从1993年到2021年,与酒精有关的紧急部门访问的纵向分析
Lucas Rios Rocha1,2, Jingya Gao2, Janice A Espinola2
1Department of Neurology, University of Pittsburgh School of Medicine, Pittsburgh, PA.
American journal of epidemiology
|July 3, 2025
概括
从1993年到2021年,与酒精有关的急诊室访问显著增加了139%,超过了ED总体访问的增长. 这一趋势凸显出迫切需要针对性地采取与酒精有关的健康干预措施.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 对与酒精有关的疾病的急诊室 (ED) 访问构成了严重的公共卫生负担.
- 了解这些访问中的长期趋势和人口差异对于有效的干预至关重要.
研究的目的:
- 分析1993年至2021年与酒精有关的ED访问的国家趋势.
- 为了确定人口统计学差异和慢性与急性酒精相关疾病的变化,有助于ED访问.
主要方法:
- 使用国家医院门诊医疗保健调查 (1993-2021) 进行的一系列横截面研究.
- 酒精归因分数 (AAFs) 用CDC的酒精相关疾病影响方法计算,用于年龄≥15岁的患者.
- 分析的重点是完全归因于酒精 (AAF1) 的ED访问,检查随着时间的推移和人口统计 (年龄,性别,种族) 和病情类型 (慢性与急性) 的趋势.
主要成果:
- 在1993-1994年和2019-2021年期间,完全归因于酒精的ED访问率增加了139% (每1000人中有4.4至10.5人),明显超过了ED总访问量的28%的增长.
- 在50岁以上的成年人 (242%),男性 (146%),白人患者 (190%) 中观察到最大的增加.
- 慢性酒精相关的ED访问增加了158%,而急性访问下降了12%.
结论:
- 与总体ED访问相比,与酒精有关的ED访问数量不成比例地增加,这表明公共卫生问题越来越严重.
- 特定的人口群体,特别是老年人,男性和白人患者,正在经历这些访问的最显著增长.
- 有针对性的预防和干预策略对于解决与酒精有关的ED访问对个人和医疗保健系统日益严重的影响至关重要.
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