Martin J, Barry J, Skally M
Department of Health and Children, Hawkins House, Dublin 2.
Ir Med J. 2011 May;104(5):140-4.
The aim of this study was to calculate the number and costs of hospital bed-days due to alcohol use in Ireland over the five year period 2000 to 2004. Age and sex specific Irish alcohol-attributable-fractions (AAFs) were developed by combining international risk estimates with Irish consumption data where available; where not available international AAFs were used. These were applied to national datasets to count the number and costs of bed-days wholly caused and prevented by alcohol and that proportion of bed-days that were partially caused and prevented by alcohol. Between 2000 and 2004, alcohol was estimated to have caused 3,428,973 (10.3%) and prevented 529,239 (1.6%) of hospital bed-days, giving a net number of bed-days due to alcohol of 2,899,734 (8.7%). Over this period the hospital inpatient costs attributed to the negative effects of alcohol were 953,126,381 euros, the costs attributed to hospitalisations prevented were 147,968,164 euros; giving net costs of alcohol-attributed bed-days of 805,158,217 euros. Chronic conditions accounted for 3,262,408 (95%) hospital bed-days due to the harmful effects of alcohol. Conditions not wholly due to alcohol accounted for 2,297,412 (67%) hospital bed-days due to the harmful effects of alcohol. The negative impacts of alcohol were greater than previously thought and spread across the whole population.
本研究的目的是计算2000年至2004年这五年间爱尔兰因饮酒导致的住院天数及费用。通过将国际风险评估与爱尔兰可得的消费数据相结合（若无可获取的爱尔兰数据，则使用国际酒精归因分数（AAFs）），得出了爱尔兰特定年龄和性别的酒精归因分数。将这些分数应用于国家数据集，以统计完全由酒精导致和预防的住院天数及费用，以及部分由酒精导致和预防的住院天数比例。在2000年至2004年期间，据估计酒精导致了3428973天（占10.3%）的住院天数，并预防了529239天（占1.6%）的住院天数，因酒精导致的住院天数净数为2899734天（占8.7%）。在此期间因酒精负面影响导致的医院住院费用为953126381欧元；因预防住院而产生费用为147968164欧元；因酒精导致住院天数产生的净费用为805158217欧元。慢性病占因酒精有害影响导致的32624408天（占96%）住院天数。并非完全由酒精导致的疾病占因酒精有害影响导致的2297412天（占67%）住院天数。酒精的负面影响比之前认为的更大，且波及整个人口。
