DOI: 10.21045/2071-5021-2017-54-2-6

Mordovsky E.A.¹, Soloviev A.G.¹, Sannikov A.L.¹, Kovalev O.V.^2
1 Northern State Medical University, Arkhangelsk
² Arkhangelsk Regional Clinical Hospital, Arkhangelsk

Contacts: Edgard A. Mordovsky, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Information about authors:
Mordovsky E.A. http://orcid.org/0000-0002-2346-9763
Soloviev A.G. http://orcid.org/0000-0002-0350-1359
Sannikov A.L. http://orcid.org/0000-0001-5856-8051
Kovalev O.V. http://orcid.org/0000-0002-7928-838X

Acknowledgments. The study was funded through "Grant to the young specialist to implement projects in health care" (2016-2017) of the Ministry of Health of the Arkhangelsk region in the framework of the "Comprehensive assessment of component distribution of the cumulative damage from alcohol abuse in population of the Arkhangelsk region".

Conflct of interests. The authors declare no conflict of interest.

Abstract

Significance. Alcohol consumption is one of the causes of delayed care seeking in a life-threatening situation reducing the patient’s chances for a favorable outcome regardless of other conditions. The purpose of the study was to assess frequency of admissions to a multidisciplinary hospital with signs of alcohol intoxication in 2006-2015 and associated timeliness of care seeking based on fatal case study.

Methods. Analysis of 2859 entries in the Register of proceedings of the Hospital Committee on Fatal Outcomes for 2006-2015 in the Arkhangelsk Regional Clinical Hospital and relevant 2859 patient records (Form 003/y) was undertaken.

Results. The share of urgent patients admitted with signs of alcohol intoxication out of the total deaths decreased fourfold from 16.3% in 2006 to 4.6% in 2015. The final clinical (postmortem or forensic) diagnosis of these patients falls under Chapter IX (Diseases of the circulatory system), Chapter X (Diseases of the respiratory system), Chapter XI (Diseases of the digestive system) and Chapter XIX (Injury, poisoning and certain other consequences of external causes) of ICD-10. A large share of urgent patients admitted with signs of alcohol intoxication due to Diseases of liver (K70-K77) and Cerebrovascular diseases (I60-I69) (40.5% and 10.9% respectively), failed to timely apply for medical care.

Conclusions. Results of this study emphasizes high relevance of the problem of alcohol consumption by urgent patients prior admission to the hospital and help to better understand relationship between this risk factor and timeliness of care seeking.

Scope of application. Results of this study can be used to develop regional programs aimed at improving access to medical care in life-threatening situations.

Keywords: alcohol consumption; admission to hospital; urgent patients; timeliness of care seeking.

