Volume 2021, Issue 2

Abstract

Background: Alcohol consumption is a major cause of acute and chronic health conditions associated with comorbidities and traumatic injuries, despite its partial prohibition in some countries. Moreover, alcohol-related hospital admissions increase the burden on the healthcare system. More than 80% of the population in Qatar comprises expatriates. This study aimed to analyze the demographics and clinical characteristics of subjects with alcohol-related emergency department (ED) visits/hospitalization with respect to different age groups in a single tertiary hospital in Qatar.

Methods: It is a retrospective observational study of adult patients who visited the ED at Hamad General Hospital between January 2013 and March 2015 and were screened positive for alcohol use. Collected data included sociodemographic characteristics, blood alcohol concentration (BAC), pattern of admission, previous medical history, laboratory investigations, treatment, hospital course, and mortality. Data were compared with respect to the distribution of age groups such as < 25, 25–34, 35–44, 45–54, and >55 years.

Results: In total, 1506 consecutively admitted patients screened positive for alcohol use were included in the study; the majority of them were males (95.6%), non-Qatari nationals (71.1%), and aged 35–44 years (30.9%). The age groups 35–44 years and 45–54 years showed the highest median BAC ([0.24 interquartile range (IQR: 0.14–0.33)] and [0.24 (IQR: 0.13–0.33)], respectively) as compared to the other age groups (P = 0.001). The pattern of hospital admission, sociodemographic status, presence of comorbidities, laboratory investigations, and mortality showed specific age-related distribution. Particularly, young adults were more likely to have a previous ED visit due to trauma, whereas older patients’ previous hospital admissions were mostly related to various underlying comorbidities.

Conclusion: This study highlighted the patterns of age and clinico-epidemiological status of patients with alcohol-attributable hospital admissions. Our study showed that alcohol consumption was higher among the working-age group. Further studies are needed to investigate changes in the alcohol consumption patterns that may help plan for allocation of health resources and prevention of alcohol-related problems.

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2021-09-09
2024-03-28
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References

