Тезис по результатам завершившегося исследования ALCHIMIE Study

ALCOHOL USE DISORDERS AND ITS DETECTION AMONG MEDICAL INPATIENTS IN EUROPE. THE ALCHIMIE STUDY. FIRST PHASE DATA.

Beatriz Rosón, Jan Vaclavik, Rudolf Stauber, Ieva Ruza, Pascal Perney, Margus Lember, José Barata, Alexander Arutyunov, and the ALCHIMIE STUDY GROUP

Background :This project aims to investigate the prevalence of alcohol use disorders (AUDs) in medical wards across Europe and to assess its recognition by physicians.

Methods: Point-prevalence, multicentre study performed in 8 European countries. Patients were screened with the AUDIT-C and the SIAC questionnaires. Drinking patterns were determined using ICD-10 criteria. Medical records were reviewed to collect information about recording of alcohol use.

Results: We interviewed 2123 (79%) inpatients [1114 (52%) men; mean age (SD) 67.9±17.3 years]. Reasons for admission were not alcohol-related in 2031 (95%) patients. Overall, 300 (14%) patients had current AUDs. Drinking patterns were: non-drinkers 984 (46%), low-risk 773 (36%), harzardous 163 (8%), harmful 63 (3%), dependent 74 (3%), former-dependent 47 (2%), and unknown pattern 19 (1%). There were significant differences in the prevalence of AUDs between countries with range of 22% for France and 8% for Estonia. We reviewed 2100 (98%) medical records. Alcohol consumption was recorded in 920 (44%) patients. Recording was more frequently performed in patients with AUDs than in the other patients (58% vs 41%). Quantitative recording was performed in 119 (13%) with significant differences among countries ranging from 46% of medical records in Austria to 0% in Latvia.

Conclusion: AUDs are frequent among European patients hospitalized for reasons not alcohol-related. They are frequently undetected during hospitalization. Adequate quantification of alcohol intake is rarely performed. We stress the need to implement measures to increase and improve the detection and recording of alcohol use among hospitalized patients.

10^th Congress of the European Federation of Internal Medicine