在例行医疗检查期间报告的酒精使用变化与随后住院的变化之间的关联:一项回顾性队列研究
Helen E Jack1, Douglas B Berger1,2, Jennifer F Bobb3
1Division of General Internal Medicine, Department of Medicine, University of Washington School of Medicine, Seattle, WA, USA.
减少不健康的酒精使用,根据酒精使用障碍识别测试 (AUDIT-C) 的测量,与住院住院风险较低有关. 然而,AUDIT-C得分的增加与住院风险没有显著关联.
科学领域:
- 公共卫生 公共卫生
- 临床医学 临床医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 初级保健机构使用查工具,如3项酒精使用障碍识别消费测试 (AUDIT-C),以识别不健康的酒精使用.
- 关于AUDIT-C分数的变化是否反映了与酒精有关的健康结果的有意义变化,研究有限.
研究的目的:
- 评估AUDIT-C分数变化与因任何原因住院住院的风险之间的关联.
- 为了确定AUDIT-C分数的变化是否预测未来住院风险.
主要方法:
- 一项回顾性队列研究使用来自华盛顿州卫生系统的数据进行.
- 分析了165101名在2016-2020年期间至少接受过两次AUDIT-C查的成年患者.
- AUDIT-C分数被分为五个风险级别,并随着时间的推移跟踪变化,以评估随后一年的住院风险.
主要成果:
- 在AUDIT-C上,一个或两个或多个风险类别水平的下降与住院风险的统计显著降低有关.
- 具体来说,一级降低显示0.92调整后风险比率 (aRR),而≥2级降低显示0.68 aRR.
- 在AUDIT-C风险类别的增加与住院风险的变化没有显著相关.
结论:
- 减少AUDIT-C风险类别与所有原因住院的风险降低有关.
- 这种下降还与可能归因于酒精的疾病住院的减少有关.
- 在AUDIT-C得分的增加并没有显示出与随后住院风险的显著关联.
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