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首页> 美国卫生研究院文献>Preventive Medicine Reports >Who is asked about alcohol consumption? A retrospective cohort study using a national repository of Electronic Medical Records
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Who is asked about alcohol consumption? A retrospective cohort study using a national repository of Electronic Medical Records

机译：谁被问及酗酒？使用电子医疗记录国家储存库的回顾性队列研究

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Documentation of alcohol use in electronic medical record (EMR) informs interventions to reduce alcohol-related morbidity and mortality. This retrospective cohort study explored EMR data from 960 primary care providers participating in the Canadian Primary Care Sentinel Surveillance Network to describe documentation of alcohol use (e.g. none, current or past use) in the EMR. Included providers represented 700,620 adult patients from across Canada with an encounter between 2015 and 2018. Bivariate comparisons characterized the patients with, and without, documentation of alcohol use. Multivariate generalized estimating equation models with logit function assessed patient and provider characteristics associated with (1) documentation of alcohol and (2) patients with heightened risk for alcohol-related problems. Forty percent of patients had alcohol use documentation in the EMR. Light alcohol consumption was recorded for 43.6% of these patients. Male patients (OR1.09, CI 1.07–1.12), who were older (OR1.26, CI 1.23–1.30), had more frequent visits to their provider (OR1.11, CI 1.09–1.13) and had hypertension (OR1.07, CI 1.06–1.09) or depression (OR1.07, CI 1.09–1.14) had higher odds of alcohol documentation. There were 4.7% of patients with a record indicating heightened risk for alcohol-related problems. Male patients (OR3.27 CI 3.14–3.4), patients with depression (OR2.01 CI1.93–2.1) and rural residency (OR1.35 CI1.29–1.42) was associated with risk for alcohol-related problems. Heavy alcohol consumption is associated with an increased risk of negative health outcomes, particularly for patients with certain chronic conditions. However, these patients do not have alcohol use consistently documented in the EMR. Strategies should be designed and implemented to support more consistent alcohol-screening among high-risk patients.
机译：电子医疗记录（EMR）中酒精使用的文档通知干预措施降低与酒精有关的发病率和死亡率。此回顾性队列研究探索了参与加拿大初级保健服务提供商的960个初级护理提供商的EMR数据，以描述EMR中的酒精使用的文档（例如，无，当前或过去使用）。包含的提供商代表了来自加拿大跨国的700,620名成年患者，2015年和2018年之间存在遭遇。生物的比较表征患者，无需饮酒的文件。具有Loalit函数的多变量广义估计方程模型评估患者和提供者特征与（1）醇和（2）患者的饮酒和（2）患者有关的患者有关的问题的风险。 40％的患者在EMR中含有酒精使用文件。这些患者的43.6％记录了轻酒精消费。年龄较大的男性患者（OR1.09，CI 1.07-1.12）（OR1.26，CI 1.23-1.30）对其提供商（OR1.11，CI 1.09-1.13）进行了更频繁的访问，并具有高血压（OR1。 07，CI 1.06-1.09）或抑郁症（OR1.07，CI 1.09-1.14）具有较高的酒精文件的几率。有4.7％的患者有记录，表明酒精相关问题的风险增加。男性患者（OR3.27 CI 3.14-3.4），抑郁症患者（OR2.01 CI1.93-2.1）和农村居住（OR1.35 CI1.29-1.42）与酒精相关问题有关。重饮酒消耗与负面健康结果的风险增加有关，特别是对于某些慢性病症的患者。然而，这些患者在EMR中没有持续记录的酒精使用。应设计和实施策略，以支持高风险患者的更一致的酒精筛查。

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