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At-risk drinking is independently associated with ICU and one-year mortality in critically ill nontrauma patients*

Arnaud Gacouin1, Jean M Tadie, Fabrice Uhel

  • 11CHU Rennes, Maladies Infectieuses et Réanimation Médicale, Rennes, France. 2Inserm-CIC-0203, Faculté de Médecine, Université Rennes I, IFRI 40, Rennes, France. 3Biosit, Faculté de Médecine, Université Rennes 1, Rennes, France.

Critical Care Medicine
|November 9, 2013
PubMed

Insights

At-risk drinking significantly increases mortality for critically ill nontrauma patients in the ICU and up to a year after discharge. This highlights the importance of addressing alcohol consumption in critical care settings for improved patient survival.

Area of Science:

  • Critical Care Medicine
  • Alcohol Use Disorders
  • Public Health

Background:

  • At-risk drinking's impact on nontrauma ICU patient outcomes is not well understood.
  • Identifying factors influencing survival in critically ill patients is crucial for improving care.

Purpose of the Study:

  • To investigate the independent association between at-risk drinking and mortality in nontrauma ICU patients.
  • To assess survival rates in the ICU and within one year post-discharge.

Main Methods:

  • An observational cohort study was conducted in a university hospital's mixed ICU.
  • 662 adult patients with ICU stays of 3 days or more were included.
  • Alcohol consumption was assessed, and patients were categorized as at-risk drinkers based on NIAAA criteria.

Main Results:

  • 33% of patients were identified as at-risk drinkers.
  • At-risk drinkers showed significantly poorer survival in the ICU (24% vs 13%) and within one year post-discharge.
  • Adjusted analyses confirmed at-risk drinking as an independent predictor of both ICU mortality (aOR 1.83) and 1-year post-discharge mortality (aHR 1.70).

Conclusions:

  • At-risk drinking is independently associated with increased mortality in critically ill nontrauma patients.
  • These findings underscore the need to consider alcohol consumption in the management of ICU patients.
  • Early identification and intervention for at-risk drinking may improve long-term survival outcomes.
Abstract

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