Danil Gamboa - Lisbon Addictions 2017

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Presentation transcript:

Danil Gamboa - Lisbon Addictions 2017 Prevalence of drug and alcohol use in somatic healthcare - A cross-sectional comparative study Danil Gamboa1; Aleksey Nadezhdin2; Alexey Petukhov2;Evgeniya Koshkina2; Gudmund Nordby3; Anners Lerdal3; Saranda Kabashi4; Stig Tore Bogstrand4 1Lovisenberg Hospital; 2Moscow Research and Practical Center on Addictions of the Health Department of Moscow, Russia; 3Lovisenberg Hospital, Norway; 4Oslo University Hospital, Norway Danil Gamboa - Lisbon Addictions 2017

Outline: Background Research goals Method Results Danil Gamboa - Lisbon Addictions 2017

Danil Gamboa - Lisbon Addictions 2017 Background Alcohol is ranked as one of the top five risk factors for disease, injury and death (WHO, 2014) Available research regarding prevalence and impact in somatic healthcare is limited Danil Gamboa - Lisbon Addictions 2017

Danil Gamboa - Lisbon Addictions 2017 Research goals - stage one Assess the prevalence of alcohol use as well as illicit and prescription drugs in patients admitted to the emergency department (ED) Danil Gamboa - Lisbon Addictions 2017

Danil Gamboa - Lisbon Addictions 2017 Method Patient population: Patients aged ≥18 years admitted to the Emergency Department, Dept. of Internal Medicine, at two medium-sized urban hospitals (Oslo and Moscow) precludes injuries and other surgical conditions Patients recruited by ED nurse upon admission after informed consent Cross-sectional comparative design Danil Gamboa - Lisbon Addictions 2017

Phosphateidylethanol (PEth) AUDIT-4 direct biomarker for alcohol half-life of 3-5 days values correlate with alcohol consumption the past weeks is not significantly affected by factors such as gender, age, liver disease and obesity AUDIT-4

Danil Gamboa - Lisbon Addictions 2017 PEth - cut-off values: PEth-value Interpretation <0.03 μmol/L None or very low alcohol use 0.03-0.3 μmol/L Moderate alcohol use >0.3 μmol/L High-risk/harmful alcohol use Danil Gamboa - Lisbon Addictions 2017

Danil Gamboa - Lisbon Addictions 2017 Moscow (n=469) Oslo (n=1369) Danil Gamboa - Lisbon Addictions 2017

Danil Gamboa - Lisbon Addictions 2017 Oslo (n=1369) Moscow (n=469) Danil Gamboa - Lisbon Addictions 2017

Danil Gamboa - Lisbon Addictions 2017 Oslo (n=1369) Moscow (n=469) Danil Gamboa - Lisbon Addictions 2017

Thank you for your attention Danil Gamboa - Lisbon Addictions 2017