1. 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

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

3. 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

4. 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

5. 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

6. 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

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

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

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

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

11. Thank you for your attention
Danil Gamboa - Lisbon Addictions 2017