Utilization of hospital resources by alcoholic and nonalcoholic patients

Niquille, Marc; Koehn, Véronique; Magnenat, P; Paccaud, Fred; Yersin, Bertrand

doi:10.1007/bf02598963

Cited by 6 publications

(9 citation statements)

References 26 publications

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“…The studies are varied, being conducted in France, Germany, Switzerland and the UK and presenting costs from 1964 to 2007. With the exception of the daily costs of treatment reported in a French study in 1964 (Lereboullet, 1968), all treatment costs for a single patient lie within the range of 5.3-15.0% of GDP per inhabitant (Niquille et al, 1991;McKenna et al, 1996;Nalpas et al, 2003;Salize et al, 2004;Parrott et al, 2006;Stamm et al, 2007). However, despite the cost conversion into Euros 2012 performed, the reported outcomes are different enough to restrict direct comparison of costs.…”

Section: Resultsmentioning

confidence: 99%

“…Five studies reported this outcome. While three studies present comparable measures, such as length of stay per hospitalization per patient in days (Lereboullet, 1968;Niquille et al, 1991;Nalpas et al, 2003), one study presents the total annual number of hospital days consumed by alcoholdependent patients (Kopp and Fenoglio, 2000) and another presents only the proportion of alcohol-dependent patients in a 6-month period with length of hospital stay less than and >24 h (Baune et al, 2005). Of the three studies presenting comparable outcomes, the oldest study is an outlier, reporting a mean length of stay per hospitalization per patient of 55 days (Lereboullet, 1968).…”

Section: Resultsmentioning

confidence: 99%

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The Economic Burden of Alcohol Dependence in Europe

Laramée

Kusel

Leonard

et al. 2013

Alcohol and Alcoholism

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Aims: To determine the economic burden pertaining to alcohol dependence in Europe. Methods: Database searching was combined with grey literature searching to identify costs and resource use in Europe relating to alcohol dependence as defined by the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or the World Health Organisation's International Classification of Diseases (ICD-10). Searches combined MeSH headings for both economic terms and terms pertaining to alcohol dependence. Relevant outcomes included direct healthcare costs and indirect societal costs. Main resource use outcomes included hospitalization and drug costs. Results: Compared with the number of studies of the burden of alcohol use disorders in general, relatively few focussed specifically on alcohol dependence. Twenty-two studies of variable quality were eligible for inclusion. The direct costs of alcohol dependence in Europe were substantial, the treatment costs for a single alcohol-dependent patient lying within the range €1591-€7702 per hospitalization and the annual total direct costs accounting for 0.04-0.31% of an individual country's gross domestic product (GDP). These costs were driven primarily by hospitalization; in contrast, the annual drug costs for alcohol dependence were low. The indirect costs were more substantial than the direct costs, accounting for up to 0.64% of GDP per country annually. Alcohol dependence may be more costly in terms of health costs per patient than alcohol abuse. Conclusions: This review confirms that alcohol dependence represents a significant burden for European healthcare systems and society. Difficulties in comparing across cost-of-illness studies in this disease area, however, prevent specific estimation of the economic burden.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

The Economic Burden of Alcohol Dependence in Europe

Laramée

Kusel

Leonard

et al. 2013

Alcohol and Alcoholism

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“…Between September 1st, 1988 and March 18th, 1989, all patients aged 20-75 years admitted to the general medical ward of the University Hospital in Lausanne, Switzerland, were eligible for inclusion in a systematic study of the use of hospital resources with reference to alcoholism (Niquille et al, 1991). Excluded from this population (n = 702) were patients unable to understand French (n = 29), those • suffering conditions severe enough to render them incapable of answering questions {n -37, including six with a terminal alcoholrelated disease) and those who refused to participate (n = 8).…”

