Significant reduction in alcohol-related admissions to an intensive care unit in Dublin

Ir J Med Sci. 2015 Sep;184(3):697-700. doi: 10.1007/s11845-015-1281-x. Epub 2015 Mar 14.

Abstract

Background: In 2008, we conducted an audit in our general intensive care unit (ICU) which demonstrated a high workload from alcohol-related admissions which represented 12 % of total admissions and 16.8 % of total available bed days at that time.

Aims: To repeat the audit 5 years later in 2013 to assess the current workload from alcohol-related admissions and whether this had increased or decreased in the intervening time period.

Methods: We retrospectively collected data from every admission to our 17-bed general ICU for the 6-month period from June 1 2013 to November 30 2013. We identified all admissions that were related to alcohol misuse. Their admission diagnosis, age, gender, ICU length of stay, APACHE 2 score (Acute Physiology and Chronic Health Evaluation 2) and 30-day mortality were recorded. The results of the 2013 audit were then compared with data from the 2008 study.

Results: There were 30 % less alcohol-related admissions to our ICU in 2013 compared to the same period in 2008. The study group had a longer length of stay on average but a lower mortality than the control group.

Conclusion: There has been a significant reduction in the ICU workload from alcohol-related admissions in our general ICU in the past 5 years.

MeSH terms

  • APACHE
  • Adult
  • Alcohol Drinking / epidemiology
  • Alcohol Drinking / therapy*
  • Female
  • Humans
  • Intensive Care Units / statistics & numerical data*
  • Ireland
  • Length of Stay / statistics & numerical data*
  • Male
  • Middle Aged
  • Outcome Assessment, Health Care
  • Patient Admission / statistics & numerical data*
  • Retrospective Studies
  • Risk Factors