1. Utilization of health care resources, long-term survival and causes of death after intensive care unit admission in relation to high-risk alcohol consumption.
- Author
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Hietanen, Siiri, Herajärvi, Johanna, Lahtinen, Sanna, Käkelä, Riikka, Ala-Kokko, Tero, and Liisanantti, Janne
- Subjects
COMPLICATIONS of alcoholism ,CARDIOVASCULAR disease related mortality ,CAUSES of death ,INTENSIVE care units ,NONPARAMETRIC statistics ,RISK-taking behavior ,ACADEMIC medical centers ,CONFIDENCE intervals ,RETROSPECTIVE studies ,FISHER exact test ,MANN Whitney U Test ,PATIENTS ,MEDICAL care use ,PRIMARY health care ,HOSPITAL admission & discharge ,DESCRIPTIVE statistics ,CRITICAL care medicine ,CHI-squared test ,RESEARCH funding ,ALCOHOL drinking ,SURVIVAL analysis (Biometry) ,MEDICAL appointments ,WOUNDS & injuries ,TUMORS ,ELECTRONIC health records ,DATA analysis software ,STATISTICAL correlation ,DISCHARGE planning ,LONGITUDINAL method - Abstract
The aim was to examine the impact of high-risk alcohol consumption on health care service utilization and causes of death after ICU discharge. This retrospective cohort study included non-trauma admissions to ICU in 2014 in Oulu University Hospital, Finland. The National Institution for Health and Welfare provided the data of health care contacts and causes of death. There was a total of 715 ICU survivors, 234 (32.7%) in the alcohol group and 481 (67.3%) in the non-alcohol group. There were no differences between groups in the mortality, median number of primary health care visits, or hospital admissions, but alcohol- and trauma-related visits were more frequent in the alcohol group. 22.5% (vs 2.2%, p <.001) of the patients in the alcohol-group died due to traumas and 29.6% (vs 0.7%, p <.001) due to alcohol-related causes, whereas malignancies and cardiovascular causes (79.4% vs 35.2%, p <.001) were the most common causes in the non-alcohol group. One-third of the patients with high-risk alcohol consumption died due to alcohol-related causes and one-fifth due to traumas. High-risk consumption of alcohol did not have a significant impact on the health care resource use after ICU discharge. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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