Incidence of Hospitalizations Involving Alcohol Withdrawal Syndrome in a Primary Care Population DOI Creative Commons
Tessa L. Steel, Theresa E. Matson, Kevin A. Hallgren

и другие.

JAMA Network Open, Год журнала: 2024, Номер 7(10), С. e2438128 - e2438128

Опубликована: Окт. 8, 2024

Importance Alcohol withdrawal syndrome (AWS) is an important cause and complication of hospitalizations. Although common preventable, the incidence AWS during hospitalizations poorly described. Objective To evaluate proportional involving in adult primary care population overall across patient characteristics. Design, Setting, Participants This retrospective cohort study used electronic health records insurance claims from Kaiser Permanente Washington (KPWA) between July 1, 2018, June 30, 2022. The included adults with 1 or more visits this period year prior, where annual standardized alcohol screening using Use Disorders Identification Test–Consumption (AUDIT-C). Exposures Age, sex, race, Hispanic ethnicity, AUDIT-C scores, comorbid diagnoses. Main Outcome Measures Hospitalizations were defined by diagnosis codes documented (incidence numerator). Time enrolled KPWA determined person-enrolled-years denominator). Proportional was calculated as divided all-cause also estimated for other chronic conditions (chronic obstructive pulmonary disease, diabetes, heart failure, hypertension), which hospital codes. Results Among 544 825 engaged (mean [SD] age, 47.0 [17.9] years; 310 069 [56.9%] female; 3656 [0.7%] American Indian Alaska Native, 55 206 [10.1%] Asian, 25 406 [4.7%] Black, 5204 [1.0%] Native Hawaiian Other Pacific Islander, 365 780 [67.1%] White, 19 791 [3.6%] multiracial, 15 963 [2.9%] races, 53 819 [9.9%] unknown race; 33 987 [6.2%] Hispanic, 414 269 [76.0%] not 96 569 [17.7%] ethnicity), 169 (95% CI, 159-179) per 100 000 but high 347 13 502-17 331) patients alcohol-attributable 2.3% overall, variation scores (eg, 9%-11% male aged 30-49 years 23%-44% high-risk 7-12 points). In most cases, among younger than 60 years, matched surpassed that hypertension). Conclusions Relevance a large served integrated system, common, especially patients, age groups, individuals use. During hospitalizations, burden similar to exceeded complications diseases receive greater medical attention.

Язык: Английский

Variations in documentation of alcohol use disorder (AUD) diagnoses across race, ethnicity, and sex in a health system that assesses AUD symptoms as part of routine primary care DOI
R. Ellis, Kevin A. Hallgren, Emily C. Williams

и другие.

Journal of Substance Use and Addiction Treatment, Год журнала: 2025, Номер unknown, С. 209654 - 209654

Опубликована: Фев. 1, 2025

Язык: Английский

Процитировано

0
Addressing Alcohol Use DOI
Alex H. Krist, Katharine A. Bradley

New England Journal of Medicine, Год журнала: 2025, Номер 392(17), С. 1721 - 1731

Опубликована: Май 1, 2025

Язык: Английский

Процитировано

0
Incidence of Hospitalizations Involving Alcohol Withdrawal Syndrome in a Primary Care Population DOI Creative Commons
Tessa L. Steel, Theresa E. Matson, Kevin A. Hallgren

и другие.

JAMA Network Open, Год журнала: 2024, Номер 7(10), С. e2438128 - e2438128

Опубликована: Окт. 8, 2024

Importance Alcohol withdrawal syndrome (AWS) is an important cause and complication of hospitalizations. Although common preventable, the incidence AWS during hospitalizations poorly described. Objective To evaluate proportional involving in adult primary care population overall across patient characteristics. Design, Setting, Participants This retrospective cohort study used electronic health records insurance claims from Kaiser Permanente Washington (KPWA) between July 1, 2018, June 30, 2022. The included adults with 1 or more visits this period year prior, where annual standardized alcohol screening using Use Disorders Identification Test–Consumption (AUDIT-C). Exposures Age, sex, race, Hispanic ethnicity, AUDIT-C scores, comorbid diagnoses. Main Outcome Measures Hospitalizations were defined by diagnosis codes documented (incidence numerator). Time enrolled KPWA determined person-enrolled-years denominator). Proportional was calculated as divided all-cause also estimated for other chronic conditions (chronic obstructive pulmonary disease, diabetes, heart failure, hypertension), which hospital codes. Results Among 544 825 engaged (mean [SD] age, 47.0 [17.9] years; 310 069 [56.9%] female; 3656 [0.7%] American Indian Alaska Native, 55 206 [10.1%] Asian, 25 406 [4.7%] Black, 5204 [1.0%] Native Hawaiian Other Pacific Islander, 365 780 [67.1%] White, 19 791 [3.6%] multiracial, 15 963 [2.9%] races, 53 819 [9.9%] unknown race; 33 987 [6.2%] Hispanic, 414 269 [76.0%] not 96 569 [17.7%] ethnicity), 169 (95% CI, 159-179) per 100 000 but high 347 13 502-17 331) patients alcohol-attributable 2.3% overall, variation scores (eg, 9%-11% male aged 30-49 years 23%-44% high-risk 7-12 points). In most cases, among younger than 60 years, matched surpassed that hypertension). Conclusions Relevance a large served integrated system, common, especially patients, age groups, individuals use. During hospitalizations, burden similar to exceeded complications diseases receive greater medical attention.

Язык: Английский

Процитировано

0