Point prevalence of alcoholism in hospitalized patients: continuing challenges of detection, assessment, and diagnosis

Schneekloth, Terry D.; Morse, R.; Herrick, Linda M.; Suman, Vera J.; Offord, Kenneth P.; Davis, Leo J.

doi:10.4065/76.5.460

Cited by 45 publications

(45 citation statements)

References 26 publications

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“…[5][6][7][8][9][10][11] The highest detection rates were found in 2 studies of admissions to an internal medicine service, 9,10 while lower rates were seen in larger, less restrictive samples. 5,7,11 Rates of intervention or referral for alcohol treatment also varied widely, from about 20% to 60%. [5][6][7][9][10][11] Studies with the highest detection rates reported intervention or referral rates below 40%.…”

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confidence: 99%

“…[5][6][7][8][9]11 Previous research also found highly variable detection rates, ranging from 7% to about 70%. [5][6][7][8][9][10][11] The highest detection rates were found in 2 studies of admissions to an internal medicine service, 9,10 while lower rates were seen in larger, less restrictive samples. 5,7,11 Rates of intervention or referral for alcohol treatment also varied widely, from about 20% to 60%.…”

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confidence: 99%

“…Previous studies of detection rates, [5][6][7][8][9][10][11] defined as percentage of inpatients scoring positive on a researchbased alcohol assessment who had physician-rendered alcohol diagnoses, suggested a need for examination of detection of AUDs in a national sample. Previous studies were conducted in 1 or 2 hospitals or in selected department(s) of a single hospital, [5][6][7][8][9][10][11] and therefore do not support national inference. Most studies used screening instruments, which do not produce DSM-IV diagnoses, as the standard of comparison for physician diagnoses.…”

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confidence: 99%

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Detection of Alcohol Use Disorders in General Hospital Admissions in the United States

Smothers

Yahr²,

Ruhl³

2004

Arch Intern Med

130

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confidence: 99%

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confidence: 99%

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confidence: 99%

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Detection of Alcohol Use Disorders in General Hospital Admissions in the United States

Smothers

Yahr²,

Ruhl³

2004

Arch Intern Med

130

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“…Previous studies of alcohol abuse among medical and surgical inpatients have shown remarkably high frequencies of alcohol dependence in these populations ranging from 7 to 25 % [10][11][12][13]. A unique strength of this current study is that it focuses not on chronic usage patterns, but rather how commonly alcohol is the acute cause for hospital presentations.…”

Section: Discussionmentioning

confidence: 96%

A Descriptive Comparison of Alcohol-Related Presentations at a Large Urban Hospital Center from 1902 to 2009

Shy

Hoffman

2012

J. Med. Toxicol.

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Although alcohol use has long been a significant cause of hospital presentations, little is published regarding the long-term demographic changes that have occurred at a single hospital site. To address this deficit, we prospectively studied all acute alcohol-related presentations to Bellevue Hospital Center (New York, NY) and compared this contemporary data set with one from the same institution from 1902 to 1935. We prospectively identified all patients presenting to the emergency department because of acute alcohol use over an 8-week period in 2009. We described the basic attributes of patients presenting currently because of alcohol and compared these data to those previously described between 1902 and 1935. We also compared our census data with contemporaneous data from all patients presenting to this hospital site. During the study period, 560 patients presented because of acute alcohol use which extrapolated to an estimated 3,800 patients over the calendar year. This compares to 7,600 presentations recorded annually early in the twentieth century. Twelve percent of patients in 2009 were female as compared to 18 % of patients between 1934 and 1935. Patients with alcohol-related presentations in 2009 were more likely to be admitted than contemporaneous patients without an alcohol-related presentation (30 vs. 19 % admitted; p<0.001). Since first measured 110 years ago at one large New York City hospital, alcohol-related presentations remain common representing 5 % of all emergency department visits. This demonstrates alcoholism's continuing toll on society's limited medical resources and on public health as a whole.

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“…A nationally representative hospital sample found current alcohol use disorders to have a prevalence of 7.4%; most of those with these disorders were alcohol dependent. 2 However, depending on the communities served by specific hospitals, prevalence can be much higher among medical inpatients, [2][3][4][5] with studies finding problem drinking in as many as 28% of such patients. Although heavy drinking and the psychosocial problems that characterize alcohol dependence cause disease and interfere with disease management, remission is often difficult to achieve.…”

Section: Abstract: Alcoholism Inpatient Health Behaviormentioning

confidence: 99%

Perceived health status, alcohol‐related problems, and readiness to change among medically hospitalized, alcohol‐dependent patients

Stewart

Connors

2007

Journal of Hospital Medicine

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OBJECTIVE:Alcohol dependence is prevalent among medically hospitalized patients, and acute illness has the potential to increase motivation to change and provide a therapeutic window for treatment of alcohol dependence. This study evaluated the correlations of readiness to change drinking behavior with perceived physical and mental health status and specific alcohol-related consequences of medical inpatients. DESIGN AND MEASUREMENTS:The study was a cross-sectional survey of 50 clinically recognized and subsequently confirmed alcohol-dependent patients admitted to general internal medicine teaching services with no evidence of chronic cognitive functional deficits. We estimated correlations of process-of-change variables (problem recognition, ambivalence about change, and taking steps to change drinking) with measures of patient perception of general physical and mental health status and self-reported alcohol-related consequences. RESULTS:Problem recognition (r ϭ Ϫ0.31, P ϭ .028) and ambivalence about change (r ϭ Ϫ0.41, P ϭ .003), but not taking steps to change drinking (r ϭ Ϫ0.26, P ϭ .072) were significantly associated with perceived physical health. Perceived mental health was not associated with these variables, but greater alcohol-specific consequences were typically associated with greater recognition, ambivalence, and intent to change. CONCLUSIONS:

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Point prevalence of alcoholism in hospitalized patients: continuing challenges of detection, assessment, and diagnosis

Cited by 45 publications

References 26 publications

Detection of Alcohol Use Disorders in General Hospital Admissions in the United States

Detection of Alcohol Use Disorders in General Hospital Admissions in the United States

A Descriptive Comparison of Alcohol-Related Presentations at a Large Urban Hospital Center from 1902 to 2009

Perceived health status, alcohol‐related problems, and readiness to change among medically hospitalized, alcohol‐dependent patients

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