Some Alcohol-Related Hospitalizations Tied to Poor Outcomes

Receive email when new articles are published onPatients hospitalized for alcohol-related harms are a diverse population with multiple subgroups, and those with liver disease face the highest risks for in-hospital and post-discharge mortality, new research suggested.

In Ontario, the liver disease subgroup made up about 15% of the cohort, but its 1-year mortality rate was about 30%, compared with 12% in the overall cohort. "This was a strikingly high mortality rate, given that the average age of this patient subgroup was 61 years," said Friesen.The researchers used latent class analysis to identify clinical subgroups of patients with alcohol-related hospitalizations in Manitoba and Ontario.

The researchers identified seven subgroups, following a gradient from low-frequency service use for acute intoxication to high-frequency service use for severe AUD and liver disease. Two additional groups emerged in Ontario. One, representing 5.2% of the cohort, had a high frequency of all types of alcohol-related health service use , and the other, representing 5.5% of the cohort, had a high frequency of prior alcohol-related ED visits and hospitalizations but less frequent prior alcohol-related outpatient visits.

In both cohorts, patients in the liver disease subgroup had the highest incidence of in-hospital and post-discharge mortality. The study had limitations. Manitoba and Ontario have universal health insurance, and how people access health services for alcohol-related harms in Canada may differ in places without universal healthcare. There were two subgroups observed in Ontario that were not observed in Manitoba, which could mean that there is regional variability in how people experience alcohol-related hospitalizations.

Source: Healthcare Press (healthcarepress.net)

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