  1. Rehm J, Gmel G, Sempos CT, Trevisan M. Alcohol-related morbidity and mortality. National Institute on Alcohol abuse and Alcoholism, Bethesda, MD [updated 2003 Dec; cited 2020 Sep 23]. Available from: https://pubs.niaaa.nih.gov/publications/arh27-1/39-51.htm.
    [Google Scholar]
  2. World Health Organization (WHO). Is harmful use of alcohol a public health problem? Geneva: World Health Organization [WHO] [updated 2014 May 10; cited 2020 Sep 23]. Available from: http://www.who.int/features/qa/66/en/.
  3. World Health Organization (WHO). Alcohol and injuries: emergency department studies in an international perspective Geneva [updated 2009; cited 2020 Sep 23]. Available from: https://www.who.int/substance_abuse/msbalcinuries.pdf .
  4. Comelli I, Lippi G, Sanchis-Gomar FTurcato GCervellin G. Visits for alcohol-related problems in a large urban emergency department. Results of a 15-year survey. Acta Biomed. 2018 Jan 16;88:(4):514-8. doi: 10.23750/abm.v88i4.6646.
    [Google Scholar]
  5. Canadian Institute for Health Information. Alcohol harm in Canada: examining hospitalizations entirely caused by alcohol and strategies to reduce alcohol harm. Ottawa, ON: CIHI; 2017 [updated 2017; cited 2020 Oct 15]. Available from: www.cihi.ca/sites/default/files/document/report-alcohol-hospitalizations-en-web.pdf.
  6. Nayak MB, Bond JC, Cherpitel C, Patel V, Greenfield TK. Detecting alcohol-related problems in developing countries: a comparison of 2 screening measures in India. Alcohol Clin Exp Res. 2009 Dec; 33:(12):2057-66. doi: 10.1111/j.1530-0277.2009.01045.x.
    [Google Scholar]
  7. AlMarri TS, Oei TP. Alcohol and substance use in the Arabian Gulf region: a review. Int J Psychol. 2009 Jun; 44:(3):222-33. doi: 10.1080/00207590801888752.
    [Google Scholar]
  8. Timmermans C, Alhajyaseen W, Al Mamun AWakjiraT, Qasem M, Almallah M, et al. Analysis of road traffic crashes in the State of Qatar. Int J Inj Contr Saf Promot. 2019 Sep; 26:(3):242-50. doi: 10.1080/17457300.2019.1620289.
    [Google Scholar]
  9. Mamtani R, Al-Thani M, Al-Thani AASheikh JI, Lowenfels AB. Motor vehicle injuries in Qatar: time trends in a rapidly developing Middle Eastern nation. Inj Prev. 2012 Apr; 18:(2):130-2. doi: 10.1136/injuryprev-2011-040147.
    [Google Scholar]
  10. El-Menyar AConsunji R, Mekkodathil A, Peralta R, Al-Thani H, . Alcohol screening in a national referral hospital: an observational study from Qatar. Med Sci Monit. 2017 Dec 24;:23:6082-88. doi: 10.12659/msm.905201.
    [Google Scholar]
  11. Chaiyasong S, Huckle T, Mackintosh AM, Meier P, Parry CDH, Callinan S, et al. Drinking patterns vary by gender, age and country-level income: cross-country analysis of the International Alcohol Control Study. Drug Alcohol Rev. 2018 Aug; 37: (Suppl 2):S53-S62. doi: 10.1111/dar.12820.
    [Google Scholar]
  12. Central Intelligence Agency. The World Factbook. Middle East: Qatar [Internet]. [Last updated 2021 Aug 11; cited 2020 Dec 2]. Available from: at https://www.cia.gov/the-world-factbook/countries/qatar/.
  13. Butt AA, Azad AM, Kartha AB, Masoodi NA, Bertollini R, Abou-Samra A. Volume and acuity of emergency department visits prior to and after COVID-19. J Emerg Med. 2020 Nov; 59:(5):730-4. doi: 10.1016/j.jemermed.2020.08.013.
    [Google Scholar]
  14. Planning and Statistics Authority. Woman and man in the State of Qatar: a statistical portrait 2018. Doha [updated 2018; cited 2020 Sep 20]. Available from: https://www.psa.gov.qa/en/statistics/Statistical%20Releases/Social/GenrealSocialStatistics/MenWomenProfile/2018/Woman_Man_2018_EN.pdf .
  15. Svensen G, Kool B, Buller S. The burden of alcohol-related presentations to a busy urban New Zealand hospital emergency department. N Z Med J. 2019 Oct 25;:132(1504):56-66.
    [Google Scholar]
  16. Gunnarsdottir AS, Kristbjornsdottir A, Gudmundsdottir R, Gunnarsdottir OS, Rafnsson V. Survival of patients with alcohol use disorders discharged from an emergency department: a population-based cohort study. BMJ Open. 2014 Dec 5;:4(12):e006327. doi: 10.1136/bmjopen-2014-006327.
    [Google Scholar]
  17. Vardy J, Keliher T, Fisher J, Ritchie F, Bell C, Chekroud M, et al. Quantifying alcohol-related emergency admissions in a UK tertiary referral hospital: a cross-sectional study of chronic alcohol dependency and acute alcohol intoxication. BMJ Open. 2016 Jun 20;:6(6):e010005. doi: 10.1136/bmjopen-2015-010005.
    [Google Scholar]
  18. Kuntsche E, Rehm J, Gmel G. Characteristics of binge drinkers in Europe. Soc Sci Med. 2004 Jul; 59:(1):113-27. doi: 10.1016/j.socscimed.2003.10.009.
    [Google Scholar]
  19. Savola O, Niemelä OHillbom M. Alcohol intake and the pattern of trauma in young adults and working aged people admitted after trauma. Alcohol Alcohol. 2005 Jul–Aug; 40:(4):269-73. doi: 10.1093/alcalc/agh159.
    [Google Scholar]
  20. Sacco P, Unick GJ, Kuerbis A, Koru AG, Moore AA. Alcohol-related diagnoses in hospital admissions for all causes among middle-aged and older adults: trends and cohort differences from 1993 to 2010. J Aging Health. 2015 Dec; 27:(8):1358-74. doi: 10.1177/0898264315583052.
    [Google Scholar]
  21. Mayl JJ, German CA, Bertoni AG, Upadhya B, Bhave PD, Yeboah J, et al.. Association of alcohol intake with hypertension in type 2 diabetes mellitus: The ACCORD Trial. J Am Heart Assoc. 2020 Sep 15;:9(18):e017334. doi: 10.1161/JAHA.120.017334.
    [Google Scholar]
  22. Bilal AM, Makhawi B, al-Fayez GShaltout AF. Attitudes of a sector of the Arab-Muslim population in Kuwait towards alcohol and drug misuse: an objective appraisal. Drug Alcohol Depend. 1990 Aug; 26:(1):55-62. doi: 10.1016/0376-8716(90)90083-q.
    [Google Scholar]
  23. Al-Ansari EANegrete JC. Screening for alcoholism among alcohol users in a traditional Arab Muslim society. Acta Psychiatr Scand. 1990 Mar; 81:(3):284-8. doi: 10.1111/j.1600-0447.1990.tb06498.x.
    [Google Scholar]
  24. Bilal AM, Angelo-Khattar M. Correlates of alcohol-related casualty in Kuwait. Acta Psychiatr Scand. 1988 Oct; 78:(4):417-20. doi: 10.1111/j.1600-0447.1988.tb06360.x.
    [Google Scholar]
  25. Matheson C, Pflanz-Sinclair CAlmarzouqi A Bond CMLee AJ, Batieha A, et al. A controlled trial of screening, brief intervention and referral for treatment (SBIRT) implementation in primary care in the United Arab Emirates. Prim Health Care Res Dev. 2018 Mar; 19:(2):165-75. doi: 10.1017/S1463423617000640.
    [Google Scholar]
  26. Callister G. Drug and Alcohol Screening Protocol. Australian Health Practitioner Regulation Agency, Melbourne [updated Feb 2019; cited 2020 Oct 23]. Available from: https://www.ahpra.gov.au/Registration/Monitoring-and-compliance/Drug-and-alcohol-screening.aspx .
    [Google Scholar]
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Keyword(s): alcohol consumption, age distribution, blood alcohol concentration, ethanol, emergency department, Qatar

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