Course and outcome of patients with alcohol use disorders following an alcohol intervention during hospital attendance: mixed method study: A mixed method study
Course and outcome of patients with alcohol use disorders following an alcohol intervention during hospital attendance: mixed method study: A mixed method study
Background: Alcohol-related presentations to acute hospitals in the UK are increasing but relatively little is known of the clinical characteristics or natural history of this patient group.
Aims: To describe the clinical characteristics, drinking profile, and trajectory of a cohort of patients with alcohol use disorders attending hospital; and explore participant perspectives of the impact of hospital attendance on their relationship with alcohol.
Method: Mixed method prospective observational cohort study of patients seen by an Alcohol Care Team in an acute hospital. Participants were interviewed using a range of questionnaires at baseline and followed up at six months. A maximum variation sample also completed in-depth qualitative interviews.
Results: 141 patients were recruited, 132 (93.6%) were followed up at six months and 26 completed qualitative interviews. 60/141 (42.6%) stated the index hospital episode included the first discussion of their alcohol use in a secondary care setting. Most rated discussion of their alcohol use in hospital as ‘very positive’ or ‘positive’ (102/141, 72.3%), but the lack of coordinated care with community services undermined efforts to sustain change. At six months 11 (7.8%) patients had died, but in those who survived and completed assessment (n=121), significant clinically meaningful improvements were seen across a range of outcomes, with 55/121 (45.5%) showing a favourable drinking outcome at six months.
Conclusions: Patients with alcohol use disorders have high levels of morbidity and mortality, yet many made substantial changes following intervention in hospital for their alcohol use. Prospective multi-centre trials are needed to identify the specific impact of alcohol care teams in optimising this ‘teachable moment’ for patients.
Alcohol use disorder, cohort, mixed methods, outcome studies
Chambers, Sophia Elaine
144bdaab-9a0e-41d9-b471-6abe343ce375
Sinclair, Julia
be3e54d5-c6da-4950-b0ba-3cb8cdcab13c
Baldwin, David
1beaa192-0ef1-4914-897a-3a49fc2ed15e
2 December 2020
Chambers, Sophia Elaine
144bdaab-9a0e-41d9-b471-6abe343ce375
Sinclair, Julia
be3e54d5-c6da-4950-b0ba-3cb8cdcab13c
Baldwin, David
1beaa192-0ef1-4914-897a-3a49fc2ed15e
Chambers, Sophia Elaine, Sinclair, Julia and Baldwin, David
(2020)
Course and outcome of patients with alcohol use disorders following an alcohol intervention during hospital attendance: mixed method study: A mixed method study.
BJPsych Open, 7 (1).
(doi:10.1192/bjo.2020.138).
Abstract
Background: Alcohol-related presentations to acute hospitals in the UK are increasing but relatively little is known of the clinical characteristics or natural history of this patient group.
Aims: To describe the clinical characteristics, drinking profile, and trajectory of a cohort of patients with alcohol use disorders attending hospital; and explore participant perspectives of the impact of hospital attendance on their relationship with alcohol.
Method: Mixed method prospective observational cohort study of patients seen by an Alcohol Care Team in an acute hospital. Participants were interviewed using a range of questionnaires at baseline and followed up at six months. A maximum variation sample also completed in-depth qualitative interviews.
Results: 141 patients were recruited, 132 (93.6%) were followed up at six months and 26 completed qualitative interviews. 60/141 (42.6%) stated the index hospital episode included the first discussion of their alcohol use in a secondary care setting. Most rated discussion of their alcohol use in hospital as ‘very positive’ or ‘positive’ (102/141, 72.3%), but the lack of coordinated care with community services undermined efforts to sustain change. At six months 11 (7.8%) patients had died, but in those who survived and completed assessment (n=121), significant clinically meaningful improvements were seen across a range of outcomes, with 55/121 (45.5%) showing a favourable drinking outcome at six months.
Conclusions: Patients with alcohol use disorders have high levels of morbidity and mortality, yet many made substantial changes following intervention in hospital for their alcohol use. Prospective multi-centre trials are needed to identify the specific impact of alcohol care teams in optimising this ‘teachable moment’ for patients.
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Accepted/In Press date: 4 November 2020
Published date: 2 December 2020
Keywords:
Alcohol use disorder, cohort, mixed methods, outcome studies
Identifiers
Local EPrints ID: 445160
URI: http://eprints.soton.ac.uk/id/eprint/445160
ISSN: 2056-4724
PURE UUID: ec7d8fb1-7083-4754-8d98-73dd2094de99
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Date deposited: 24 Nov 2020 17:30
Last modified: 17 Mar 2024 02:44
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Author:
Sophia Elaine Chambers
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