82 [0.74, 0.90]) were less likely to be male compared to young adults. Early adolescents (ARRR 0.60 [0.51, 0.70]) and late adolescents (ARRR 0.84 [0.76, 0.93]) were less likely to have a hospitalisation index event. Early adolescents (adjusted incidence rate ratio 1.40 [1.15, 1.71]) and late adolescents (adjusted incidence rate ratio 1.16 [1.01, 1.34]) were more likely than young adults to have a subsequent 12-month non-poisoning injury ED presentation. <br><br>DISCUSSION AND CONCLUSIONS: We identified preventable hospital events in young people who have previously experienced an alcohol-related ED presentation or hospitalisation, with age-specific characteristics and outcomes that can be used to inform future health policy and service planning.<p /> <p>Language: en</p>
%G en
%I John Wiley and Sons
%@ 0959-5236
%U http://dx.doi.org/10.1111/dar.13529