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The association of alcohol use with all-cause and cardiovascular disease-related hospitalizations or death in older, high-risk Veterans.

Publication ,  Journal Article
Blalock, DV; Grubber, J; Smith, VA; Zulman, DM; Weidenbacher, HJ; Greene, L; Dedert, EA; Maciejewski, ML
Published in: Alcohol Clin Exp Res
June 2021

BACKGROUND: The prevalence of alcohol misuse among older adults has grown dramatically in the past decade, yet little is known about the association of alcohol misuse with hospitalization and death in this patient population. METHODS: We examined the association between alcohol use (measured by a screening instrument in primary care) and rates of all-cause and cardiovascular disease (CVD)-related 6-month hospitalization or death via electronic health records (EHRs) in a nationally representative sample of older, high-risk Veterans. Models were adjusted for sociodemographic and clinical characteristics, including frailty and comorbid conditions. RESULTS: The all-cause hospitalization or death rate at 6 months was 14.9%, and the CVD-related hospitalization or death rate was 1.8%. In adjusted analyses, all-cause hospitalization or death was higher in older Veterans who were nondrinkers or harmful use drinkers compared to moderate use drinkers, but CVD-related hospitalization or death was similar in all categories of drinking. CONCLUSIONS: These findings suggest that the complex association between alcohol and all-cause acute healthcare utilization found in the broader population is similar in older, high-risk Veteran patients. These findings do not support an association between alcohol consumption and CVD-specific hospitalizations.

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Published In

Alcohol Clin Exp Res

DOI

EISSN

1530-0277

Publication Date

June 2021

Volume

45

Issue

6

Start / End Page

1215 / 1224

Location

England

Related Subject Headings

  • Veterans
  • United States
  • Substance Abuse
  • Middle Aged
  • Male
  • Humans
  • Hospitalization
  • Female
  • Cross-Sectional Studies
  • Cardiovascular Diseases
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Blalock, D. V., Grubber, J., Smith, V. A., Zulman, D. M., Weidenbacher, H. J., Greene, L., … Maciejewski, M. L. (2021). The association of alcohol use with all-cause and cardiovascular disease-related hospitalizations or death in older, high-risk Veterans. Alcohol Clin Exp Res, 45(6), 1215–1224. https://doi.org/10.1111/acer.14610
Blalock, Dan V., Janet Grubber, Valerie A. Smith, Donna M. Zulman, Hollis J. Weidenbacher, Liberty Greene, Eric A. Dedert, and Matthew L. Maciejewski. “The association of alcohol use with all-cause and cardiovascular disease-related hospitalizations or death in older, high-risk Veterans.Alcohol Clin Exp Res 45, no. 6 (June 2021): 1215–24. https://doi.org/10.1111/acer.14610.
Blalock DV, Grubber J, Smith VA, Zulman DM, Weidenbacher HJ, Greene L, et al. The association of alcohol use with all-cause and cardiovascular disease-related hospitalizations or death in older, high-risk Veterans. Alcohol Clin Exp Res. 2021 Jun;45(6):1215–24.
Blalock, Dan V., et al. “The association of alcohol use with all-cause and cardiovascular disease-related hospitalizations or death in older, high-risk Veterans.Alcohol Clin Exp Res, vol. 45, no. 6, June 2021, pp. 1215–24. Pubmed, doi:10.1111/acer.14610.
Blalock DV, Grubber J, Smith VA, Zulman DM, Weidenbacher HJ, Greene L, Dedert EA, Maciejewski ML. The association of alcohol use with all-cause and cardiovascular disease-related hospitalizations or death in older, high-risk Veterans. Alcohol Clin Exp Res. 2021 Jun;45(6):1215–1224.
Journal cover image

Published In

Alcohol Clin Exp Res

DOI

EISSN

1530-0277

Publication Date

June 2021

Volume

45

Issue

6

Start / End Page

1215 / 1224

Location

England

Related Subject Headings

  • Veterans
  • United States
  • Substance Abuse
  • Middle Aged
  • Male
  • Humans
  • Hospitalization
  • Female
  • Cross-Sectional Studies
  • Cardiovascular Diseases