References

1. Baranov A.V., Vilova T.V., Barachevskiy Yu.E., Baushev V.O. Analiz okazaniya meditsinskoy pomoshchi na dogospital'nom etape postradavshim v dorozhno-transportnykh proisshestviyakh v Arkticheskoy zone Rossiyskoy Federatsii [Analysis of medical aid for victims of road accidents at prehospital time in Arctic zone of the Russian Federation]. Skoraya meditsinskaya pomoshch' 2016;(3):11-14. (In Russian).
2. Barachevskiy Yu.E., Matveev R.P., Baranov A.V., Baushev V.O. Alkogol'naya travma tazovogo kol'tsa v dorozhno-transportnykh proisshestviyakh [Alcohol-related trauma of pelvic-ring in road accidents]. Vrach-aspirant 2013;59(4.1):157-161. (In Russian).
3. Vyaz'min A.M., Solov'ev A.G., Mordovskiy E.A. Pol, brachnyy status, zanyatost' prezhdevremenno umershikh v zavisimosti ot mesta nastupleniya smerti – poisk rezervov sokrashcheniya smertnosti naseleniya [Gender, marital status, and employment of the premature deceased depending on the place of death - search for the potential to reduce population mortality]. Sotsial'nye aspekty zdorov'ya naseleniya [serial online] 2015 [cited 2016 Oct 20]; 41(1). Available from: http://vestnik.mednet.ru/content/view/645/30/lang,ru/ (In Russian).
4. Egorov A.Yu., Krupitskiy E.M., Sofronov A.G., Bobrov A.E., Tyavokina E.Yu., Dobrovol'skaya A.E. Zloupotreblenie alkogolem u bol'nykh, ekstrenno gospitalizirovannykh v bol'nitsu skoroy pomoshchi [Alcohol abuse of urgent patients admitted at an emergency hospital]. Obozrenie psikhiatrii i meditsinskoy psikhologii im. V.M. Bekhtereva 2013;(1):36-43. (In Russian).
5. Koshkina E.A., Pavlovskaya N.I., Yagudina R.I., Kulikov A.Yu., Usenko K.Yu. Mediko-sotsial'nye i ekonomicheskie posledstviya zloupotrebleniya alkogolem v Rossiyskoy Federatsii [Health, social and economic consequences of alcohol abuse in the Russian Federation]. Sotsial'nye aspekty zdorov'ya naseleniya [serial online] 2010 [cited 2016 Oct 20];14(2). Available from: http://vestnik.mednet.ru/content/view/189/30/lang,ru/ (In Russian).
6. Minakov S.N. Mediko-sotsial'nye aspekty i rasprostranennost' alkogolizma sredi razlichnykh grupp naseleniya (na primere otdel'nogo munitsipal'nogo obrazovaniya) [Health and social aspects and prevalence of alcoholism in different groups of population (by the example of a separate municipal entity)]. Cand.Med.Sci [thesis]. Moscow; 2009. 169 p. (In Russian).
7. Ob utverzhdenii poryadka sozdaniya i deyatel'nosti vrachebnoy komissii meditsinskoy organizatsii [On approval of the procedure of creation and activity of doctors’ commission of medical institution]. Prikaz Minzdravsotsrazvitiya Rossii ot 5 maya 2012 g. ¹ 502n. (red. ot 02.12.2013). [Online] 2012 [cited 2016 Oct 20]. Available from: http://base.garant.ru/70190416/ (In Russian).
8. O poryadke provedeniya meditsinskogo osvidetel'stvovaniya na sostoyanie op'yaneniya (alkogol'nogo, narkoticheskogo ili inogo toksicheskogo) [On the procedure of providing medical examination for intoxication (alcoholic, drugs, or other toxics)]. Prikaz Minzdrava Rossii ot 18.12.2015 ¹ 933n. [Online] 2015 [cited 2016 Oct 20]. Available from: http://www.garant.ru/products/ipo/prime/doc/71250220/ (In Russian).
9. Sidorov P.I., Novikova I.A., Solov'ev A.G. Rol' neblagopriyatnykh sotsial'no-psikhologicheskikh faktorov v vozniknovenii i techenii sakharnogo diabeta [The role of unfavorable social and psychological factors in occurrence and flow of diabetes mellitus]. Terapevticheskiy arkhiv 2001;73(1):68-70. (In Russian).
10. Solov'ev A.G., Mordovskiy E.A., Sannikov A.L. Kolichestvennaya otsenka sovokupnogo ushcherba ot zloupotrebleniya alkogolem na populyatsionnom urovne [Quantitative assessment of cumulative damage from alcohol abuse at population level]. Narkologiya 2016;(1):16-32. (In Russian).
11. Entin G.M., Gofman A.G., Muzychenko A.P., Krylov E.N. Alkogol'naya i narkoticheskaya zavisimost' [Alcohol and drug abuse]. Moscow: Medpraktika; 2002. 328 p. (In Russian).
12. Adam A., Faouzi M., Yersin B., Bodenmann P., Daeppen J.B., Bertholet N. Women and Men Admitted for Alcohol Intoxication at an Emergency Department: Alcohol Use Disorders, Substance Use and Health and Social Status 7 Years Later. Alcohol. 2016 Sep;51(5):567-75. doi: 10.1093/alcalc/agw035. Epub 2016 Jun 29.
13. Clark B.J., Rubinsky A.D., Ho P.M., Au D.H., Chavez L.J., Moss M. et al. Alcohol screening scores and the risk of intensive care unit admission and hospital readmission. Subst Abus. 2016 Jul-Sep;37(3):466-473. Epub 2016 Jan 5.
14. Floud S., Balkwill A., Moser K., Reeves G.K., Green J., Beral V. et al. The role of health-related behavioural factors in accounting for inequalities in coronary heart disease risk by education and area deprivation: prospective study of 1.2 million UK women. BMC Med. 2016 Oct 13;14(1):145.
15. Global status report on alcohol and health 2014. World Health Organization. Department of Mental Health and Substance Abuse. Geneva; 2014. 86 p.
16. Leon D.A., Shkolnikov V.M., McKee M. Alcohol and Russian mortality: a continuing crisis. Addiction 2009;(104):1630–1636. doi:10.1111/j.1360-0443.2009.02655.x.
17. Norström T. The role of alcohol in the Russian mortality crisis. Addiction 2011;106(11):1957–1965.
18. O'Donnell M.J., Chin S.L., Rangarajan S., Xavier D., Liu L., Zhang H., et al. Global and regional effects of potentially modifiable risk factors associated with acute stroke in 32 countries (INTERSTROKE): a case-control study. Lancet 2016 Aug 20;388(10046):761-75. doi: 10.1016/S0140-6736(16)30506-2. Epub 2016 Jul 16.

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