Section: Methodsmentioning

confidence: 99%

“…As part of a case-control study designed to assess the comparative use of hospital resources of alcoholic and non-alcoholic medical patients identified by a positive and a negative MAST, respectively (Niquille et al, 1991), we investigated the drinking patterns of these two age and sex-matched cohorts; the descriptive and comparative data of this study are reported here with the aim of analysing them according to the known drinking patterns of the Swiss population. The use of a general hospital population of patients to describe an alcoholic pattern of drinking limits the generalizability of the results (the Bergson bias), yet may offer insights into the drinking patterns of alcoholic patients screened systematically when compared with age-matched and sex-matched controls.…”

Section: Introductionmentioning

confidence: 99%

Drinking Patterns Among Medical in-Patients With Reference to Mast Categories: A Comparative Study

Horn

Paccaud

Niquille³

et al. 1992

Alcohol and Alcoholism

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-The aim of the study was to describe the drinking patterns and alcohol consumption of patients screened by the Michigan Alcoholism Screening Test (MAST) in a sample of medical patients from a general hospital of a French-speaking, wine-drinking country. Data were recorded using a structured interview administered to 103 consecutively admitted 20-75-year-old MAST-positive patients and 103 age-matched and sex-matched MAST-negative controls admitted to the same ward. Relevant differences between MAST-positive and MAST-negative patients included the frequent report of recent and total abstinence in MAST-positive patients (23% versus 4% in controls), their tendency to drink alone, and less often during mealtimes, at home, or with family or friends than MAST-negative patients. Alcohol consumption was significantly higher in MAST-positive patients of both sexes with 250 and 270 g per week being the optimal discriminative cut-off level of consumption for men and women, respectively (kappa coefficient, 0.70 and 0.81, respectively). Regular drinking was the predominant drinking status of both MAST-positive and MAST-negative patients. This study suggests that a screening test such as the MAST, developed in an English-speaking country may be useful in a French-speaking, wine-drinking country. The test identified patients with drinking patterns that are culturally abnormal, yet in certain respects similar to those of alcoholic patients from other drinking cultures. These findings therefore emphasize the worldwide relevance of the concept of the alcohol dependence syndrome in addition to the transcultural usefulness of alcoholism screening tests.

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“…rate [5,24], In the present study, the screening was done by the wards' residents and the rate of inapplicability of the screening test was not controlled. In previous studies, the MAST was administered by a single research fellow, and the rate and reasons for inapplicability were checked.…”

Section: Discussionmentioning

confidence: 99%

Screening and Referral of Alcoholic Patients in a General Hospital

Yersin¹,

Besson

Duc-Mingot

et al. 1996

Eur Addict Res

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A clinical trial investigating the evaluation and individualized referral of alcoholic patients in general medical wards, as compared to simple abstinence counselling, is reported. Individualized referral included a complete medical and psychosocial evaluation of the patient’s condition, followed by a multidisciplinary meeting aimed at defining individualized therapeutic proposals organized in a network of specific therapy and support. Screening (using the Michigan Alcoholism Screening Test) identified 107 patients. Eligible patients (n = 53), including those who refused to be randomized (n = 17) as well as those who were randomized (n = 36), were followed for 1 year. The study was limited by several problems arising from trial-related methods as well as from patient-related characteristics, such as a low rate of screening by residents, a high rate of exclusion (51 %), a high rate of randomization refusal (32%) as well as a high attrition rate after 1 year (42%). Among patients who were followed, we observed a high rate of abstinence (57%), which was longer in the intervention group, and was correlated with improved biological markers and scores in a quality-of-life questionnaire. This study emphasizes the need for other similar but larger trials; their design should take into consideration the methodological difficulties encountered in the present study, in order to limit the high exclusion and attrition rates.

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Utilization of hospital resources by alcoholic and nonalcoholic patients

Cited by 6 publications

References 26 publications

The Economic Burden of Alcohol Dependence in Europe

The Economic Burden of Alcohol Dependence in Europe

Drinking Patterns Among Medical in-Patients With Reference to Mast Categories: A Comparative Study

Screening and Referral of Alcoholic Patients in a General Hospital

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