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Impact of Alcohol Consumption on Use of Health Care Resources

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ClinicalTrials.gov Identifier: NCT02343874
Recruitment Status : Completed
First Posted : January 22, 2015
Last Update Posted : January 22, 2015
Sponsor:
Collaborators:
Institut Catala de Salut
Institut Català de la Salut
Agencia de Salut Pública de Barcelona. Direcció de Drogodependències. Generalitat de Catalunya
Lundbeck Foundation
Information provided by (Responsible Party):
Antoni Gual, Hospital Clinic of Barcelona

Brief Summary:

The prevalence of alcohol-related disorders in the general population is around 10%. The relationship between the use of healthcare services, costs and the amount of alcohol consumed by the general population is unknown. Because alcoholism is a major public health problem, it is significant to determine the prevalence of consumption of primary users and the relationship between the dose of alcohol and health care costs. This information may allow the implementation of preventive strategies to reduce consumption with the aim to reduce morbidity and healthcare expenditure.

A cross-sectional study will be carried out. Patients over 17 years old, treated at primary healthcare centers in Catalonia that have available data on alcohol consumption from January 2010 to December 2012 will be included. Clinical and sociodemographic data will be collected. Health service use and health care costs from 2013 will be collected from SIDIAP (The Information System for the Development of Research in Primary Care) database.

A positive relationship between grams of alcohol consumed per week and the use of resources and health expenditure will be expected and also the level of risk of alcohol consumption. There will be a descriptive analysis of the clinical data and sociodemographic variables. A multivariate analysis will be done to see the relationship between alcohol consumption and health care costs and health care service utilization.


Condition or disease Intervention/treatment
Alcohol Consumption Other: No intervention

  Show Detailed Description

Study Type : Observational
Actual Enrollment : 1911771 participants
Observational Model: Cohort
Time Perspective: Cross-Sectional
Official Title: Impact of Alcohol Consumption of the General Population Who Visited Primary Health Care Centers on the Use of Health Care Resources in Catalonia.
Study Start Date : December 2012
Actual Primary Completion Date : December 2012
Actual Study Completion Date : December 2013

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Alcohol

Group/Cohort Intervention/treatment
Alcohol consumption

Patients over 17 years old with alcohol consumption registered in the electronic medical record (31st December 2012).

No intervention is going to be administered but exposure to alcohol will be analysed

Other: No intervention
No intervention will be done. The exposure of interest in this study is alcohol consumption in patients attended in primary health.




Primary Outcome Measures :
  1. Health economic costs (composite measure) [ Time Frame: 1 year ]
    Association between alcohol consumption and Health economic costs (euros per individual) which include the sum of the following costs: primary health costs (appointments with the doctor, nurse or social worker), laboratory costs, pharmacy expenses, Inpatients costs from General hospitals, Psychiatric hospitals or rehabilitation hospitals, costs due to emergency visits, costs of outpatient visits in mental health and costs due to appointments with specialists.

  2. sick-leave costs [ Time Frame: 1 year ]
    sick leave costs (euros per individual)


Secondary Outcome Measures :
  1. Primary health care costs [ Time Frame: 1 year ]
    Association between alcohol consumption and primary health care costs which include costs due to the patients appointments with the doctor, nurse or social worker (euros per individual)

  2. laboratory costs [ Time Frame: 1 year ]
    Association between alcohol consumption and laboratory costs (euros per individual)

  3. Pharmacy expenses [ Time Frame: 1 year ]
    Association between alcohol consumption and pharmacy expenses (euros per individual)

  4. Inpatient costs [ Time Frame: 1 year ]
    Association between alcohol consumption and inpatient costs which include: Inpatients costs from General hospitals, Psychiatric hospitals or rehabilitation hospitals (euros per individual)

  5. costs due to emergency attendance [ Time Frame: 1 year ]
    Association between alcohol consumption and costs due to the emergency room attendance (euros per individual)

  6. outpatient mental health costs [ Time Frame: 1 year ]
    Association between alcohol consumption and outpatients mental health costs (euros per individual).

  7. specialists consults costs [ Time Frame: 1 year ]
    Association between alcohol consumption and costs due to specialists consults

  8. Primary health visits [ Time Frame: 1 year ]
    Association between alcohol consumption and the number of appointments with the general practitioner, nurse or social worker

  9. Admissions in hospital [ Time Frame: 1 year ]
    Association between alcohol consumption and the number of hospital admissions (general hospital, mental health and rehabilitation hospitals)

  10. days of stay in hospital [ Time Frame: 1year ]
    Association between alcohol consumption and the number of days of stay in hospitals (General Hospital, Psychiatric Hospital or Rehabilitation hospital)

  11. emergency contacts [ Time Frame: 1 year ]
    Association between alcohol consumption and the number of emergency visits.

  12. specialists appointments [ Time Frame: 1 year ]
    Association between alcohol consumption and the number of visits done with a specialist.

