Alcohol consumption is associated with a later need for ICU admission: a Northern Finland Birth Cohort 1966—study

• Published in: Journal of Public Health
• Main Authors: Hietanen, Siiri, Kaakinen, Timo, Ala-Kokko, Tero, Herajärvi, Johanna, Auvinen, Juha, Niittyvuopio, Miikka, Liisanantti, Janne
• Other Authors: Finnish Foundation for Alcohol Studies, Finnish Medical Society Duodecim
• Format: Article in Journal/Newspaper
• Language: English
• Published: Oxford University Press (OUP) 2020
• Subjects: Public Health, Environmental and Occupational Health; General Medicine; Northern Finland
• Online Access: http://dx.doi.org/10.1093/pubmed/fdaa085; http://academic.oup.com/jpubhealth/article-pdf/43/3/551/40425799/fdaa085.pdf

Abstract Background Alcohol-related problems are common in intensive care unit (ICU) admitted patients. The aim of the present study is to assess the impact of alcohol consumption on the need of intensive care in 19 years follow-up period. Methods The study population consists of Northern Finland Birth Cohort 1966 participants, who responded alcohol-related questions at 31 years of age and Intensive Care Unit (ICU admissions from 1997 to 2016. Results There were a total of 8379 assessed people and 136 (1.6%) of them were later admitted to ICU. A total of 44 (32.4%) of the ICU-admitted persons had their alcohol consumption at the highest quartile of the cohort (P = 0.047). These patients had a lower number of malignancy-related admissions (3.6% versus 14.0%, P = 0.027), neurological admissions (14.3 versus 30.6%, P = 0.021), and were more often admitted due to poisonings (12.5% versus 5.0%, P = 0.07). There were no differences in 28-day post-ICU mortality but long-term mortality of ICU-admitted patients with lower alcohol consumption was higher than non–ICU-admitted population. Conclusion Among ICU-admitted population, there was higher alcohol consumption at age of 31 years. People in the lower alcohol consumption quartiles were more often admitted to ICU due to malignancy-related causes and they had higher long-term mortality.