The Impact of Drug and Alcohol Disorders in a University‐Affiliated Public Hospital—a Call to Action

1Denver Health &
Hospital Authority, Denver, CO

Meeting: Hospital Medicine 2011, May 10-13, Dallas, Texas.

Abstract number: 128

Background:

The National Epidemiologic Survey on Alcohol and Related Conditions indicates that American adults have a 30% lifetime prevalence of any alcohol disorder and a 10% lifetime prevalence of any drug disorder. The purpose of this study was to determine the prevalence of alcohol and drug disorders in a university‐affiliated public hospital.

Methods:

This was a retrospective review of all adult inpatient admissions to Denver Health for alcohol or drug abuse and addiction from 2005 to 2009. Patients < 18 years old, pregnant women, prisoners, and patients on physical medicine and rehabilitation were excluded. Encounters with 1 of the following admission or discharge diagnoses were included: alcohol‐induced mental disorders (291.0–291.9); alcohol dependence syndrome (303.0–303.9); alcoholic polyneuropathy (357.5); alcoholic cardiomyopathy (425.5); alcoholic gastritis (535.3); alcoholic fatty liver (571.0); acute alcoholic hepatitis (571.1); alcoholic cirrhosis of liver (571.2); alcoholic liver damage, unspecified (571.3); excessive blood level of alcohol (790.3); accidental poisoning by alcohol, not elsewhere classified (E860.0); drug dependence (304.0–304.9); and nondependent abuse of alcohol or drugs (305.0, 305.2–305.9). Patients with multiple admissions were considered separate encounters.

Results:

Alcohol and drug disorders accounted for 16,792 of 62,103 of all encounters (27%) during the 5‐year review (see Table 1).

TABLE 1

Conclusions:

At this hospital, alcohol and drug disorders are one of the most common reasons for admission. They frequently require ICU‐level care, are associated with a high rate of 30‐day readmission, and represent a significant cost to the health care system. Accordingly, treatment standards should be developed and implemented similar to what exists for other common diagnoses that would facilitate evidence‐based improvement in the care for these important problems.

Disclosures:

J. Taub ‐ none; A. Keniston ‐ none; R. Albert ‐ none

To cite this abstract:

Taub J, Keniston A, Albert R. The Impact of Drug and Alcohol Disorders in a University‐Affiliated Public Hospital—a Call to Action. Abstract published at Hospital Medicine 2011, May 10-13, Dallas, Texas. Abstract 128. Journal of Hospital Medicine. 2011; 6 (suppl 2). https://www.shmabstracts.com/abstract/the-impact-of-drug-and-alcohol-disorders-in-a-universityaffiliated-public-hospitala-call-to-action/. Accessed March 28, 2020.

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