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Alcohol-Related Hospital Encounters Trigger Thrombotic and Hemorrhagic Vascular Events

Caroline Gentile1, Laura Stein1, Mandip S Dhamoon1

  • 1Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, New York.

Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association
|September 22, 2019
PubMed

Insights

Recent alcohol-related encounters are linked to vascular events like stroke, but not intracerebral hemorrhage. Alcohol use also increases the risk of hospital readmission after these events.

Area of Science:

  • Neurology
  • Public Health
  • Epidemiology

Background:

  • Alcohol consumption is a significant public health concern.
  • Vascular events represent a major cause of morbidity and mortality.

Purpose of the Study:

  • To investigate the association between alcohol-related emergency department visits and hospitalizations and specific vascular events.
  • To examine the impact of alcohol-related encounters on hospital readmission rates following vascular events.

Main Methods:

  • Utilized New York State Inpatient and Emergency Department Databases (2006-2013).
  • Employed case cross-over analysis with conditional logistic regression to assess associations.
  • Used multivariate logistic regression to evaluate the impact on 30-day readmissions.

Main Results:

  • Alcohol encounters were associated with increased odds of acute ischemic stroke and subarachnoid hemorrhage.
  • No significant association was found between alcohol encounters and intracerebral hemorrhage (ICH).
  • Alcohol-related encounters within six months prior to index vascular events increased the likelihood of 30-day readmission.

Conclusions:

  • Recent alcohol-related encounters are associated with the occurrence of specific vascular events, excluding ICH.
  • Alcohol use is linked to poorer outcomes, including higher readmission rates, after index vascular admissions.
Abstract

Keywords:
Alcoholmyocardial infarctionstrokevenous thromboembolism

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