Effects of the 2020 health crisis on acute alcohol intoxication: A nationwide retrospective observational study.

Drug Alcohol Depend

Biostatistics and Bioinformatics (DIM), University Hospital, Dijon, France; Inserm, CIC 1432, Dijon University Hospital, Clinical Investigation Center, Clinical Epidemiology/Clinical Trials Unit, Dijon, France; Université Paris-Saclay, UVSQ, Univ. Paris-Sud, Inserm, High-Dimensional Biostatistics for Drug Safety and Genomics, CESP, Villejuif, France. Electronic address:

Published: November 2021

AI Article Synopsis

  • Recent research indicates that the COVID-19 pandemic may have affected alcohol use and increased addictive behaviors, specifically examining acute alcohol intoxication (AAI) in France.
  • A study analyzed hospital stays for alcohol abuse from 2018 to 2020, finding a significant decrease in AAI hospitalizations from 2019 to 2020, although in-hospital mortality rates rose during the pandemic, especially during the first lockdown.
  • The findings suggest that fewer hospitalizations could be due to increased healthcare access issues, individuals avoiding care due to COVID-19 fears, and younger individuals reducing social activities, despite a troubling increase in severity and complications related to AAI.

Article Abstract

Background: Recent data suggest that the COVID-19 pandemic and associated restrictions may have influenced alcohol use and promoted addictive behavior. We aimed to investigate the impact of the pandemic on acute alcohol intoxication (AAI) in France.

Methods: We identified all hospital stays related to alcohol abuse in 2018-2020. Differences in number of hospitalizations between 2019 and 2020 were tested using Poisson regressions. Differences between observed and expected deliveries of drugs used in alcohol dependence in 2020 were also studied.

Results: There was a decrease in the number of hospitalizations for AAI between 2019 and 2020 (-9677[-11·4%],RR:0·89[0·88-0·89]). This decrease was observed among men and women of all age groups, except women ≥ 85 years. We observed an increase in in-hospital mortality during 2020 and more hospitalizations for AAI with certain medical complications, especially during the first 2020 lockdown. There was a drop in observed deliveries of drugs used in alcohol dependence during the first 2020 lockdown.

Conclusions: The decrease in the number of hospitalizations for AAI in 2020 could be explained by several factors: fewer available hospital beds due to COVID-19, individuals with AAI delaying or avoiding medical care due to COVID-19 fears, and decreases driven by younger age groups returning to live with parents and socializing less. While alcohol consumption patterns have changed with the implementation of social distancing measures and lockdowns, the increase in mortality and the share of hospitalizations with complications suggest that these measures had an impact on event severity in a context of strained access to healthcare.

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Source
http://dx.doi.org/10.1016/j.drugalcdep.2021.109062DOI Listing

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