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10.1111/acem.12983

http://scihub22266oqcxt.onion/10.1111/acem.12983
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suck abstract from ncbi


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pmid27062454
      Acad+Emerg+Med 2016 ; 23 (7 ): 831-4
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  • Tweet Now, See You In the ED Later? Examining the Association Between Alcohol-related Tweets and Emergency Care Visits #MMPMID27062454
  • Ranney ML ; Chang B ; Freeman JR ; Norris B ; Silverberg M ; Choo EK
  • Acad Emerg Med 2016[Jul]; 23 (7 ): 831-4 PMID27062454 show ga
  • BACKGROUND: Alcohol use is a major and unpredictable driver of emergency department (ED) visits. Regional Twitter activity correlates ecologically with behavioral outcomes. No such correlation has been established in real time. OBJECTIVES: The objective was to examine the correlation between real-time, alcohol-related tweets and alcohol-related ED visits. METHODS: We developed and piloted a set of 11 keywords that identified tweets related to alcohol use. In-state tweets were identified using self-declared profile information or geographic coordinates. Using Datasift, a third-party vendor, a random sample of 1% of eligible tweets containing the keywords and originating in state were downloaded (including tweet date/time) over 3 discrete weeks in 3 different months. In the same time frame, we examined visits to an urban, high-volume, Level I trauma center that receives > 25% of the emergency care volume in the state. Alcohol-related ED visits were defined as visits with a chief complaint of alcohol use, positive blood alcohol, or alcohol-related ICD-9 code. Spearman's correlation coefficient was used to examine the hourly correlation between alcohol-related tweets, alcohol-related ED visits, and all ED visits. RESULTS: A total of 7,820 tweets (representing 782,000 in-state alcohol-related tweets during the 3 weeks) were identified. Concurrently, 404 ED visits met criteria for being alcohol-related versus 2939 non-alcohol-related ED visits. There was a statistically significant relationship between hourly alcohol-related tweet volume and number of alcohol-related ED visits (rs = 0.31, p < 0.00001), but not between hourly alcohol-related tweet volume and number of non-alcohol-related ED visits (rs = -0.07, p = 0.11). CONCLUSION: In a single state, a statistically significant relationship was observed between the hourly number of alcohol-related tweets and the hourly number of alcohol-related ED visits. Real-time Twitter monitoring may help predict alcohol-related surges in ED visits. Future studies should include larger numbers of EDs and natural language processing.
  • |*Alcohol Drinking [MESH]
  • |*Emergency Medical Services [MESH]
  • |*Social Media [MESH]
  • |Adult [MESH]
  • |Emergency Service, Hospital/*statistics & numerical data [MESH]
  • |Forecasting [MESH]
  • |Humans [MESH]


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