Screening for Alcohol Use Disorder Among Hospitalised Patients: Learning from a Retrospective Cohort Study in Secondary Care
2024

Screening for Alcohol Use Disorder in Hospitalized Patients

Sample size: 44804 publication 10 minutes Evidence: high

Author Information

Author(s): Subhani Mohsan, Nath Dipaka Rani, Talat Usman, Imtiaz Aqsa, Khanna Amardeep, Ali Awais, Aithal Guruprasad P., Ryder Stephen D., Morling Joanne R.

Primary Institution: Nottingham University Hospitals NHS Trust and the University of Nottingham

Hypothesis

What is the prevalence of and what are the characteristics of alcohol use disorder (AUD) among hospitalized patients?

Conclusion

One in six admitted patients had alcohol use disorder, with a higher risk in males, ages 60–69, and emergency admissions.

Supporting Evidence

  • 16.5% of patients were identified as having alcohol use disorder.
  • 4.0% of patients with AUD had an alcohol-specific ICD-10 diagnosis.
  • 64.7% of patients with AUD had associated mental and behavioral disorders.

Takeaway

Many people in the hospital have problems with alcohol, and it's important to check for this so they can get help.

Methodology

The study analyzed a retrospective cohort of adult patients admitted to Nottingham University Hospital from April 2009 to March 2020, using the AUDIT-C screening tool.

Potential Biases

Potential information and selection biases due to the retrospective nature of the study.

Limitations

The study's retrospective design may introduce biases, and it lacks information on specific alcohol interventions provided.

Participant Demographics

Mean age of 63.1 years; 48.0% male; 71.2% white.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI 3.53–4.99

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.3390/jcm13247617

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