Association between clinical measures of unhealthy alcohol use and subsequent year hospital admissions in a primary care population

被引:7
作者
Jack, Helen E. [1 ,6 ]
Oliver, Malia M. [2 ]
Berger, Douglas B. [1 ,3 ]
Bobb, Jennifer F. [2 ]
Bradley, Katharine A. [1 ,2 ,4 ]
Hallgren, Kevin A. [5 ]
机构
[1] Univ Washington, Dept Med, Div Gen Internal Med, 325 9th Ave,POB 359780, Seattle, WA 98104 USA
[2] Kaiser Permanente Washington Hlth Res Inst, 1730 Minor Ave, Suite 1600, Seattle, WA 98101 USA
[3] Vet Affairs Puget Sound Hlth Care Syst, Gen Med Serv, 1660 S Columbian Way, Seattle, WA 98108 USA
[4] Univ Washington, Dept Hlth Syst & Populat Hlth, 4060 E Stevens Way NE, Seattle, WA 98195 USA
[5] Univ Washington, Dept Psychiat & Behav Sci, 1959 NE Pacific St,POB 356560, Seattle, WA 98195 USA
[6] Harborview Med Ctr, Div Gen Internal Med, 325 9th Ave,POB 359780, Seattle, WA 98104 USA
基金
美国国家卫生研究院;
关键词
Alcohol use; Alcohol use disorder; Healthcare utilization; Hospitalization; AUDIT-C; Acute care settings; Screening; SUBSTANCE USE DISORDERS; AUDIT-C; SCREENING SCORES; COMORBIDITY MEASURES; BRIEF INTERVENTION; RISK; DRINKING; CONSUMPTION; PREVALENCE; SEVERITY;
D O I
10.1016/j.drugalcdep.2023.109821
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Background: Screening for unhealthy alcohol use in primary care may help identify patients at risk for negative health outcomes.Aims: This study examined the associations between 1) screening with the AUDIT-C (alcohol consumption) and 2) an Alcohol Symptom Checklist (symptoms of alcohol use disorder) and subsequent-year hospitalizations.Methods: This retrospective cohort study was conducted in 29 primary care clinics in Washington State. Patients were screened in routine care (10/1/2016-2/1/2019) with the AUDIT-C (0-12) and administered the Alcohol Symptom Checklist (0-11) if they had AUDIT-C score >= 7. All-cause hospitalizations were measured within 1 year of the AUDIT-C and Alcohol Symptom Checklist. AUDIT-C and Alcohol Symptom Checklist scores were categorized based on previously used cut-points.Findings: Of 305,376 patients with AUDIT-Cs, 5.3% of patients were hospitalized in the following year. AUDIT-C scores had a J-shaped relationship with hospitalizations, with risk for all-cause hospitalizations higher for pa-tients with the AUDIT-C scores 9-12 (12.1%; 95% CI: 10.6-13.7%, relative to a comparison group of those with AUDIT-C scores 1-2 (female)/1-3 (male) (3.7%; 95% CI: 3.6-3.8%), adjusted for socio-demographics. Patients with AUDIT-C >= 7 and Alcohol Symptom Checklist scores reflecting severe AUD were at increased risk of hos-pitalization (14.6%, 95% CI: 11.9-17.9%) relative to those with lower scores.Conclusions: Higher AUDIT-C scores were associated with higher incidence of hospitalizations except among people with low-level drinking. Among patients with AUDIT-C >= 7, the Alcohol Symptom Checklist identified patients at increased risk of hospitalization. This study helps demonstrate the potential clinical utility of the AUDIT-C and Alcohol Symptom Checklist.
引用
收藏
页数:8
相关论文
共 50 条
  • [1] Association between change in alcohol use reported during routine healthcare screening and change in subsequent hospitalization: A retrospective cohort study
    Jack, Helen E.
    Berger, Douglas B.
    Bobb, Jennifer F.
    Oliver, Malia M.
    Bradley, Katherine A.
