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Correlations between Clinic Preferences and Alcohol Use Disorder: an Alcohol Cohort Study in Northern Taiwan in 2022

Published online by Cambridge University Press:  27 August 2024

W.-Y. Su ,
S.-C. Wang  and
S.-Y. Yeh
W.-Y. Su
Affiliation:
1National Yang Ming Chiao Tung University, Taipei City
S.-C. Wang*
Affiliation:
2Department of Psychiatry, Taoyuan General Hospital, Taoyuan City, Taiwan, Province of China
S.-Y. Yeh
Affiliation:
2Department of Psychiatry, Taoyuan General Hospital, Taoyuan City, Taiwan, Province of China
*
*Corresponding author.

Abstract

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Introduction

Chronic alcoholism can result in severe liver conditions such as fatty liver disease and cirrhosis, potentially leading to life-threatening complications and premature death.

Objectives

This study investigated the age-sex distribution of patients with alcohol addiction and aimed to identify differences in clinic department preferences based on their principal and additional diagnoses in Taiwan, in 2022.

Methods

We conducted a comprehensive analysis of the diagnostic patterns of 334 patients with alcohol addiction from the Taoyuan General Hospital, Ministry of Health and Welfare.

Results

Figure 1 depicts patient demographics, highlighting 297 male and 37 female patients with alcohol-related disorders. Males aged 41-60 years were particularly dominant, as shown in Figure 2. Principal diagnoses, including alcoholic liver disease and acute pancreatitis, are detailed in Table 1. Additional diagnoses, such as chronic pancreatitis and esophageal varices, are presented in Table 2. For departmental preferences, Table 3 reveals the Gastrointestinal (GI) department as the top choice, followed by Kidney, Neurological, and Cardiovascular/Chest.Table 1.

Top 5 Principal Diagnoses of Alcohol Addiction Patients.

ICD-10-CMPrinciple diagnosisTimesRank
K70Alcoholic liver disease431
K85Acute pancreatitis272
F10Alcohol related disorders183
A41Other sepsis144
K86Other chronic pancreatits115
Table 2.

Top 5 Additional Diagnoses of Alcohol Addiction Patients.

ICD-10-CMAdditional diagnosisTimesRank
F10Alcohol related disorders401
K86Other chronic pancreatits182
I85Esophageal varices163
K70Other sepsis16
E87Other disorders of fluid, electrolyte and acid-base balance154
R65Symptoms and signs specifically associated with systemic inflammation and infection105
Table 3.

Top 5 Departments for Alcoholism Patient Presentation.

DepartmentTimesRank
Gastrointestinal1621
Kidney392
Neurological253
Cardiovascular Chest154

Image:

Image 2:

Conclusions

The study revealed that patients with alcohol addiction often delay seeking psychiatric help instead of presenting for medical care only after liver or gastrointestinal complications occur. This underscores the crucial need for better health education regarding the relationship between alcohol addiction and liver disease. Prompt recognition and early intervention for substance addiction can significantly reduce these risks and improve patient outcomes.

Disclosure of Interest

None Declared

Type
Abstract
Information
European Psychiatry , Volume 67 , Special Issue S1: Abstracts of the 32nd European Congress of Psychiatry , April 2024 , pp. S410 - S411
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of European Psychiatric Association
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