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Alcohol-related hospital treatments; trend over time

Alcohol-related hospital treatments; trend over time. N. van der Lely MD PhD Reinier de Graaf Hospital , Delft, the Netherlands. Background: Alcohol intoxication among adolescents is a growing problem in the Netherlands.

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Alcohol-related hospital treatments; trend over time

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  1. Alcohol-related hospital treatments; trend over time N. van der Lely MD PhD Reinier de Graaf Hospital, Delft, the Netherlands

  2. Brussels 2013

  3. Background: Alcohol intoxication among adolescents is a growing problem in the Netherlands. Objective:To investigate intoxication numbers and characteristics throughout all hospitals in The Netherlands Methods: 1. Data from the Dutch Pediatric Surveillance system (NSCK), which monitors admissions of alcohol intoxicated adolescents, were analyzed. 2. Patients, aged 10 –17 years old, with reduced consciousness due to alcohol intoxication were included. Brussels 2013

  4. Before we will present the Results…. Brussels 2013

  5. Delft Study History • Younger • Girls • At home • Drinking habit different • Blood levels higher • NTvG, December 2006 • British Medical Journal December 2006 Number of hospital admissions a year 2001 - 2007

  6. Created : • Dutch Pediatric Surveillance System (NSCK) • Prevention Intervention System Brussels 2013

  7. AIM • Primary goals • 1. Reducing the total number of children a year, who are being admitted because of alcohol intoxication, in all Dutch hospitals in the next coming 5 years. • 2.Increasing the mean age of the group admitted children each year, in all Dutch hospitals in the next coming 5 years. • Secondary goal • 3. Explore the relation alcohol abuse and safety and local government policies. Brussels 2013

  8. AIM • Primary goals • 1. Reducing the total number of children a year, who are being admitted because of alcohol intoxication, in all Dutch hospitals in the next coming 5 years. • 2.Increasing the mean age of the group admitted children each year, in all Dutch hospitals in the next coming 5 years. • Secondary goal • 3. Explore the relation alcohol abuse and safety and local government policies. Brussels 2013

  9. AIM • Primary goals • 1. Reducing the total number of children a year, who are being admitted because of alcohol intoxication, in all Dutch hospitals in the next coming 5 years. • 2.Increasing the mean age of the group admitted children each year, in all Dutch hospitals in the next coming 5 years. • Secondary goal • 3. Explore the relation alcohol abuse and safety and local government policies. Brussels 2013

  10. Dutch Pediatric Surveillance System (NSCK) • Prevention Intervention System Brussels 2013

  11. General anddemographic Family situation/ school performance Culturale background Info of the hospitalization Blood alcohol level Usage of othermedication/ drugs Background of the patiënt ADHD? Autisme? Parentalinvolvement Results NSCK Nationwide Brussels 2013

  12. Number of alcohol intoxicatedadolescentsadmitted in the The Netherlands in 2007, 2008, 2009 and 2010. Brussels 2013

  13. Brussels 2013

  14. Mean age at admission Brussels 2013

  15. Mean age at admission Brussels 2013

  16. Meanduration of coma ( hr) Brussels 2013

  17. Brussels 2013

  18. Dutch Pediatric Surveillance System (NSCK) • Prevention Intervention System Brussels 2013

  19. Prevention Intervention System • Collaboration Pediatric and Neuropsychological activities • Uncover underlying pathology • Prevent repetition of admission • Transfer of knowledge to child and parents • Investigates damage of alcohol on the brain Brussels 2013

  20. Brussels 2013

  21. Brussels 2013

  22. Brussels 2013

  23. Brussels 2013

  24. Brussels 2013

  25. PrimairyAims program Keep the recurrence risk of admission as low as possible Inducebehavioral change in Youth Inducebehavioral change in Parents Signalpsychologicalandpsychiatricproblems Brussels 2013

  26. Prevention Intervention System Results Nationwide Brussels 2013

  27. PrimairyAims program Recurrence risk of admission3 % Behavioral change in Youth85 % Behavioral change in Parents 82 % Signalpsychiologicalandpsychiatricproblems89 % Brussels 2013

  28. Results In Toto Brussels 2013

  29. AIM • Primary goals • 1. Reducing the total number of children a year, who are being admitted because of alcohol intoxication, in all Dutch hospitals in the next coming 5 years. • 2.Increasing the mean age of the group admitted children each year, in all Dutch hospitals in the next coming 5 years. • Secondary goal • 3. Explore the relation alcohol abuse and safety and local government policies. Brussels 2013

  30. AIM • Primary goals • 1. Reducing the total number of children a year, who are being admitted because of alcohol intoxication, in all Dutch hospitals in the next coming 5 years. • 2.Increasing the mean age of the group admitted children each year, in all Dutch hospitals in the next coming 5 years. • Secondary goal • 3. Explore the relation alcohol abuse and safety and local government policies. Brussels 2013

  31. AIM • Primary goals • 1. Reducing the total number of children a year, who are being admitted because of alcohol intoxication, in all Dutch hospitals in the next coming 5 years. • 2.Increasing the mean age of the group admitted children each year, in all Dutch hospitals in the next coming 5 years. • Secondary goal • 3. Explore the relation alcohol abuse and safety and local government policies. Brussels 2013

  32. AIM • Primary goals • 1. Reducing the total number of children a year, who are being admitted because of alcohol intoxication, in all Dutch hospitals in the next coming 5 years. • 2.Increasing the mean age of the group admitted children each year, in all Dutch hospitals in the next coming 5 years. • Secondary goal • 3. Explore the relation alcohol abuse and safety and local government policies. Brussels 2013

  33. Interest from….. Brussels 2013

  34. Brussels 2013

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  36. Brussels 2013

  37. Brussels 2013

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  40. We even studied… Brussels 2013

  41. Number of alcohol related First Aid treatments among 15 – 19 yr olds Brussels 2013

  42. Number of alcohol related First Aid treatments among 15 – 19 yr olds Brussels 2013

  43. Summary • Dutch Pediatric Surveillance system: Alcohol intoxication among adolescents is an emerging problem. • In the Netherlands, special policlinics for children with alcohol intoxication have already been established and are succesfull. • Time for more European collaboration ! ? Brussels 2013

  44. Summary • Dutch Pediatric Surveillance system: Alcohol intoxication among adolescents is an emerging problem. • In the Netherlands, special policlinics for children with alcohol intoxication have already been established and are succesfull. • Time for more European collaboration ! ? Brussels 2013

  45. Summary • Dutch Pediatric Surveillance system: Alcohol intoxication among adolescents is an emerging problem. • In the Netherlands, special policlinics for children with alcohol intoxication have already been established and are succesfull. • Time for more European collaboration ! ? Brussels 2013

  46. For further information… Brussels 2013

  47. Contact information Brussels 2013 N. van der Lely E-mail: lely@rdgg.nl

  48. www.polikliniekjeugdenalcohol.nl Brussels 2013

  49. www.polikliniekjeugdenalcohol.nl Brussels 2013

  50. Thank you for your attention Brussels 2013

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