  13. Hospital admissions causes [ Time Frame: 1 year ]
    Number of hospital admissions depending on the cause (wholly attributable to alcohol, partly attributable- acute, partly attributed-chronic or not related with alcohol consumption)



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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
Patients over 17 years old attended in the primary health care setting that have their alcohol consumption registered in the medical record.
Criteria

Inclusion Criteria:

  • Patients over 17 years old
  • Patients with alcohol consumption registered in the medical record

Exclusion Criteria:

  • patients <= 17 years old.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02343874


Locations
Spain
Hospital Clínic de Barcelona
Barcelona, Spain, 08036
Sponsors and Collaborators
Hospital Clinic of Barcelona
Institut Catala de Salut
Institut Català de la Salut
Agencia de Salut Pública de Barcelona. Direcció de Drogodependències. Generalitat de Catalunya
Lundbeck Foundation
Investigators
Principal Investigator: Antoni Gual, PhD Institut d'investigacions Biomèdiques Agust Pi i Sunyer (IDIBAPS)

Publications:
Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair-Rohani H, Amann M, Anderson HR, Andrews KG, Aryee M, Atkinson C, Bacchus LJ, Bahalim AN, Balakrishnan K, Balmes J, Barker-Collo S, Baxter A, Bell ML, Blore JD, Blyth F, Bonner C, Borges G, Bourne R, Boussinesq M, Brauer M, Brooks P, Bruce NG, Brunekreef B, Bryan-Hancock C, Bucello C, Buchbinder R, Bull F, Burnett RT, Byers TE, Calabria B, Carapetis J, Carnahan E, Chafe Z, Charlson F, Chen H, Chen JS, Cheng AT, Child JC, Cohen A, Colson KE, Cowie BC, Darby S, Darling S, Davis A, Degenhardt L, Dentener F, Des Jarlais DC, Devries K, Dherani M, Ding EL, Dorsey ER, Driscoll T, Edmond K, Ali SE, Engell RE, Erwin PJ, Fahimi S, Falder G, Farzadfar F, Ferrari A, Finucane MM, Flaxman S, Fowkes FG, Freedman G, Freeman MK, Gakidou E, Ghosh S, Giovannucci E, Gmel G, Graham K, Grainger R, Grant B, Gunnell D, Gutierrez HR, Hall W, Hoek HW, Hogan A, Hosgood HD 3rd, Hoy D, Hu H, Hubbell BJ, Hutchings SJ, Ibeanusi SE, Jacklyn GL, Jasrasaria R, Jonas JB, Kan H, Kanis JA, Kassebaum N, Kawakami N, Khang YH, Khatibzadeh S, Khoo JP, Kok C, Laden F, Lalloo R, Lan Q, Lathlean T, Leasher JL, Leigh J, Li Y, Lin JK, Lipshultz SE, London S, Lozano R, Lu Y, Mak J, Malekzadeh R, Mallinger L, Marcenes W, March L, Marks R, Martin R, McGale P, McGrath J, Mehta S, Mensah GA, Merriman TR, Micha R, Michaud C, Mishra V, Mohd Hanafiah K, Mokdad AA, Morawska L, Mozaffarian D, Murphy T, Naghavi M, Neal B, Nelson PK, Nolla JM, Norman R, Olives C, Omer SB, Orchard J, Osborne R, Ostro B, Page A, Pandey KD, Parry CD, Passmore E, Patra J, Pearce N, Pelizzari PM, Petzold M, Phillips MR, Pope D, Pope CA 3rd, Powles J, Rao M, Razavi H, Rehfuess EA, Rehm JT, Ritz B, Rivara FP, Roberts T, Robinson C, Rodriguez-Portales JA, Romieu I, Room R, Rosenfeld LC, Roy A, Rushton L, Salomon JA, Sampson U, Sanchez-Riera L, Sanman E, Sapkota A, Seedat S, Shi P, Shield K, Shivakoti R, Singh GM, Sleet DA, Smith E, Smith KR, Stapelberg NJ, Steenland K, Stöckl H, Stovner LJ, Straif K, Straney L, Thurston GD, Tran JH, Van Dingenen R, van Donkelaar A, Veerman JL, Vijayakumar L, Weintraub R, Weissman MM, White RA, Whiteford H, Wiersma ST, Wilkinson JD, Williams HC, Williams W, Wilson N, Woolf AD, Yip P, Zielinski JM, Lopez AD, Murray CJ, Ezzati M, AlMazroa MA, Memish ZA. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012 Dec 15;380(9859):2224-60. doi: 10.1016/S0140-6736(12)61766-8. Erratum in: Lancet. 2013 Feb 23;381(9867):628. AlMazroa, Mohammad A [added]; Memish, Ziad A [added]. Erratum in: Lancet. 2013 Apr 13;381(9874):1276.

Responsible Party: Antoni Gual, Senior consultant, Hospital Clinic of Barcelona
ClinicalTrials.gov Identifier: NCT02343874     History of Changes
Other Study ID Numbers: 2013/8739
First Posted: January 22, 2015    Key Record Dates
Last Update Posted: January 22, 2015
Last Verified: January 2015

Keywords provided by Antoni Gual, Hospital Clinic of Barcelona:
Alcohol consumption
Primary health care
health care costs
health service utilization

Additional relevant MeSH terms:
Alcohol Drinking
Drinking Behavior
Ethanol
Anti-Infective Agents, Local
Anti-Infective Agents
Central Nervous System Depressants
Physiological Effects of Drugs