    Hallgren, Kevin A.
    ADDICTION, 2025,
  • [2] Characterizing Unhealthy Alcohol Use Patterns and Their Association with Alcohol Use Reduction and Alcohol Use Disorder During Follow-Up in HIV Care
    Davy-Mendez, Thibaut
    Sarovar, Varada
    Levine-Hall, Tory
    Lea, Alexandra N.
    Sterling, Stacy A.
    Chi, Felicia W.
    Palzes, Vanessa A.
    Luu, Mitchell N.
    Flamm, Jason A.
    Hare, C. Bradley
    Williams, Emily C.
    Bryant, Kendall J.
    Weisner, Constance M.
    Silverberg, Michael J.
    Satre, Derek D.
    AIDS AND BEHAVIOR, 2023, 27 (05) : 1380 - 1391
  • [3] Use of AUDIT-Based Measures to Identify Unhealthy Alcohol Use and Alcohol Dependence in Primary Care: A Validation Study
    Johnson, J. Aaron
    Lee, Anna
    Vinson, Daniel
    Seale, J. Paul
    ALCOHOLISM-CLINICAL AND EXPERIMENTAL RESEARCH, 2013, 37 : E253 - E259
  • [4] Unhealthy alcohol use in primary care patients who screen positive for drug use
    Maynie-Francois, Christine
    Cheng, Debbie M.
    Samet, Jeffrey H.
    Lloyd-Travaglini, Christine
    Palfai, Tibor
    Bernstein, Judith
    Saitz, Richard
    SUBSTANCE ABUSE, 2017, 38 (03) : 303 - 308
  • [5] Quality of care measures for the management of unhealthy alcohol use
    Hepner, Kimberly A.
    Watkins, Katherine E.
    Farmer, Carrie M.
    Rubenstein, Lisa
    Pedersen, Eric R.
    Pincus, Harold Alan
    JOURNAL OF SUBSTANCE ABUSE TREATMENT, 2017, 76 : 11 - 17
  • [6] Unhealthy alcohol use in older adults: Association with readmissions and emergency department use in the 30 days after hospital discharge
    Chavez, Laura J.
    Liu, Chuan-Fen
    Tefft, Nathan
    Hebert, Paul L.
    Clark, Brendan J.
    Rubinsky, Anna D.
    Lapham, Gwen T.
    Bradley, Katharine A.
    DRUG AND ALCOHOL DEPENDENCE, 2016, 158 : 94 - 101
  • [7] Screening and Counseling for Unhealthy Alcohol Use in Primary Care Settings
    Jonas, Daniel E.
    Garbutt, James C.
    MEDICAL CLINICS OF NORTH AMERICA, 2017, 101 (04) : 823 - +
  • [8] Substance use disorders among primary care patients screening positive for unhealthy alcohol use
    Metz, Verena E.
    Palzes, Vanessa A.
    Kline-Simon, Andrea Hessel
    Chi, Felicia W.
    Campbell, Cynthia, I
    Weisner, Constance M.
    Sterling, Stacy A.
    FAMILY PRACTICE, 2022, 39 (02) : 226 - 233
  • [9] Association Between Receipt of Brief Alcohol Intervention and Quality of Care among Veteran Outpatients with Unhealthy Alcohol Use
    Simonetti, Joseph A.
    Lapham, Gwen T.
    Williams, Emily C.
    JOURNAL OF GENERAL INTERNAL MEDICINE, 2015, 30 (08) : 1097 - 1104
  • [10] The Association Between Unhealthy Alcohol Use and Acute Care Expenditures in the 30 Days Following Hospital Discharge Among Older Veterans Affairs Patients with a Medical Condition
    Chavez, Laura J.
    Liu, Chuan-Fen
    Tefft, Nathan
    Hebert, Paul L.
    Devine, Beth
    Bradley, Katharine A.
    JOURNAL OF BEHAVIORAL HEALTH SERVICES & RESEARCH, 2017, 44 (04) : 602 - 624