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Nissilä E, Hynninen M, Reinikainen M, et al. Prevalence and impact of hazardous alcohol use in intensive care cohort: A multicenter, register-based study. Acta Anaesthesiol Scand. 2021;65(8):1073-1078doi: 10.1111/aas.13828.
Nissilä, E., Hynninen, M., Reinikainen, M., Bendel, S., Suojaranta, R., Korhonen, A. M., Suvela, M., Loisa, P., Kaminski, T., & Hästbacka, J. (2021). Prevalence and impact of hazardous alcohol use in intensive care cohort: A multicenter, register-based study. Acta anaesthesiologica Scandinavica, 65(8), 1073-1078. https://doi.org/10.1111/aas.13828
Nissilä, Eliisa, et al. "Prevalence and impact of hazardous alcohol use in intensive care cohort: A multicenter, register-based study." Acta anaesthesiologica Scandinavica vol. 65,8 (2021): 1073-1078. doi: https://doi.org/10.1111/aas.13828
Nissilä E, Hynninen M, Reinikainen M, Bendel S, Suojaranta R, Korhonen AM, Suvela M, Loisa P, Kaminski T, Hästbacka J. Prevalence and impact of hazardous alcohol use in intensive care cohort: A multicenter, register-based study. Acta Anaesthesiol Scand. 2021 Sep;65(8):1073-1078. doi: 10.1111/aas.13828. Epub 2021 Jul 27. PMID: 33840090.
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Acta Anaesthesiol Scand. 2021 Sep;65(8):1073-1078. doi: 10.1111/aas.13828. Epub 2021 Jul 27.

Prevalence and impact of hazardous alcohol use in intensive care cohort: A multicenter, register-based study.

Acta anaesthesiologica Scandinavica

Eliisa Nissilä, Marja Hynninen, Matti Reinikainen, Stepani Bendel, Raili Suojaranta, Anna-Maija Korhonen, Markku Suvela, Pekka Loisa, Tadeusz Kaminski, Johanna Hästbacka

Affiliations

  1. Department of Anaesthesiology, Intensive Care and Pain Medicine, Intensive Care Units, University of Helsinki, Helsinki University Hospital, Helsinki, Finland.
  2. Department of Anaesthesiology and Intensive Care, Kuopio University Hospital, University of Eastern Finland, Kuopio, Finland.
  3. Department of Cardiac Surgery, Heart and Lung Center, University of Helsinki, Helsinki University Hospital Helsinki University Hospital, Helsinki, Finland.
  4. Intensive Care Unit, North Karelia Central Hospital, Joensuu, Finland.
  5. Intensive Care Unit, Päijät-Häme Central Hospital, Lahti, Finland.
  6. Intensive Care Unit, Central Ostrobothnia Central Hospital, Kokkola, Finland.

PMID: 33840090 DOI: 10.1111/aas.13828

Abstract

BACKGROUND: Reports of the prevalence and impact of hazardous alcohol use among intensive care unit (ICU) patients are contradictory. We aimed to study the prevalence of hazardous alcohol use among ICU patients and its association with ICU length of stay (LOS) and mortality.

METHODS: Finnish ICUs have been using the Alcohol Use Disorder Identification Test-Consumption (AUDIT-C) to evaluate and record patients' alcohol use into the Finnish Intensive Care Consortium's Database (FICC). We retrieved data from the FICC from a 3-month period. We excluded data from centers with an AUDIT-C recording rate of less than 70% of admissions. We defined hazardous alcohol use as a score of 5 or more for women and 6 or more for men from a maximum score of 12 points.

RESULTS: Two thousand forty-five patients were treated in the 10 centers with an AUDIT-C recording rate of 70% or higher. AUDIT-C was available for 1576 (77%) patients and indicated hazardous alcohol use for 334 (21%) patients who were more often younger (median age 55 [interquartile range 42-65] vs 67 [57-74] [P < .001]) and male (78.1% vs 61.3% [P < .001]) compared to other patients. We found no difference in LOS or hospital mortality between hazardous and non-hazardous alcohol users. Among the non-abstinent, risk of death within a year increased with increasing AUDIT-C scores adjusted odds ratio 1.077 (95% confidence interval, 1.006-1.152) per point.

CONCLUSION: The prevalence of hazardous alcohol use in Finnish ICUs was 21%. Patients with hazardous alcohol use were more often younger and male compared with non-hazardous alcohol users.

© 2021 The Acta Anaesthesiologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.

Keywords: AUDIT-C; hazardous alcohol use; intensive care unit; mortality; prevalence

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