Analysis of Patients with Alcohol Dependence Treated in Silesian Intensive Care Units

Małgorzata Łowicka-Smolarek, Izabela Kokoszka-Bargieł, Małgorzata Knapik, Konstanty Śmietanka, Piotr Dyrda, Mateusz Możdżeń, Magdalena Kurczab, Jarosław Borkowski and Piotr Knapik
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Małgorzata Łowicka-Smolarek: Department of Anaesthesiology and Intensive Therapy, Silesian Centre for Heart Diseases in Zabrze, Medical University of Silesia, 40-055 Katowice, Poland
Izabela Kokoszka-Bargieł: Department of Anesthesiology and Intensive Therapy, Provincial Specialist Hospital, 43-100 Tychy, Poland
Małgorzata Knapik: Department of Anaesthesiology and Intensive Therapy, Silesian Centre for Heart Diseases in Zabrze, Medical University of Silesia, 40-055 Katowice, Poland
Konstanty Śmietanka: Department of Anaesthesiology and Intensive Therapy, Silesian Centre for Heart Diseases in Zabrze, Medical University of Silesia, 40-055 Katowice, Poland
Piotr Dyrda: Department of Anaesthesiology and Intensive Therapy, Silesian Centre for Heart Diseases in Zabrze, Medical University of Silesia, 40-055 Katowice, Poland
Mateusz Możdżeń: Students’ Scientific Society, Department of Cardiac Anesthesia and Intensive Care, Medical University of Silesia, 40-055 Katowice, Poland
Magdalena Kurczab: Department of Anaesthesiology and Intensive Therapy, Silesian Centre for Heart Diseases in Zabrze, Medical University of Silesia, 40-055 Katowice, Poland
Jarosław Borkowski: Department of Anaesthesiology and Intensive Therapy, Silesian Centre for Heart Diseases in Zabrze, Medical University of Silesia, 40-055 Katowice, Poland
Piotr Knapik: Department of Anaesthesiology and Intensive Therapy, Silesian Centre for Heart Diseases in Zabrze, Medical University of Silesia, 40-055 Katowice, Poland

IJERPH, 2022, vol. 19, issue 10, 1-12

Abstract: Analysis of patients with alcohol dependence (AD) treated in intensive care units has never been performed in Poland. Data from 25,416 adult patients identified in a Silesian Registry of Intensive Care Units were analysed. Patients with AD were identified, and their data were compared with the remaining population. Preadmission and admission variables that independently influenced ICU death in these patients were identified. Among 25,416 analysed patients, 2285 subjects (9.0%) were indicated to have AD among their comorbidities. Patients with AD were significantly younger (mean age: 53.3 ± 11.9 vs. 62.2 ± 15.5 years, p < 0.001) but had a higher mean APACHE II score at admission and were more frequently admitted to the ICU due to trauma, poisonings, acute pancreatitis, and severe metabolic abnormalities. ICU death and unfavourable outcomes were more frequent in these patients (47.8% vs. 43.0%, p < 0.001 and 54.1% vs. 47.0%, p < 0.001, respectively). Multiorgan failure as the primary cause of ICU admission was among the most prominent independent risk factors for ICU death in these patients (OR: 3.30, p < 0.001). Despite the younger age, ICU treatment of patients with AD was associated with higher mortality and a higher percentage of unfavourable outcomes.

Keywords: alcohol dependency; ICU; mortality; neurological injury (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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