Evidence map›Paper›PMID 36871376›Full record

ArticleDrug and alcohol dependence2023

Association between clinical measures of unhealthy alcohol use and subsequent year hospital admissions in a primary care population.

Helen E Jack, Malia M Oliver, Douglas B Berger, Jennifer F Bobb, Katharine A Bradley, Kevin A Hallgren

Open access · greenAbstract read
In one paragraph

Article in Drug and alcohol dependence, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.6field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 17 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Helen E JackDivision of General Internal Medicine, Department of Medicine, University of Washington, 325 9th Ave, P.O. Box 359780, Seattle, WA 98104, USA. Electronic address: HJack@UW.edu.
Malia M OliverKaiser Permanente Washington Health Research Institute, 1730 Minor Ave, Suite 1600, Seattle, WA 98101, USA.
Douglas B BergerDivision of General Internal Medicine, Department of Medicine, University of Washington, 325 9th Ave, P.O. Box 359780, Seattle, WA 98104, USA; General Medicine Service, Veteran Affairs Puget Sound Health Care System, 1660 S Columbian Way, Seattle, WA 98108, USA.
Jennifer F BobbKaiser Permanente Washington Health Research Institute, 1730 Minor Ave, Suite 1600, Seattle, WA 98101, USA.
Katharine A BradleyDivision of General Internal Medicine, Department of Medicine, University of Washington, 325 9th Ave, P.O. Box 359780, Seattle, WA 98104, USA; Kaiser Permanente Washington Health Research Institute, 1730 Minor Ave, Suite 1600, Seattle, WA 98101, USA; Department of Health Systems and Population Health, University of Washington, 4060 E. Stevens Way NE, Seattle, WA 98195, USA.
Kevin A HallgrenDepartment of Psychiatry and Behavioral Sciences, University of Washington, 1959 NE Pacific Street, P.O. Box 356560, Seattle, WA 98195, USA.
Kaiser Permanente Washington Health Research Institute · USUniversity of Washington · USVA Puget Sound Health Care System · US

Funding

Understanding practical alcohol measures in primary care to prepare for measurement-based care: Scaled EHR measures of alcohol use and DSM-5 AUD symptomsR33AA028073 · NIAAA · UNIVERSITY OF WASHINGTON · PI HALLGREN, KEVIN A. · 2021 to 2023
$1.3M
Practice facilitation and supervision to strengthen depression treatment in primary care in ZimbabweK23MH129420 · NIMH · UNIVERSITY OF WASHINGTON · PI Helen Elizabeth Jack · 2022 to 2026
$922k
Understanding practical alcohol measures in primary care to prepare for measurement-based care: Scaled EHR measures of alcohol use and DSM-5 AUD symptomsR21AA028073 · NIAAA · UNIVERSITY OF WASHINGTON · PI HALLGREN, KEVIN A. · 2019 to 2020
$439k
NIAAA NIH HHS R21 AA028073NIAAA NIH HHS R33 AA028073NIMH NIH HHS K23 MH129420
6 · The paper itself

Abstract

backgroundScreening for unhealthy alcohol use in primary care may help identify patients at risk for negative health outcomes.

aimsThis study examined the associations between 1) screening with the AUDIT-C (alcohol consumption) and 2) an Alcohol Symptom Checklist (symptoms of alcohol use disorder) and subsequent-year hospitalizations.

methodsThis retrospective cohort study was conducted in 29 primary care clinics in Washington State. Patients were screened in routine care (10/1/2016-2/1/2019) with the AUDIT-C (0-12) and administered the Alcohol Symptom Checklist (0-11) if they had AUDIT-C score ≥ 7. All-cause hospitalizations were measured within 1 year of the AUDIT-C and Alcohol Symptom Checklist. AUDIT-C and Alcohol Symptom Checklist scores were categorized based on previously used cut-points.

findingsOf 305,376 patients with AUDIT-Cs, 5.3% of patients were hospitalized in the following year. AUDIT-C scores had a J-shaped relationship with hospitalizations, with risk for all-cause hospitalizations higher for patients with the AUDIT-C scores 9-12 (12.1%; 95% CI: 10.6-13.7%, relative to a comparison group of those with AUDIT-C scores 1-2 (female)/1-3 (male) (3.7%; 95% CI: 3.6-3.8%), adjusted for socio-demographics. Patients with AUDIT-C ≥ 7 and Alcohol Symptom Checklist scores reflecting severe AUD were at increased risk of hospitalization (14.6%, 95% CI: 11.9-17.9%) relative to those with lower scores.

conclusionsHigher AUDIT-C scores were associated with higher incidence of hospitalizations except among people with low-level drinking. Among patients with AUDIT-C ≥ 7, the Alcohol Symptom Checklist identified patients at increased risk of hospitalization. This study helps demonstrate the potential clinical utility of the AUDIT-C and Alcohol Symptom Checklist.

Indexed as

Alcohol DrinkingAlcoholismFemaleHospitalizationHospitalsHumansMalePrimary Health CareRetrospective StudiesAcute care settingsAlcohol useAlcohol use disorderAUDIT-CHealthcare utilizationHospitalizationScreening

Identifiers

PMID36871376
PMCPMC10149294
OpenAlexW4321793085

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.