胃肠道疾病和酒精使用障碍的新诊断
Kimberly Schiel1, Timothy Chrusciel2, Richard Gruzca2
1From the Department of Family and Community Medicine, Saint Louis University School of Medicine (KS, RG, JFS); Advanced HEAlth Data (AHEAD) Research Institute, Saint Louis University School of Medicine (TC, RG, JFS); Department of Health and Clinical Outcomes Research, Saint Louis University School of Medicine. Salus Center (TC, RG); Department of Psychiatry and Behavioral Neuroscience, Saint Louis University School of Medicine (JFS). Kimberly.schiel@ssmhealth.com.
初级保健医生应对患有胃食道逆流性疾病 (GERD) 的患者进行查,以确定是否存在酒精使用障碍 (AUD). 与IBS或胃炎不同,GERD与在两年内出现新的AUD诊断的风险更高有关.
科学领域:
- 胃肠病学 胃肠病学
- 成 药物 药物 药物 药物
- 主要护理是指初级护理.
背景情况:
- 尽管有治疗方法,但初级保健医生对酒精使用障碍 (AUD) 的诊断不足.
- 调查与大量饮酒相关的胃肠道 (GI) 疾病可能会改善AUD检测.
- 这项研究探讨了IBS,GERD和胃炎/与新的AUD诊断之间的关联.
研究的目的:
- 为了确定胃肠道疾病是否与随后的酒精使用障碍 (AUD) 诊断有关.
- 评估使用胃肠道症状作为初级保健中AUD查指标的潜力.
主要方法:
- 利用来自中西部医疗保健系统的匿名医疗记录.
- 确定没有先前AUD诊断的初级保健患者 (2020-2021年).
- 采用多变量回归来分析GI条件 (2020-2021) 和新AUD诊断 (2022-2023) 之间的关联.
主要成果:
- 胃食道逆流性疾病 (GERD) 是最常见的胃肠道疾病 (24.8%).
- 胃炎/或刺激性肠综合征 (IBS) 和新的AUD诊断之间没有发现显著的关联.
- 在对共变量进行调整后,GERD与新的AUD诊断有显著的关联 (OR=1.18;95% CI:1.10-1.26) .
结论:
- 被诊断为GERD的患者在两年内患上酒精使用障碍 (AUD) 的风险增加.
- 初级保健医生应该考虑查GERD患者的AUD.
- 建议对患者接受GERD诊断后的AUD讨论进行进一步的研究.
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