Readmissions and deaths from complications associated with alcohol abuse

Authors

DOI:

https://doi.org/10.15253/2175-6783.20222378693

Keywords:

Illicit Drugs; Hospitalization; Patient Readmission; Cause of Death; Alcoholism.

Abstract

Objective: to analyze readmissions and deaths of hospitalized patients due to the effects of alcohol abuse. Methods: documentary, longitudinal and retrospective study, by analysis of hospital records, carried out in a teaching hospital, by descriptive analysis, univariate association, using Pearson's chi-square test. Results: 399 readmissions of 278 patients were analyzed. Two hospitalizations predominated (69.6%). Most were male (85.2%), and the mean age was 47.15 years (± 13.91); 91.2% were readmissions due to the use of alcoholic beverages, with 45.3% of complications associated with injuries, poisoning and external causes of morbidity and mortality. Twenty-seven (9.7%) patients died. The readmissions of retirees/housewives had an odds ratio of 3.0 of progressing to death. Conclusion: the analysis showed prevalent readmissions and mortality in males, productive age group, with a significant association of risk in intensive care patients and cause of death associated with complications of chronic alcohol use. Contributions to practice: the identification of the causes of readmissions helps nursing professionals in the early recognition of signs of severity and serves as a subsidy for the development of prevention strategies and actions to improve the care network.

References

World Health Organization (WHO). Global status report on alcohol and health 2018 Internet]. 2018 [cited Mar 22, 2022]. Available from: https://apps.who.int/iris/bitstream/handle/10665/312318/WHO-MSD-MSB-18.2-eng.pdf

Bastos FI, Vasconcellos MT, Boni RB, Reis NB, Coutinho CF. III Levantamento Nacional sobre o uso de drogas pela população brasileira [Internet]. 2017 [cited Mar 11, 2022]. Available from: https://www.arca.fiocruz.br/bitstream/icict/34614/1/III%20LNUD_PORTUGU%c3%8aS.pdf

United Nations Office on Drugs and Crimes. World drug report 2021 [Internet]. 2021 [cited Mar 20, 2022]. Available from: www.unodc.org/unodc/en/data-and-analysis/wdr2021.html

Noronha BP, Nascimento-Souza MA, Lima-Costa MF, Peixoto SV. Padrões de consumo de álcool e fatores associados entre idosos brasileiros: Pesquisa Nacional de Saúde (2013). Ciênc Saúde Coletiva. 2019;24(1):4171-80. doi: https://doi.org/10.1590/1413-812320182411.32652017

Dullius AAS, Fava SMCL, Ribeiro PM, Terra FS. Alcohol consumption/dependence and resilience in the elderly: reflective analysis. R Enferm Cent O Min. 2020;10:e2596. doi: https://dx.doi.org/10.19175/recom.v10i0.2596

Di Vellasco JP, Ferreira RS. Prejuízo nas funções executivas relacionadas ao uso abusivo de álcool: uma revisão integrativa. Psicol Ênfase [Internet]. 2020 [cited Mar 11, 2022];1(1):1-19. Available from: http://ojs.unialfa.com.br/index.php/psicologiaemenfase/article/view/47/23

Lewer D, Freer J, King E, Larney S, Degenhardt L, Tweed EJ, et al. Frequency of health-care utilization by adults who use illicit drugs: a systematic review and meta-analysis. Addiction. 2020;115(6):1011-23. doi: https://doi.org/10.1111/add.14892

Silva SE, Pinheiro EP, Tavares JH, Tavares RS, Menezes CR, Belo FL. The aggravations in health services of urgencies and emergencies having alcohol as the leading cause: a study of social representations. Rev Pesq Cuid Fundam Online. 2019;11(2):345-50. doi: https://dx.doi.org/10.9789/2175-5361.2019.v11i2.345-350

Silva MJV, Sousa SNV, Carvalho CR. Impacto do alcoolismo na vida social e familiar. REVISA. 2021;10(3):481-92. doi: http://10.36239/revisa.v10.n3.p481a492

