Changes in alcohol-related hospital visits during COVID-19 in New York City.
Alcohol
COVID
alcohol use disorder
alcohol withdrawal
alcoholic gastritis
alcoholic hepatitis
alcoholic pancreatitis
delirium tremens
quarantine
Journal
Addiction (Abingdon, England)
ISSN: 1360-0443
Titre abrégé: Addiction
Pays: England
ID NLM: 9304118
Informations de publication
Date de publication:
12 2021
12 2021
Historique:
revised:
07
12
2020
received:
22
09
2020
accepted:
19
05
2021
pubmed:
2
6
2021
medline:
12
11
2021
entrez:
1
6
2021
Statut:
ppublish
Résumé
Increased alcohol consumption has been proposed as a potential consequence of the coronavirus disease 2019 (COVID-19) pandemic. There has been little scrutiny of alcohol use behaviors resulting in hospital visits, which is essential to guide pandemic public policy. We aimed to determine whether COVID-19 peak restrictions were associated with increased hospital visits for alcohol use or withdrawal. Secondary objectives were to describe differences based on age, sex and race, and to examine alcohol-related complication incidence. Multi-center, retrospective, pre-post study. New York City health system with five participating hospitals. Adult emergency department encounters for alcohol use, alcoholic gastritis or pancreatitis or hepatitis, alcohol withdrawal syndrome, withdrawal seizure or delirium tremens. Age, sex, race, site and encounter diagnosis. Encounters were compared between 2019 and 2020 for 1 March to 31 May. There were 2790 alcohol-related visits during the 2019 study period and 1793 in 2020, with a decrease in total hospital visits. Of 4583 alcohol-related visits, median age was 47 years, with 22.3% females. In 2020 there was an increase in percentage of visits for alcohol withdrawal [adjusted odds ratio (aOR) = 1.34, 95% confidence interval (CI) = 1.07-1.67] and withdrawal with complications (aOR = 1.40, 95% CI = 1.14-1.72), and a decline in percentage of hospital visits for alcohol use (aOR = 0.70, 95% CI = 0.59-0.85) and use with complications (aOR = 0.71, 95% CI = 0.58-0.88). It is unknown whether use visit changes mirror declines in other chief complaints. The age groups 18-29 and 60-69 years were associated with increased visits for use and decreased visits for withdrawal, as were non-white race groups. Sex was not associated with alcohol-related visit changes despite male predominance. In New York City during the initial COVID-19 peak (1 March to 31 May 2020), hospital visits for alcohol withdrawal increased while those for alcohol use decreased.
Sections du résumé
BACKGROUND AND AIMS
Increased alcohol consumption has been proposed as a potential consequence of the coronavirus disease 2019 (COVID-19) pandemic. There has been little scrutiny of alcohol use behaviors resulting in hospital visits, which is essential to guide pandemic public policy. We aimed to determine whether COVID-19 peak restrictions were associated with increased hospital visits for alcohol use or withdrawal. Secondary objectives were to describe differences based on age, sex and race, and to examine alcohol-related complication incidence.
DESIGN
Multi-center, retrospective, pre-post study.
SETTING
New York City health system with five participating hospitals.
PARTICIPANTS
Adult emergency department encounters for alcohol use, alcoholic gastritis or pancreatitis or hepatitis, alcohol withdrawal syndrome, withdrawal seizure or delirium tremens.
MEASUREMENTS
Age, sex, race, site and encounter diagnosis. Encounters were compared between 2019 and 2020 for 1 March to 31 May.
FINDINGS
There were 2790 alcohol-related visits during the 2019 study period and 1793 in 2020, with a decrease in total hospital visits. Of 4583 alcohol-related visits, median age was 47 years, with 22.3% females. In 2020 there was an increase in percentage of visits for alcohol withdrawal [adjusted odds ratio (aOR) = 1.34, 95% confidence interval (CI) = 1.07-1.67] and withdrawal with complications (aOR = 1.40, 95% CI = 1.14-1.72), and a decline in percentage of hospital visits for alcohol use (aOR = 0.70, 95% CI = 0.59-0.85) and use with complications (aOR = 0.71, 95% CI = 0.58-0.88). It is unknown whether use visit changes mirror declines in other chief complaints. The age groups 18-29 and 60-69 years were associated with increased visits for use and decreased visits for withdrawal, as were non-white race groups. Sex was not associated with alcohol-related visit changes despite male predominance.
CONCLUSIONS
In New York City during the initial COVID-19 peak (1 March to 31 May 2020), hospital visits for alcohol withdrawal increased while those for alcohol use decreased.
Identifiants
pubmed: 34060168
doi: 10.1111/add.15589
pmc: PMC8212089
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
3525-3530Subventions
Organisme : NIDA NIH HHS
ID : R01 DA048009
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL149680
Pays : United States
Organisme : National Institutes of Health (NIH)
ID : R01DA048009
Organisme : National Institutes of Health (NIH)
ID : R01HL149680
Informations de copyright
© 2021 Society for the Study of Addiction.
Références
Addiction. 2021 Jun;116(6):1381-1388
pubmed: 33006789
Foods. 2020 May 25;9(5):
pubmed: 32466106
Psychiatry Clin Neurosci. 2020 Oct;74(10):542-549
pubmed: 32602150
Asian J Psychiatr. 2020 Jun;51:102092
pubmed: 32315963
Alcohol Alcohol. 2017 Jan;52(1):119-125
pubmed: 27998923
Lancet Public Health. 2020 May;5(5):e259
pubmed: 32277874
JAMA Netw Open. 2020 Sep 1;3(9):e2022942
pubmed: 32990735
Am J Addict. 2020 Jul;29(4):268-270
pubmed: 32500608
Drug Alcohol Depend. 2021 Feb 1;219:108488
pubmed: 33383352
Hepatology. 2020 Sep;72(3):1102-1108
pubmed: 32369624
Nutrients. 2020 Jun 03;12(6):
pubmed: 32503173
Alcohol Alcohol. 2020 Jun 25;55(4):350-353
pubmed: 32400859
Alcohol Alcohol. 2020 Oct 20;55(6):698-699
pubmed: 32556079
Am J Emerg Med. 2021 Mar;41:237-238
pubmed: 32505472
Int J Environ Res Public Health. 2020 Jun 29;17(13):
pubmed: 32610613
Alcohol Alcohol. 2020 Jun 25;55(4):341-342
pubmed: 32400878
MMWR Morb Mortal Wkly Rep. 2020 Jun 12;69(23):699-704
pubmed: 32525856
Addiction. 2021 Dec;116(12):3525-3530
pubmed: 34060168
Drug Alcohol Rev. 2021 Jan;40(1):3-7
pubmed: 32835427
Int J Environ Res Public Health. 2020 Jun 07;17(11):
pubmed: 32517294
AIDS Behav. 2020 Jul;24(7):2024-2032
pubmed: 32350773
JMIR Public Health Surveill. 2020 Sep 18;6(3):e19630
pubmed: 32589149
Ann Emerg Med. 2020 Nov;76(5):595-601
pubmed: 33008651
Psychopharmacology (Berl). 2011 Nov;218(1):1-17
pubmed: 21373787