酒精使用障碍患者的死亡率,其中有两次或更多次重新入院
Olga Terechin1, Paul M Johansen1, Adam R Rosen1
1Berkshire Medical Center, United States.
Journal of community hospital internal medicine perspectives
|October 23, 2023
概括
患有酒精使用障碍和多次再入院的患者面临高死亡率. 精神病治疗和药物使用率低,突出了改善患者结果和减少这种疾病负担的关键领域.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 临床医学 临床医学
背景情况:
- 酒精使用障碍 (AUD) 在全球具有显著的发病率和死亡率.
- 随着COVID-19大流行,危险的酒精消费加剧,人们越来越担心AUD的影响.
研究的目的:
- 检查因AUD而重复入院的患者的人口统计和临床数据.
- 评估这个患者队列的死亡率和治疗利用率.
主要方法:
- 在2020年6月至2021年7月期间,针对AUD重新入院两次或更多次的患者的回顾性图表审查.
- 追踪到2022年6月的生存状况.
主要成果:
- 观察到高死亡率为10.3%.
- 大多数患者 (80%) 有记录的精神疾病,但只有34%的活着的患者和6%的已故患者接受了精神病治疗.
- 对AUD的药物使用率很低,只有26%的患者接受治疗.
结论:
- 由于AUD而经常住院的患者的死亡率很高.
- 精神病治疗和AUD药物使用率低,表明在治疗和管理方面存在重大差距.
- 针对性干预,重点是精神支持和药物治疗,对于改善这一弱势群体的结果至关重要.
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