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Alcohol use disorders and associated chronic disease – a national retrospective cohort study from France.

Alcohol use disorders and associated chronic disease – a national retrospective cohort study from France.
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Schwarzinger M, Thiébaut SP, Baillot S, Mallet V, Rehm J,


Schwarzinger M, Thiébaut SP, Baillot S, Mallet V, Rehm J, (click to view)

Schwarzinger M, Thiébaut SP, Baillot S, Mallet V, Rehm J,

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BMC public health 2017 07 2118(1) 43 doi 10.1186/s12889-017-4587-y
Abstract
BACKGROUND
Evidence on diseases caused by or associated with alcohol use disorders (AUDs) has been based on two meta-analyses including rather dated studies. The objective of this contribution was to estimate the risks of all-cause mortality and alcohol-attributable disease categories depending on a diagnosis of AUDs in a national sample for France.

METHODS
In a national retrospective cohort study on all inpatient acute and rehabilitation care patients in Metropolitan France 2008-2012 (N = 26,356,361), AUDs and other disease categories were identified from all discharge diagnoses according to standard definitions, and we relied on in-hospital death for mortality (57.4% of all deaths).

RESULTS
704,803 (2.7%) patients identified with AUDs had a threefold higher risk of death (HR = 2.98; 95% CI: 2.96-3.00) and died on average 12.2 years younger (men: 10.4, 95% CI: 10.3-10.5; women: 13.7, 95% CI: 13.6-13.9). AUDs were associated with significantly higher risks of hospital admission for all alcohol-attributable disease categories: digestive diseases, cancers (exception: breast cancer), cardiovascular diseases, dementia, infectious diseases, and injuries. Elevated risks were highest for liver diseases that were associated with about two-third of deaths in patients with AUDs (men: 64.3%; women: 71.1%).

CONCLUSIONS
AUDs were associated with marked premature mortality and higher risks of alcohol-attributable disease categories. Our results support the urgent need of measures to reduce the burden of AUDs.

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