National Prevalence of Alcohol and Other Substance Use Disorders Among Emergency Department Visits and Hospitalizations: NHAMCS 2014-2018.
National Prevalence of Alcohol and Other Substance Use Disorders Among Emergency Department Visits and Hospitalizations: NHAMCS 2014-2018.
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急诊就诊和住院期间酒精和其他物质使用障碍的全国患病率：NHAMCS 2014-2018。
DOI：
10.1007/s11606-021-07069-w
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发表时间：
2022-08
影响因子：
5.7
通讯作者：
Nguyen OK
中科院分区：
文献类型：
--
作者：
Suen LW;Makam AN;Snyder HR;Repplinger D;Kushel MB;Martin M;Nguyen OK
由于酒精使用障碍（AUD）和其他物质使用障碍（SUD）引起的急性医疗保健利用率正在上升。描述AUD或SUD成人急诊（艾德）就诊和住院的患病率和特征。对国家医院门诊医疗调查（2014年至2018年）进行回顾性分析的观察性研究，这是一项具有全国代表性的急性护理访视调查，其中包含从病历中提取的AUD或SUD存在信息。结果测量为AUD或SUD的存在。从2014年到2018年，AUD或SUD的年平均患病率为艾德就诊的9.4%（930万次就诊）和住院的11.9%（140万次住院）。这两个估计值都随着时间的推移而增加（从2014年到2018年，艾德就诊和住院分别相对增加30%和57%）。与既无AUD也无SUD的个体相比，AUD或SUD个体的艾德就诊和住院比例更高（艾德就诊：AUD：33.1%，SUD：35.0%，两者都不是：24.4%;住院：AUD：30.7%，SUD：36.3%，两者都不是：14.8%）;无家可归（艾德访视：AUD：6.2%，SUD 4.4%，两者均不为0.4%;住院：AUD：5.9%，SUD 7.3%，两者均不为0.4%）;共存抑郁（艾德访视：AUD：26.3%，SUD：24.7%，两者均不为10.5%;住院：AUD：33.5%，SUD：35.3%，两者均不为13.9%）;以及损伤/创伤（艾德访视：AUD：51.3%，SUD：36.3%，两者都不是：26.4%;住院：AUD：31.8%，SUD：23.8%，两者都不是：15.0%）。在这项具有全国代表性的研究中，1/11的艾德访视和1/9的住院治疗是由患有AUD或SUD的成人进行的，并且两者都随着时间的推移而增加。这些估计数高于或类似于以前使用索赔数据作出的国家估计数。这突出了在急性护理环境中确定解决AUD和SUD的机会以及其他医疗问题的重要性，特别是在出现损伤，创伤或共存抑郁症的访视中。在线版本包含补充材料，可通过10.1007/s11606-021-07069-w获得。
Acute healthcare utilization attributed to alcohol use disorders (AUD) and other substance use disorders (SUD) is rising. To describe the prevalence and characteristics of emergency department (ED) visits and hospitalizations made by adults with AUD or SUD. Observational study with retrospective analysis of the National Hospital Ambulatory Medical Care Survey (2014 to 2018), a nationally representative survey of acute care visits with information on the presence of AUD or SUD abstracted from the medical chart. Outcome measured as the presence of AUD or SUD. From 2014 to 2018, the annual average prevalence of AUD or SUD was 9.4% of ED visits (9.3 million visits) and 11.9% hospitalizations (1.4 million hospitalizations). Both estimates increased over time (30% and 57% relative increase for ED visits and hospitalizations, respectively, from 2014 to 2018). ED visits and hospitalizations from individuals with AUD or SUD, compared to individuals with neither AUD nor SUD, had higher percentages of Medicaid insurance (ED visits: AUD: 33.1%, SUD: 35.0%, neither: 24.4%; hospitalizations: AUD: 30.7%, SUD: 36.3%, neither: 14.8%); homelessness (ED visits: AUD: 6.2%, SUD 4.4%, neither 0.4%; hospitalizations: AUD: 5.9%, SUD 7.3%, neither: 0.4%); coexisting depression (ED visits: AUD: 26.3%, SUD 24.7%, neither 10.5%; hospitalizations: AUD: 33.5%, SUD 35.3%, neither: 13.9%); and injury/trauma (ED visits: AUD: 51.3%, SUD 36.3%, neither: 26.4%; hospitalizations: AUD: 31.8%, SUD: 23.8%, neither: 15.0%). In this nationally representative study, 1 in 11 ED visits and 1 in 9 hospitalizations were made by adults with AUD or SUD, and both increased over time. These estimates are higher or similar than previous national estimates using claims data. This highlights the importance of identifying opportunities to address AUD and SUD in acute care settings in tandem with other medical concerns, particularly among visits presenting with injury, trauma, or coexisting depression. The online version contains supplementary material available at 10.1007/s11606-021-07069-w.
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