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卡塔尔一家三级护理医院酒精相关入院患者的人口统计学和临床特征:年龄有影响吗?

Demographics and clinical characteristics of alcohol-related admissions in a tertiary care hospital in Qatar: Does age matter?

作者信息

Abdelnaby Menatella, Abdalla Tasnim, Al-Kahtani Hend, Al-Rayashi Dana, Bashir Rim, Wanas Yara, Al-Neama Ahmed, Ibrahim Hassan, Ibrahim Hussain, Al-Adab Aisha, Asim Mohammad, El-Menyar Ayman

机构信息

College of Medicine, Qatar University, Doha, Qatar E-mail:

Department of Medicine, Hamad General Hospital, Doha, Qatar.

出版信息

Qatar Med J. 2021 Sep 9;2021(2):36. doi: 10.5339/qmj.2021.36. eCollection 2021.

Abstract

BACKGROUND

Alcohol consumption is a major cause of acute and chronic health conditions associated with comorbidities and traumatic injuries, despite its partial prohibition in some countries. Moreover, alcohol-related hospital admissions increase the burden on the healthcare system. More than 80% of the population in Qatar comprises expatriates. This study aimed to analyze the demographics and clinical characteristics of subjects with alcohol-related emergency department (ED) visits/hospitalization with respect to different age groups in a single tertiary hospital in Qatar.

METHODS

It is a retrospective observational study of adult patients who visited the ED at Hamad General Hospital between January 2013 and March 2015 and were screened positive for alcohol use. Collected data included sociodemographic characteristics, blood alcohol concentration (BAC), pattern of admission, previous medical history, laboratory investigations, treatment, hospital course, and mortality. Data were compared with respect to the distribution of age groups such as < 25, 25-34, 35-44, 45-54, and >55 years.

RESULTS

In total, 1506 consecutively admitted patients screened positive for alcohol use were included in the study; the majority of them were males (95.6%), non-Qatari nationals (71.1%), and aged 35-44 years (30.9%). The age groups 35-44 years and 45-54 years showed the highest median BAC ([0.24 interquartile range (IQR: 0.14-0.33)] and [0.24 (IQR: 0.13-0.33)], respectively) as compared to the other age groups (P = 0.001). The pattern of hospital admission, sociodemographic status, presence of comorbidities, laboratory investigations, and mortality showed specific age-related distribution. Particularly, young adults were more likely to have a previous ED visit due to trauma, whereas older patients' previous hospital admissions were mostly related to various underlying comorbidities.

CONCLUSION

This study highlighted the patterns of age and clinico-epidemiological status of patients with alcohol-attributable hospital admissions. Our study showed that alcohol consumption was higher among the working-age group. Further studies are needed to investigate changes in the alcohol consumption patterns that may help plan for allocation of health resources and prevention of alcohol-related problems.

摘要

背景

尽管在一些国家部分禁止饮酒,但饮酒仍是导致急性和慢性健康问题(与合并症和创伤性损伤相关)的主要原因。此外,与酒精相关的住院治疗增加了医疗系统的负担。卡塔尔超过80%的人口为外籍人士。本研究旨在分析卡塔尔一家三级医院中不同年龄组与酒精相关的急诊科就诊/住院患者的人口统计学和临床特征。

方法

这是一项对2013年1月至2015年3月期间在哈马德总医院急诊科就诊且酒精使用筛查呈阳性的成年患者的回顾性观察研究。收集的数据包括社会人口学特征、血液酒精浓度(BAC)、入院方式、既往病史、实验室检查、治疗、住院过程和死亡率。数据按照年龄组分布进行比较,如<25岁、25 - 34岁、35 - 44岁、45 - 54岁和>55岁。

结果

本研究共纳入1506例连续入院且酒精使用筛查呈阳性的患者;其中大多数为男性(95.6%)、非卡塔尔国民(71.1%),年龄在35 - 44岁之间(30.9%)。与其他年龄组相比,35 - 44岁和45 - 54岁年龄组的BAC中位数最高(分别为[0.24,四分位间距(IQR:0.14 - 0.33)]和[0.24(IQR:%0.13 - 0.33)],P = 0.001)。入院方式、社会人口学状况、合并症的存在、实验室检查和死亡率呈现出特定的年龄相关分布。特别是,年轻人因创伤导致的既往急诊科就诊更为常见,而老年患者既往住院大多与各种潜在合并症有关。

结论

本研究突出了酒精所致住院患者的年龄模式和临床流行病学状况。我们的研究表明,工作年龄组的饮酒量更高。需要进一步研究来调查饮酒模式的变化,这可能有助于规划卫生资源的分配和预防与酒精相关的问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8ab/8466544/5209f3e24f91/qmj-2021-036.g001.jpg

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