Home > Estimating the prevalence of alcohol dependence in Europe using routine hospital discharge data: an ecological study.

Roberts, Emmert and Clark, Gayle and Hotopf, Matthew and Drummond, Colin (2019) Estimating the prevalence of alcohol dependence in Europe using routine hospital discharge data: an ecological study. Alcohol and Alcoholism , Early online .

URL: https://academic.oup.com/alcalc/advance-article/do...

AIMS
This study aims to explore the feasibility of using routine hospital discharge data, at the level of countries within Europe, to estimate the general population prevalence of alcohol dependence (AD).

METHODS
We utilised the European Core Health Indicators data tool to extract the annual rate of hospital discharges due to any wholly attributable alcohol condition as defined by the ICD-10. For those counties with data available, we systematically searched Medline, EMBASE, PsychINFO and Google for studies reporting an estimate of the prevalence of AD from national cross-sectional surveys. We compared these prevalence estimates with those developed from prediction models based on hospital discharge data.

RESULTS
The rate of hospital discharges due to any condition from the F10 diagnostic category (mental and behavioural disorders due to alcohol) was moderately correlated with AD prevalence (r = 0.56), while the rate due to any condition from the K70 diagnostic category (alcoholic liver disease) was weakly correlated with AD prevalence (r = 0.21). Two-thirds of the estimates from cross-sectional surveys were not significantly different to those generated using the F10 discharge rate prediction model.

CONCLUSIONS
Country-level AD prevalence estimates generated using annual F10 hospital discharge rates are likely to provide information of some utility, particularly when limited other sources of information are available or when examining relative trends over time or between regions. There is, however, currently insufficient evidence to make a definitive recommendation to use hospital discharge data to estimate the absolute prevalence of AD per country in Europe.


Item Type:Article
Date:October 2019
Publisher:Oxford
Volume:Early online
EndNote:View
Accession Number:HRB (Electronic Only)
Subjects:A Substance use, abuse, and dependence > Prevalence
G Health and disease > Substance use disorder > Alcohol use > Alcohol dependence
J Health care, prevention and rehabilitation > Health care programme or facility > Hospital
VA Geographic area > International aspects
VA Geographic area > Europe
VA Geographic area > Europe > Ireland

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