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    题名: Identification and medical utilization of incident cases of alcohol dependence: A population-based case-control study
    作者: Pan, CH;Li, MS;Yang, TW;Huang, MC;Su, SS;Hung, YN;Chen, CC;Kuo, CJ
    Pan, Chun-Hung
    贡献者: 心理系
    关键词: Alcohol dependence;Case identification;Medical utilization;Comorbidity;Chronic hepatic disease
    日期: 2018-07
    上传时间: 2018-10-29 17:20:43 (UTC+8)
    摘要: Background: Patients with alcohol dependence (AD) often seek help from medical professionals due to alcohol related diseases, but the overall distribution of medical specialties identifying new AD cases is unclear. We investigated how such cases were identified and how medical resources were utilized before the identification of AD in a nationwide cohort. Methods: We enrolled a population-based cohort (N = 1,000,000) using the National Health Insurance Research Database of Taiwan; 8181 cases with incident AD were retrieved between January 1, 2000, and December 31, 2010. For this nested case-control study, four controls were matched for age and sex with each case based on risk-set sampling. We measured various dimensions of medical utilization before AD was diagnosed, including department visited, physical comorbidity, and medication used. Conditional logistic regression was used for estimating the variables associated with AD. Results: Patients living in less urbanized areas who were unemployed were more likely to develop AD. The highest proportions (34.2%) of AD cases were identified in the internal medicine department, followed by the emergency (22.3%) and psychiatry (18.7%) departments. AD patients had a higher risk of comorbid chronic hepatic disease (adjusted RR = 2.72, p < 0.001) before identification of AD than controls. AD patients also had greater numbers of hospital admissions than controls, including non-psychiatric and psychiatric hospitalizations. Outpatient visit numbers were similar for AD patients and controls. Conclusions: The findings indicate that clinicians providing care in diverse medical settings should be prepared to screen for unhealthy alcohol use and to mitigate its detrimental effects.
    關聯: DRUG AND ALCOHOL DEPENDENCE, 188, 216-223
    数据类型: article
    DOI 連結: http://dx.doi.org/10.1016/j.drugalcdep.2018.03.046
    DOI: 10.1016/j.drugalcdep.2018.03.046
    显示于类别:[心理學系] 期刊論文

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