title: Prevalence, Clinical Characteristics, and Risk Factors for Non-recording of Alcohol Use in Hospitals across Europe: The ALCHIMIE Study.
abstract: OBJECTIVE
  To determine the detection rates, clinical features, and risk factors for lack of registration of alcohol use in medical patients admitted in European hospitals.
  
  
  METHODS
  A point-prevalence, cross-sectional, multicenter survey involving 2100 medical inpatients from 43 hospitals from 8 European countries. Patients were screened for current alcohol use, using standardized questionnaires. Alcohol use recording in medical records was assessed.
  
  
  RESULTS
  Of the 2100, more than a half reported alcohol use. Significant differences were shown in the prevalence of drinking and the recording rates of alcohol use among the hospitals and countries involved. Overall, 346 patients (16%) fulfilled criteria for alcohol use disorder. Alcohol use was registered in 909 (43%) of medical records, with quantification in 143 (7%). Multivariate analysis showed that women (OR 1.49), older age patients (OR 1.23), patients from the Northern European countries (OR 4.79) and from hospitals with high local alcohol prevalence (OR 1.59) were more likely to have lack of alcohol use registration in their medical files.
  
  
  CONCLUSIONS
  A considerable proportion of medical patients admitted in European hospitals fulfill criteria for alcohol use disorders. These patients are frequently overlooked during hospitalization and not appropriately registered in medical records. Women, older patients, and inpatients from European areas with high local alcohol use prevalence are at higher risk associated with a non-recording of alcohol use.
authors.affiliation: Internal Medicine Department, Hospital Universitari de Bellvitge, Bellvitge Biomedical Research Institute, L'Hospitalet del Llobregat, Barcelona, Spain broson@bellvitgehospital.cat.
authors.forename: Beatriz
authors.initials: B
authors.lastname: Rosón
authors.affiliation: Internal Medicine Department, Hospital Universitari de Bellvitge, Bellvitge Biomedical Research Institute, L'Hospitalet del Llobregat, Barcelona, Spain Albert J. Jovell Institute of Public Health and Patients, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, Barcelona, Spain.
authors.forename: Xavier
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authors.lastname: Corbella
authors.affiliation: Service Addictologie, Centre Hospitalaire Universitaire de Nîmes, Nîmes, France.
authors.forename: Pascal
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authors.lastname: Perney
authors.affiliation: Serviço de Medicina Interna, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
authors.forename: Arsénio
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authors.lastname: Santos
authors.affiliation: Internal Medicine Department, Medical University of Graz, Graz, Austria.
authors.forename: Rudolf
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authors.lastname: Stauber
authors.affiliation: Internal Medicine Department, Tartu University Hospital, Tartu, Estonia.
authors.forename: Margus
authors.initials: M
authors.lastname: Lember
authors.affiliation: Internal Medicine Department, City Clinical Hospital no. 4, Moscow, Russia.
authors.forename: Alexander
authors.initials: A
authors.lastname: Arutyunov
authors.affiliation: Internal Medicine Department, Riga East Clinical University Hospital, Riga, Latvia.
authors.forename: Ieva
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authors.lastname: Ruza
authors.affiliation: Internal Medicine Department, University Hospital Olomouc, Olomouc, Czech Republic.
authors.forename: Jan
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authors.lastname: Vaclavik
authors.affiliation: Department of Organization and Information Systems, Hospital Universitari Germans Trias i Pujol, Badalona, Spain.
authors.forename: Luis
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authors.lastname: García
authors.affiliation: Internal Medicine Department, Hospital Universitari de Bellvitge, Bellvitge Biomedical Research Institute, L'Hospitalet del Llobregat, Barcelona, Spain.
authors.forename: Ramon
authors.initials: R
authors.lastname: Pujol
authors.forename: Rudolf
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authors.lastname: Stauber
authors.forename: Wolgang
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authors.forename: Tereza
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authors.lastname: Svarcova
authors.forename: Riina
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authors.forename: Margus
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authors.lastname: Lember
authors.forename: Beatriz
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authors.forename: Joaquim
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authors.lastname: Fernández-Sola
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authors.lastname: Zapatero
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authors.forename: Rubén B
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authors.lastname: Puerta
authors.forename: Rocio
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authors.lastname: Gamallo
authors.forename: Carmen
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authors.lastname: Durán
authors.forename: Pascal
authors.initials: P
authors.lastname: Perney
authors.forename: Abdel
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authors.lastname: Ouakli
authors.forename: Eric
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authors.lastname: Oziol
authors.forename: Dominique
authors.initials: D
authors.lastname: Bastide
authors.forename: Patricia
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authors.lastname: Tourneaire
authors.forename: Gerard
authors.initials: G
authors.lastname: Allard
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authors.lastname: Cros
authors.forename: Jean-Munie
authors.initials: JM
authors.lastname: Piala
authors.forename: Isabelle
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authors.lastname: Quere
authors.forename: Sylvain
authors.initials: S
authors.lastname: Condouret
authors.forename: Ieva
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authors.lastname: Ruža
authors.forename: Konrads
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authors.lastname: Yakushin
authors.forename: Lidiya
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authors.lastname: Petrovicheva
authors.forename: Alexander
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authors.lastname: Sleptsov
authors.forename: Alexander
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authors.lastname: Arutyunov
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mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000428:Alcohol Drinking / Q000453:epidemiology*; D003430:Cross-Sectional Studies; D005060:Europe / Q000453:epidemiology; D005260:Female; D006761:Hospitals / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008499:Medical Records / Q000706:statistics & numerical data; D008875:Middle Aged; D015995:Prevalence; D012307:Risk Factors; D012737:Sex Factors; D055815:Young Adult