Li X, Srasuebkul P, Reppermund S, Trollor J. Emergency department presentation and readmission after index psychiatric admission: a data linkage study. BMJ Open. 2018;8(2):e018613. doi: https://doi.org/10.1136/bmjopen-2017-018613

Santana CJ, Hungaro AA, Cristophoro R, Elvira IK, Gavioli A, Oliveira ML. Characterization of patients intoxicated by drug use in intensive care. Rev Eletr Saúde Mental Álcool Drog. 2020;16(1):1-8. doi: http://dx.doi.org/10.11606/issn.1806-6976.smad.2020.151960

Rodrigues TFCS, Oliveira RR, Decesaro MN, Mathias TAF. Increase in hospital admissions for drug use in Brazil particularly in women and elderly. J Bras Psiquiatr. 2019;68(2):73-82. doi: https://doi.org/10.1590/0047-2085000000230

Ministério da Saúde (BR). Lei 13.709 de 14 de agosto de 2018. Dispõe sobre a proteção de dados pessoais e altera a Lei nº 12.965, de 23 de abril de 2014 (Marco Civil da Internet) [Internet]. 2018 [cited Mar 11, 2022]. Available from: https://www.gov.br/conarq/pt-br/legislacao-arquivistica/leis-e-decretos-leis/lei-no-13-709-de-14-de-agosto-de-2018

Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020;395(10227):912-20. doi: http://10.1016/S0140-6736(20)30460-8

Silva RR, Pinheiro FA, Carvalho AC, Oliveira CA, Lima EK, Cavalcante AB, et al. Prevalência de readmissões após alta em uma Unidade de Terapia Intensiva de um hospital do interior de Rondônia. Rev Eletr Acervo Saúde. 2020;42:e2871. doi: http://dx.doi.org/10.25248/reas.e2871.2020

Oliveira PF, Abreu AC, Pedrosa TM. Readmissões hospitalares em 30 dias após a alta: uma análise da saúde suplementar brasileira. Rev Interdisciplinar Ciênc Méd [Internet]. 2020 [cited Mar 11, 2022];4(1):18-24. Available from: http://revista.fcmmg.br/ojs/index.php/ricm/article/view/284/85

Malta DC, Andrade SS, Oliveira TP, Moura LD, Prado RR, Souza MD. Probabilidade de morte prematura por doenças crônicas não transmissíveis, Brasil e regiões, projeções para 2025. Rev Bras Epidemiol. 2019;22:e190030. doi: https://dx.doi.org/10.1590/1980-549720190030

Cordeiro EL, Silva LS, Mendes EW, Silva LC, Duarte VL, Lima EC. Suicide attempt and factors associated with standard alcohol use and abuse. Rev Eletr Saúde Mental Álcool Drog. 2020;16(1):1-10. doi: http://dx.doi.org/10.11606/issn.1806-6976.smad.2020.157007

Botelho PB, Souza AS, Meira EC, Santos VT, Costa LC, Vieira LO, et al. Memória de homens sobre a convivência com o consumo habitual do álcool. Res Soc Dev. 2020;9(7):e844974888. doi: http://dx.doi.org/10.33448/rsd-v9i7.4888

Miró O, Yates C, Dines AM, Wood DM, Dargan PI, Galán I, et al. Emergencies related to recreational drug abuse in Spain compared to emergencies attended in 3 European areas. Emergencias [Internet]. 2018 [cited Mar 10, 2022];30(6):385-94. Available from: https://pubmed.ncbi.nlm.nih.gov/30638341/

Published

2022-09-20

How to Cite

Santana, C. J., Oliveira, M. L. F. de, Modesto, M. M. O., Guedes, M. . R. J., Lima, P. K. G. C. de, & Santos, G. A. (2022). Readmissions and deaths from complications associated with alcohol abuse. Rev Rene, 23, e78693. https://doi.org/10.15253/2175-6783.20222378693

Issue

Section

Research Article

Most read articles by the same author(s)

1 2 > >>