ArticleJournal of community hospital internal medicine perspectives2025
The Impact of COVID-19 on Alcohol-related Morbidity and Mortality: A Multicenter Study.
Article in Journal of community hospital internal medicine perspectives, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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4 authors.
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Abstract
Background: During the COVID-19 pandemic, there was a rise in alcohol (ethanol) use nationwide. In this study, we investigated the effect of COVID-19 on alcohol-related hospital outcomes. Methods: Deidentified claims data spanning 2018 through 2022 from HCA's Enterprise Data Warehouse (South Atlantic Division) were examined. The population included adults aged >18 years who had an encounter at an HCA facility and a diagnosis of alcohol use disorder or alcohol-related illnesses. Two time frames were evaluated: 2018-2019 (pre- COVID-19) and 2021-2022 (COVID-19). Statistical analyses were performed to evaluate LOS, home discharge, and mortality. Results: Of the 72,575 patients (26,678 during the COVID-19 time period and 35,897 from 2018 to 19) meeting inclusion criteria for alcohol use and alcohol-related illness, the majority were male, had an average age of 50-years-old, and were predominantly White. Among the 26,678 COVID-19 patient admissions (2021-2022), 12,735 (35 %) were diagnosed with COVID-19 (p < 0.001). During the COVID-19 period, there was a 36 % increase in mortality, 2 % fewer discharges home, and a half day increase in average LOS (vs pre-COVID-19 period; all p < 0.001). In multivariable regression, patients who tested positive for COVID-19 had a 3-day longer length of stay, a 60 % lower likelihood of discharge to home, and a 284 % higher inpatient mortality rate compared to COVID-negative patients (all p < 0.001). Conclusions: Patients diagnosed with COVID-19 and alcohol-related morbidity had longer LOS, fewer discharges home, and higher mortality. Together, the data suggest that COVID-19 is associated with increased morbidity in patients with an alcohol-related illness.
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