Findlay A
Scottish Office Home and Health Department, Edinburgh.
Health Bull (Edinb). 1991 Sep;49(5):273-83.
This paper reviews currently available data on alcohol related morbidity and mortality in Scotland. It confirms that admissions to psychiatric hospitals are unlikely to be a reliable indicator of trends in alcohol-related conditions because of the influence of local practice. Discharge rates for general (non-psychiatric) hospitals where an alcohol-related diagnosis has been made are reviewed and even using caution in interpreting the data, the results suggest that there is a worrying increase in rates of discharges with an alcohol-related diagnosis. Finally trends in deaths for both alcoholic liver disease (ICD 571.0-3) and unspecified chronic liver disease (ICD 571.4-9) are examined. It is concluded that other indicators of health related harm should be considered. These might include data from those presently seen in out-patient departments with an alcohol related condition as well as patients misusing alcohol who attend their General Practitioner (GP).
本文回顾了目前苏格兰与酒精相关的发病率和死亡率的现有数据。研究证实，由于当地医疗实践的影响，精神病院的住院人数不太可能成为与酒精相关疾病趋势的可靠指标。文中对已做出与酒精相关诊断的综合（非精神科）医院的出院率进行了回顾，即便在解读数据时十分谨慎，结果仍显示与酒精相关诊断的出院率出现了令人担忧的上升。最后，对酒精性肝病（国际疾病分类代码571.0 - 3）和未明确的慢性肝病（国际疾病分类代码571.4 - 9）的死亡趋势进行了研究。得出的结论是，应考虑其他与健康损害相关的指标。这些指标可能包括目前在门诊部门就诊的患有酒精相关疾病的患者的数据，以及那些滥用酒精的全科医生（GP）患者的数据。
