Alcohol-Specific Inpatient Diagnoses in Germany: A Retrospective Cross-Sectional Analysis of Primary and Secondary Diagnoses from 2012 to 2021

IF 5.2 1区医学 Q1 PSYCHIATRY

Addiction Pub Date : 2024-07-22 DOI:10.1111/add.16625

Jakob Manthey, Britta Jacobsen, Carolin Kilian, Ludwig Kraus, Jens Reimer, Ingo Schäfer, Bernd Schulte

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Abstract

Aims

Our study aimed to a) describe the distribution of hospital discharges with primary and secondary alcohol-specific diagnoses by sex and age group, and b) describe how the number of hospital discharges with primary and secondary alcohol-specific diagnoses have changed across different diagnostic groups (categorized by primary International Classification of Diseases, 10th Revision [ICD-10] diagnosis) over time.

Design

Retrospective cross-sectional analysis.

Setting

German hospital settings between 2012 and 2021.

Participants

All persons aged 15–69 admitted to hospitals as registered in a nationwide data set.

Measurements

We counted a) the number of all hospital discharges and b) the number of hospital discharges with at least one alcohol-specific secondary diagnosis (secondary alcohol-specific diagnosis) by year, sex, age group, and diagnostic group. One diagnostic group included all primary alcohol-specific diagnoses, while 13 additional groups aligned with ICD-10 chapters (e.g., neoplasms). Alcohol-involvement was defined as either a primary or secondary alcohol-specific diagnosis.

Findings

Of 95 417 204 recorded hospital discharges between 2012 and 2021, 3 828 917 discharges (4.0%; 2 913 903 men (6.4%); 915 014 women (1.8%)) involved either a primary or at least one secondary diagnosis related to alcohol. Of all alcohol-involved hospital discharges, 56.8% (1 654 736 discharges) had no primary but only a secondary alcohol-specific diagnosis. Secondary alcohol-specific diagnoses were particularly prevalent in hospital discharges due to injuries. With rising age, alcohol-involvement in hospital discharges due to digestive or cardiovascular diseases increased. Between 2012 and 2021, the rate of alcohol-involved hospital discharges has decreased more in younger as compared with older adults (average change between 2012 and 2021: 15–24: −55%; 25–34: −41%; 35–44: −23%; 45–54: −31%; 55–64: −21%; 65–69: −8%).

Conclusions

The number of alcohol-involved hospital discharges in Germany from 2012 to 2021 more than doubles (from 1 654 736 to 3 828 917) when including secondary alcohol-specific diagnoses. More pronounced declines among younger adults may be attributed to unequal changes in alcohol consumption patterns across the population and to the hazardous effects of long-term alcohol use.

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德国的酒精特定住院诊断：2012 年至 2021 年主要和次要诊断的回顾性横断面分析。

目的：我们的研究旨在 a) 按性别和年龄组描述主要和次要酒精特异性诊断的出院人数分布情况；b) 描述主要和次要酒精特异性诊断的出院人数在不同诊断组别（按主要国际疾病分类第 10 次修订版 [ICD-10] 诊断分类）中的变化情况：设计：回顾性横断面分析：研究地点：2012 年至 2021 年期间的德国医院：在全国范围内的数据集中登记的所有 15-69 岁的住院患者：我们按年份、性别、年龄组和诊断组统计了 a) 所有出院人数和 b) 至少有一项酒精特异性二级诊断（酒精特异性二级诊断）的出院人数。其中一个诊断组包括所有主要的酒精特异性诊断，另外 13 个诊断组与 ICD-10 的章节（如肿瘤）一致。酗酒被定义为主要或次要酒精特异性诊断：在2012年至2021年期间记录的95 417 204例出院病例中，有3 828 917例出院病例（4.0%；2 913 903例男性（6.4%）；915 014例女性（1.8%）涉及与酒精相关的主要或至少一个次要诊断。在所有与酒精有关的出院病例中，56.8%（1 654 736 例出院病例）没有主要的酒精特异性诊断，只有次要的酒精特异性诊断。二次酒精特异性诊断在因受伤而出院的患者中尤为普遍。随着年龄的增长，因消化系统或心血管疾病而出院的患者中涉及酒精的人数也在增加。2012 年至 2021 年间，与老年人相比，年轻人因酗酒而出院的比例下降幅度更大（2012 年至 2021 年间的平均变化：15-24 岁：-55%；25-34 岁：-41%；35-44 岁：-40%）：-结论：结论：如果将二次酒精特异性诊断包括在内，2012 年至 2021 年德国因酒精而出院的人数将增加一倍以上（从 1 654 736 人增至 3 828 917 人）。年轻成年人的发病率下降更为明显，这可能是由于整个人口的饮酒模式发生了不平等的变化，以及长期饮酒造成的危害。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Addiction 医学-精神病学

CiteScore

10.80

自引率

6.70%

发文量

319

审稿时长

3 months

期刊介绍： Addiction publishes peer-reviewed research reports on pharmacological and behavioural addictions, bringing together research conducted within many different disciplines. Its goal is to serve international and interdisciplinary scientific and clinical communication, to strengthen links between science and policy, and to stimulate and enhance the quality of debate. We seek submissions that are not only technically competent but are also original and contain information or ideas of fresh interest to our international readership. We seek to serve low- and middle-income (LAMI) countries as well as more economically developed countries. Addiction’s scope spans human experimental, epidemiological, social science, historical, clinical and policy research relating to addiction, primarily but not exclusively in the areas of psychoactive substance use and/or gambling. In addition to original research, the journal features editorials, commentaries, reviews, letters, and book reviews.