The effect of Covid-19 on alcohol use disorder and role of universal alcohol screening in an inpatient setting: a retrospective cohort control study
Autor: | Subhani, Mohsan, Sheth, Abhishek, Unitt, Stuart, Aithal, Guruprasad P., Ryder, Stephen D., Morling, Joanne R. |
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Jazyk: | angličtina |
Rok vydání: | 2022 |
Předmět: | |
ISSN: | 0735-0414 1464-3502 |
Popis: | AimTo assess the impact of Covid-19 on alcohol use disorders (AUD) and the role of universal alcohol screening (UAS) in an inpatient setting.MethodsRetrospective cohorts were defined as pre-pandemic and pandemic admitted to Nottingham University Hospitals (April to October; 2019 and 2020) and had alcohol assessment by AUDIT-C. AUDIT-C score was assessed against age, sex, ethnicity, admission type, speciality and primary diagnosis of mental disorders. Subgroup analysis for Covid-19 positive patients was performed.ResultsA total of 63,927 admissions (47,954 patients) were included. The pandemic period compared to pre-pandemic had fewer overall admissions (27,349 vs 36,578, P < 0.001), fewer with AUD (17.6% vs 18.4%, P =?0.008) but a higher proportion of alcohol dependents (3.7% vs 3.0%, P 0.0001). In the pandemic those with AUD were more likely to be male (P =?0.003), white (P 0.001), in relationship (P 0.001), of higher socioeconomic background (P 0.001), have alcohol-related mental disorders (P =?0.002), emergency admission (P 0.001), medical speciality admission (P 0.001) and shorter length of stay (P 0.033) compared to pre-pandemic AUD. Covid-19 positive patients with concomitant AUD died at younger age (P 0.05) than Covid-19 positive patients at low risk for AUD.ConclusionsThe pandemic changed the characteristics of inpatients with AUD. There was a higher proportion of alcohol-dependent admissions with evidence that a younger, less deprived group have been significantly impacted. UAS provides a useful tool to screen for AUD and to identify the change when facing sudden health crises. |
Databáze: | OpenAIRE |
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