Navigation Links
Alcohol problems account for a quarter of Scottish intensive care unit admissions
Date:7/18/2012

A quarter of patients admitted to Scottish intensive care units have alcohol problems and the majority of those have chronic alcohol disease, with particular problems among men and younger people.

Those are key findings of a survey of all 24 Scottish intensive care units, carried out by the Scottish Intensive Care Audit Group and published online early by Anaesthesia, ahead of inclusion in an issue.

"Alcohol disease adversely affects the outcome of critically ill patients and the burden of this in Scotland is higher than elsewhere in the UK" says co-author Dr Timothy Geary, Anaesthetic Registrar at the Victoria Infirmary in Glasgow.

"Our study of 771 patients admitted to intensive care units in Scotland showed that a quarter of admissions were alcohol related and that nearly three quarters of those affected were male.

"Patients with alcohol problems tended to be significantly younger and admissions from deprived areas of the country were also more likely to be alcohol related. Patients with alcohol problems also needed to be mechanically ventilated for longer. We estimate that, overall, alcohol related admissions cost intensive care units across Scotland 9 million a year."

The World Health Organization suggests that alcohol consumption now accounts for 3.2% of global death rates and 4% of the global ill health. Annual alcohol consumption has grown steadily in the UK, from five litres of pure alcohol per head of population in 1963 to ten litres in 2006.

This rise has been associated with increasing deaths and ill health. Between 1992 and 2008, deaths directly caused by alcohol almost doubled in the UK, from 6.9 to 12.8 per 100,000 people. Death rates in Scotland were particularly high for men during this period, with an average of 63.1 per 100,000 and up to 105 per 100,000 in some parts of the country.

A recent review re-examined the 2003 mortality figures in Scotland and suggested that the values underestimated the number of deaths related to alcohol by half. In 2003 the estimated direct cost to the Scottish National Health Service of alcohol misuse was 96 million. By 2007 this had risen to between 143.6 million and 392.8 million

Key findings of the study include:

  • Of the 771 admissions, 83% were unplanned, 25% were alcohol related and 22% of the patients had chronic alcohol disease. A third of the alcohol related admissions were acutely intoxicated at the time of admission.

  • Patients admitted with alcohol related problems were significantly younger than those admitted without alcohol problems (51 years versus 63 years).

  • 71% of the patients with alcohol-related issues were men, compared with just over 50% of the non alcohol-related patients.

  • Patients admitted with alcohol-related problems did not have significantly longer stay or death rates, but they did require a median level of two days' ventilation, compared to one day for patients without alcohol issues.

  • When admissions were analysed by levels of multiple deprivation, it was clear that alcohol related admissions were much higher in the most deprived areas and fell steadily as areas became less deprived.

"The major strength of our study is that it was performed across an entire country's healthcare system over one month, in contrast to previous single centre studies" says Dr Geary. "This has enabled us to estimate the annual cost of alcohol-related admissions, based on the daily cost of an intensive care unit bed, at just under 9 million.

"In Scotland the frequency and volume of alcohol consumed is significantly higher than in the rest of the UK, as is the proportion of people with hazardous drinking habits. This corresponds to higher death rates, particularly for Scottish men, but only indicates a fraction of the deaths attributed to alcohol.

"It is very clear that the increased costs identified by our intensive care unit study are part of a much wider problem caused by rising levels of alcohol abuse."


'/>"/>

Contact: Annette Whibley
annette.wizard@gmail.com
Wiley
Source:Eurekalert

Related medicine news :

1. New study suggests moderate alcohol consumption may help prevent bone loss
2. Oral contraceptive use in girls and alcohol consumption in boys are associated with increased BP....
3. 40 Million Americans Addicted to Cigarettes, Alcohol or Drugs
4. Whats the best way to treat problem alcohol use?
5. Limited amounts of alcohol during pregnancy do not harm children
6. Illnesses in Colorado childrens hospital prompts discovery of contaminated alcohol pads
7. Alcohol abuse may be cause, rather than effect of social isolation, poor grades among teens
8. Underage Drinkers Can Easily Order Alcohol From the Internet
9. WSU researches patterns of heavy alcohol use and life commitments in at-risk young adults
10. Majority of states fail to address youth exposure to alcohol marketing
11. Modest alcohol consumption lowers risk and severity of liver disease
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... (PRWEB) , ... June 27, 2016 , ... Quality metrics ... yet in many ways they remain in the eye of the beholder, according to ... a publication of The American Journal of Managed Care. For the full issue, ...
(Date:6/26/2016)... , ... June 26, 2016 , ... Brent Kasmer, a legally blind and certified personal ... personalized through a fitness app. The fitness app plans to fix the two major problems ... offer a one size fits all type program , They don’t eliminate all ...
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... The temporary closing of Bruton Memorial Library ... City Observer , brings up a new, often overlooked aspect of head lice: the parasite’s ... for fumigation is not a common occurrence, but a necessary one in the event that ...
(Date:6/25/2016)... ... June 25, 2016 , ... Dr. Calvin Johnson has dedicated ... has implemented orthobiologic procedures as a method for treating his patients. The procedure ... doctors to perform the treatment. Orthobiologics are substances that orthopaedic surgeons use to ...
(Date:6/24/2016)... ... June 24, 2016 , ... Those who have experienced traumatic events may ... to unhealthy avenues, such as drug or alcohol abuse, as a coping mechanism. To ... for healthy coping following a traumatic event. , Trauma sufferers tend to feel a ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... -- Astellas today announced the establishment of Astellas Farma Colombia (AFC), a new affiliate with operations headquartered in ... . ... ... ... Astellas is ...
(Date:6/23/2016)... 2016  Guerbet announced today that it has been ... Award . One of 12 suppliers to ... its support of Premier members through exceptional local customer ... commitment to lower costs. ... our outstanding customer service from Premier," says Massimo ...
(Date:6/23/2016)... , June 23, 2016 ... "Surgical Procedure Volumes: Global Analysis (United States, China, ... Canada)" report to their offering. ... essential tool for healthcare business planners, provides surgical procedure ... at surgery trends with an in-depth analysis of growth ...
Breaking Medicine Technology: