住院患者中酒精使用障碍的查:从中等护理中的回顾性队列研究中学习
Mohsan Subhani1,2, Dipaka Rani Nath2, Usman Talat3
1Nottingham Digestive Diseases Biomedical Research Centre (NDDC), School of Medicine, University of Nottingham, Nottingham NG7 2GT, UK.
Journal of clinical medicine
|January 8, 2025
概括
六分之一的住院患者患有酒精使用障碍 (AUD). 60-69岁的男性和急诊患者的风险更高,精神障碍是常见的. 在二级护理中,AUDIT-C查的表现各不相同.
科学领域:
- 公共卫生 公共卫生
- 临床医学 临床医学
- 流行病学 流行病学
背景情况:
- 过度饮酒是住院的主要原因,在高收入国家导致200多种疾病.
- 了解二级保健中酒精使用障碍 (AUD) 的患病率和特征对于有效的干预至关重要.
- 在ICD-10排放诊断组内AUD的分布及其与其他疾病的关系需要研究.
研究的目的:
- 确定住院患者中酒精使用障碍 (AUD) 的患病率和特征.
- 描述AUD在ICD-10出院诊断组中的分布.
- 确定AUD与相关风险因素和二级护理中的诊断之间的关系.
主要方法:
- 在2009年4月至2020年3月期间,对在诺丁汉大学医院 (NUH) 住院的成年患者进行了回顾性队列研究.
- 进行了单变量和多变量后勤回归分析,以确定风险因素和关联.
- 使用AUDIT-C问卷识别AUD,并根据ICD-10代码对诊断进行分类.
主要成果:
- 在44,804名入院患者中,有16.5%患有AUD;2.1%是酒精依赖.
- 60-69岁的男性患者和急诊患者的AUD患病率更高.
- 来自少数民族背景的个人,女性和来自较不贫困地区的个人患AUD的几率较低. 64.7%的AUD患者同时出现精神和行为障碍.
结论:
- 六分之一的住院患者呈现AUD,具有特定的人口和入院相关的风险因素.
- 精神和行为障碍在患有AUD的住院患者中非常普遍.
- 在二级护理环境中,AUDIT-C查工具的有效性可能会有所不同,因此需要仔细考虑ICD-10诊断.
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