在纽约市，与酒精相关的医院就诊人数在 COVID-19 期间的变化。
Changes in alcohol-related hospital visits during COVID-19 in New York City.
机构信息
Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Division of Medical Toxicology, Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, Elmhurst Hospital Center, New York, NY, USA.
出版信息
Addiction. 2021 Dec;116(12):3525-3530. doi: 10.1111/add.15589. Epub 2021 Jun 15.
BACKGROUND AND AIMS
Increased alcohol consumption has been proposed as a potential consequence of the coronavirus disease 2019 (COVID-19) pandemic. There has been little scrutiny of alcohol use behaviors resulting in hospital visits, which is essential to guide pandemic public policy. We aimed to determine whether COVID-19 peak restrictions were associated with increased hospital visits for alcohol use or withdrawal. Secondary objectives were to describe differences based on age, sex and race, and to examine alcohol-related complication incidence.
DESIGN
Multi-center, retrospective, pre-post study.
SETTING
New York City health system with five participating hospitals.
PARTICIPANTS
Adult emergency department encounters for alcohol use, alcoholic gastritis or pancreatitis or hepatitis, alcohol withdrawal syndrome, withdrawal seizure or delirium tremens.
MEASUREMENTS
Age, sex, race, site and encounter diagnosis. Encounters were compared between 2019 and 2020 for 1 March to 31 May.
FINDINGS
There were 2790 alcohol-related visits during the 2019 study period and 1793 in 2020, with a decrease in total hospital visits. Of 4583 alcohol-related visits, median age was 47 years, with 22.3% females. In 2020 there was an increase in percentage of visits for alcohol withdrawal [adjusted odds ratio (aOR) = 1.34, 95% confidence interval (CI) = 1.07-1.67] and withdrawal with complications (aOR = 1.40, 95% CI = 1.14-1.72), and a decline in percentage of hospital visits for alcohol use (aOR = 0.70, 95% CI = 0.59-0.85) and use with complications (aOR = 0.71, 95% CI = 0.58-0.88). It is unknown whether use visit changes mirror declines in other chief complaints. The age groups 18-29 and 60-69 years were associated with increased visits for use and decreased visits for withdrawal, as were non-white race groups. Sex was not associated with alcohol-related visit changes despite male predominance.
CONCLUSIONS
In New York City during the initial COVID-19 peak (1 March to 31 May 2020), hospital visits for alcohol withdrawal increased while those for alcohol use decreased.
背景和目的
有人提出，新冠肺炎（COVID-19）大流行可能导致人们饮酒量增加。然而，对于导致人们住院的饮酒行为，人们几乎没有进行仔细审查，而这对于指导大流行期间的公共政策至关重要。我们旨在确定 COVID-19 高峰期的限制是否与因饮酒或戒断而住院的人数增加有关。次要目标是根据年龄、性别和种族描述差异，并检查与酒精相关的并发症发生率。
设计
多中心、回顾性、前后研究。
地点
纽约市卫生系统，有五家参与医院。
参与者
因酒精使用、酒精性胃炎或胰腺炎或肝炎、酒精戒断综合征、戒断性癫痫发作或震颤谵妄而到急诊室就诊的成年人。
测量
年龄、性别、种族、就诊地点和诊断。2019 年 3 月 1 日至 5 月 31 日期间，对 2019 年和 2020 年的就诊情况进行比较。
结果
在 2019 年的研究期间，有 2790 例与酒精相关的就诊，而 2020 年为 1793 例，总住院就诊人数有所减少。在 4583 例与酒精相关的就诊中，中位数年龄为 47 岁，女性占 22.3%。2020 年，因酒精戒断而就诊的百分比增加（调整后的优势比[aOR] = 1.34，95%置信区间[CI] = 1.07-1.67），因酒精戒断伴并发症而就诊的百分比也增加（aOR = 1.40，95% CI = 1.14-1.72），因酒精使用而就诊的百分比下降（aOR = 0.70，95% CI = 0.59-0.85），因酒精使用伴并发症而就诊的百分比也下降（aOR = 0.71，95% CI = 0.58-0.88）。尚不清楚使用就诊变化是否反映了其他主要主诉的减少。18-29 岁和 60-69 岁年龄组因使用就诊增加，而非白种人群因使用就诊减少。性别与酒精相关就诊变化无关，尽管男性占多数。
结论
在纽约市 COVID-19 高峰期（2020 年 3 月 1 日至 5 月 31 日），因酒精戒断而住院的人数增加，而因酒精使用而住院的人数减少。
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