An Audit to Evaluate the Use of the Alcohol Fast Screening Tool in Acute Medical Admissions in a District General Hospital

Sagar, Nishant; Dibor, C; Polson, Rex J.

doi:10.1136/gutjnl-2013-305143.28

Cited by 1 publication

(2 citation statements)

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“…During follow-up of the cohort 9451 men and 3637 women died. The cumulative all-cause mortality in men and women was 5.2% (95%CI, 4.0-5.8) and 3.8% (95%CI, 3.0-4.5) after one year, 16% (95%CI, [15][16][17] and 14% (95%CI, 13-15) after five years, and 29% (95%CI, [28][29][30] and 26% (95%CI, 24-27) after ten years (Figure 1). The SMR for all-cause mortality was 4.0 (95%CI, 3.8-4.1) in men and 4.3 (95%CI, 4.0-4.7) in women with a hospital contact with alcohol problems compared to the general population (Table 3).…”

Section: All-cause Mortalitymentioning

confidence: 99%

“…Around 2% of all Danish hospital contacts involve alcohol diagnoses reflecting obvious alcohol problems (7)(8)(9). Despite the fact that the hospital setting is acknowledged as a unique opportunity for brief interventions and initiation of alcohol treatment (10)(11)(12), healthcare providers do not exploit this opportunity (13)(14)(15)(16)(17). A US study revealed that only half of hospital patients with recognized alcohol problems received alcohol intervention or referral for treatment (18).…”

Section: Introductionmentioning

confidence: 99%

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Hospital admissions and mortality in the 15 years after a first-time hospital contact with an alcohol problem: a prospective cohort study using the entire Danish population

Askgaard

Leon

Deleuran

et al. 2019

International Journal of Epidemiology

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Background Potential benefits of preventing continued alcohol intake in individuals presenting at the hospital with an alcohol problem can be highlighted by studying their excess risk of subsequent morbidity and mortality. Methods All Danish residents with a first-time hospital contact with alcohol problems (intoxication, harmful use or dependence) in 1998–2002 were followed through 2012 using healthcare registries. We compared their cause-specific rates of hospital admission and mortality to the expected rates derived from the general population by calculating standardized incidence rate ratios. Results The 26 716 men and 12 169 women who were hospitalized with alcohol problems (median age 44 years) had more than 10 times the rate of subsequent admission to psychiatric departments and three times the rate of subsequent admission to somatic departments compared with the general population. In particular, the hospital admission rates for gastroenterological disease and injuries were high. The cumulative all-cause 10-year mortality risk was 29% [95% confidence interval (CI), 28–30] in men and 26% (95% CI, 24–27) in women with alcohol problems. The ratios of observed to expected death rate for all-cause mortality were 4.0 (95% CI, 3.8–4.1) in men and 4.3 (95% CI, 4.0–4.7) in women and, for causes of death fully attributable to alcohol, 16 (95% CI, 15–17) in men and 33 (95% CI, 29–38) in women. Conclusions Individuals hospitalized with alcohol problems have much higher rates of subsequent alcohol-related hospital admission and mortality than the general population. Increased focus on preventing continued alcohol consumption in these individuals may reduce their subsequent morbidity and mortality.

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