Aim: To assess the incidence of diagnoses related to alcohol use in the population of homeless people admitted to hospital emergency departments (EDs). Material and method: Data were analysed from three hospitals concerning stays of homeless people in three EDs in Bydgoszcz, Poland, in 2013–2015; 3133 stays were identified. The data were compiled using Microsoft Excel and Statistica 10 statistical software. Results: At the time of admission to EDs, 31% of homeless people were considered to be under the influence of alcohol. Diagnoses related to alcohol use accounted for 25% of all diagnoses. The average blood alcohol concentration in the patients was 2.97 per mille. The average blood alcohol concentration in the group of men was significantly higher than that in the group of women (p = 0.015). The average length of stay in the ED of patients under the influence of alcohol was significantly longer (p < 0.0001) than among sober patients. Conclusions: Homeless people under the influence of alcohol account for a third of the population of homeless patients admitted to hospital emergency departments, while alcohol-related ICD-10 diagnoses account for a fourth of all diagnoses in these patients. Homeless patients under the influence of alcohol stay longer in hospital emergency departments than do sober homeless people, which may translate into more frequent acts of aggression towards medical personnel. In Poland there are no systemic ED-level solutions as regards dealing with homeless patients for whom alcohol dependence is in many cases a reality.

中文翻译：

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受酒精影响的无家可归者被送往波兰医院急诊室

目的：评估住院急诊科 (ED) 的无家可归者人群中与酒精使用相关的诊断发生率。材料和方法：分析了 2013-2015 年波兰比​​得哥什三个医院无家可归者在三个急诊室的住院时间；确定了 3133 次入住。数据使用 Microsoft Excel 和 Statistica 10 统计软件编译。结果：在入院时，31% 的无家可归者被认为受到酒精的影响。与酒精使用相关的诊断占所有诊断的 25%。患者的平均血液酒精浓度为每千分之 2.97。男性组的平均血液酒精浓度显着高于女性组（p = 0.015）。受酒精影响的患者在急诊室的平均停留时间明显长于清醒患者（p < 0.0001）。结论：受酒精影响的无家可归者占医院急诊科无家可归患者的三分之一，而与酒精相关的 ICD-10 诊断占这些患者所有诊断的四分之一。受酒精影响的无家可归患者在医院急诊室停留的时间比清醒的无家可归者更长，这可能会转化为更频繁地攻击医务人员的行为。在波兰，没有系统性的 ED 级解决方案来处理在许多情况下酒精依赖是现实的无家可归患者。结论：受酒精影响的无家可归者占医院急诊科无家可归患者的三分之一，而与酒精相关的 ICD-10 诊断占这些患者所有诊断的四分之一。受酒精影响的无家可归患者在医院急诊室停留的时间比清醒的无家可归者更长，这可能会转化为更频繁地攻击医务人员的行为。在波兰，没有系统性的 ED 级解决方案来处理在许多情况下酒精依赖是现实的无家可归患者。结论：受酒精影响的无家可归者占医院急诊科无家可归患者的三分之一，而与酒精相关的 ICD-10 诊断占这些患者所有诊断的四分之一。与清醒的无家可归者相比，受酒精影响的无家可归者在医院急诊室停留的时间更长，这可能会转化为更频繁地攻击医务人员的行为。在波兰，没有系统性的 ED 级解决方案来处理在许多情况下酒精依赖是现实的无家可归患者。而与酒精相关的 ICD-10 诊断占这些患者所有诊断的四分之一。受酒精影响的无家可归患者在医院急诊室停留的时间比清醒的无家可归者更长，这可能会转化为更频繁地攻击医务人员的行为。在波兰，没有系统性的 ED 级解决方案来处理在许多情况下酒精依赖是现实的无家可归患者。而与酒精相关的 ICD-10 诊断占这些患者所有诊断的四分之一。受酒精影响的无家可归患者在医院急诊室停留的时间比清醒的无家可归者更长，这可能会转化为更频繁地攻击医务人员的行为。在波兰，没有系统性的 ED 级解决方案来处理在许多情况下酒精依赖是现实的无家可归患者。