Alcohol Use Disorders and Community-Acquired Pneumococcal Pneumonia: Associated Mortality, Prolonged Hospital Stay and Increased Hospital Spending

Archivos de bronconeumología
Miguel Gili-MinerJosé Sala-Turrens

Abstract

The aim of this study was to investigate the impact of alcohol use disorders (AUD) on community-acquired pneumococcal pneumonia (CAPP) admissions, in terms of in-hospital mortality, prolonged stay and increased hospital spending. Retrospective observational study of a sample of CAPP patients from the minimum basic datasets of 87 Spanish hospitals during 2008-2010. Mortality, length of hospital stay and additional spending attributable to AUD were calculated after multivariate covariance analysis for variables such as age and sex, type of hospital, addictions and comorbidities. Among 16,202 non-elective admissions for CAPP in patients aged 18-74years, 2,685 had AUD. Patients admitted with CAPP and AUD were predominantly men with a higher prevalence of tobacco or drug use disorders and higher Charlson comorbidity index. Patients with CAPP and AUD had notably higher in-hospital mortality (50.8%; CI95%: 44.3-54.3%), prolonged length of stay (2.3days; CI95%: 2.0-2.7days) and increased costs (1,869.2€; CI95%: 1,498.6-2,239.8€). According to the results of this study, AUD in CAPP patients was associated with increased in-hospital mortality, length of hospital stay and hospital spending.

References

Mar 1, 1985·Reviews of Infectious Diseases·L A BurmanB Trollfors
Aug 7, 1995·Archives of Internal Medicine·J Fernández-SoláA Urbano-Márquez
Apr 3, 1998·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·P PastorT V Murphy
Feb 15, 2002·The New England Journal of Medicine·Nancy A Rigotti
Jun 22, 2002·The Journal of Infection·A GilA González
Jul 26, 2002·The New England Journal of Medicine·Christopher C Butler, Stephen Rollnick
Feb 14, 2004·BMJ : British Medical Journal·Tim Coleman
Jul 5, 2005·The Journal of Infectious Diseases·Moe H KyawUNKNOWN Active Bacterial Core Surveillance Program of the Emerging Infections Program Network
Oct 21, 2005·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Marc Moss
Dec 5, 2008·Alcoholism, Clinical and Experimental Research·Gyongyi Szabo, Pranoti Mandrekar
Apr 13, 2010·Epidemiology and Infection·A V SamokhvalovJ Rehm
Sep 14, 2010·Archivos de bronconeumología·Rosario MenéndezUNKNOWN Sociedad Española de Neumología y Cirugía Torácica
Sep 22, 2011·The American Journal of the Medical Sciences·Maurice A MufsonNancy B Norton
Apr 5, 2012·JAMA : the Journal of the American Medical Association·Peter K LindenauerMichael B Rothberg
Dec 18, 2012·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·M H RozenbaumE Hak
Feb 12, 2013·The European Respiratory Journal·Susanne M HuijtsMarc J M Bonten
Mar 28, 2013·Alcohol and Alcoholism : International Journal of the Medical Council on Alcoholism·J Rehm, M Roerecke
Jul 12, 2013·The New England Journal of Medicine·Marie R GriffinCarlos G Grijalva
Feb 7, 2014·The New England Journal of Medicine·Richard G Wunderink, Grant W Waterer
Apr 23, 2014·Emerging Infectious Diseases·Teresa López-CuadradoRafael Fernández-Cuenca
May 9, 2014·The New England Journal of Medicine·Richard G Wunderink, Grant W Waterer
May 9, 2014·Chest·Salvador BelloJuan Ruiz-Manzano
May 24, 2014·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Imma GrauRoman Pallares
Aug 5, 2014·Revista española de salud pública·Joan R VillalbíM Teresa Brugal

❮ Previous
Next ❯

Citations

Oct 27, 2016·Neurología : publicación oficial de la Sociedad Española de Neurología·M Gili-MinerL Béjar-Prado
Oct 6, 2016·F1000Research·Charles Feldman, Ronald Anderson
Jan 2, 2020·Aging Clinical and Experimental Research·Najla ChebibVirginie Prendki

❮ Previous
Next ❯

Related Concepts

Related Feeds

Addiction

This feed focuses mechanisms underlying addiction and addictive behaviour including heroin and opium dependence, alcohol intoxication, gambling, and tobacco addiction.

Alcohol Use Disorder

Alcohol use disorder involves a pattern of alcohol consumption that includes compulsive use and a loss of control over intake of alcohol. The impact on physical health, socioeconomic factors, and psychiatric health is profound. Find the latest research on alcohol use disorder here.