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首页> 外文期刊>The Journal of Behavioral Health Services and Research >Are Smoking and Alcohol Misuse Associated with Subsequent Hospitalizations for Ambulatory Care Sensitive Conditions?
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Are Smoking and Alcohol Misuse Associated with Subsequent Hospitalizations for Ambulatory Care Sensitive Conditions?

机译：对于非卧床护理敏感状况，吸烟和酗酒与随后的住院治疗相关吗？

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摘要

Hospitalizations for ambulatory care sensitive conditions (ACSCs) are used to assess quality of care, but studies rarely adjust for health behaviors. This study evaluated whether results of smoking or alcohol screening were associated with hospitalizations for ACSCs. Participants included 33,273 male Veterans Affairs general medicine outpatients who returned mailed surveys. The main outcome was hospitalization with a primary discharge diagnosis for an ACSC in the year following screening. Analyses were adjusted for demographics, comorbidity, and other health behaviors. Current and previous smoking and abstaining from alcohol were associated with significantly increased risk of hospitalization for ACSCs, but alcohol misuse was not. However, severe alcohol misuse was associated with increased risk of hospitalizations with a primary or secondary ACSC discharge diagnosis. When ACSCs are used to evaluate the quality of care, health systems caring for populations with higher rates of smoking or nondrinking could falsely appear to have poorer quality care if alcohol and tobacco use are not considered.
机译：用于非卧床护理敏感病情（ACSC）的住院治疗用于评估护理质量，但研究很少针对健康行为进行调整。这项研究评估了吸烟或酒精筛查的结果是否与ACSC的住院治疗有关。参加者包括33,273名退伍邮件调查后退伍军人男性普通科门诊患者。主要结果是在筛查后的一年住院，并初步诊断出ACSC。针对人口统计学，合并症和其他健康行为对分析进行了调整。当前和以前的吸烟以及戒酒与ACSCs住院风险显着增加有关，但滥用酒精却没有。但是，严重的酒精滥用会导致原发或继发ACSC出院诊断的住院风险增加。当使用ACSC评估护理质量时，如果不考虑饮酒和吸烟，照料吸烟或不饮酒比率较高的人群的卫生系统可能会假装质量较差。

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