Abstract 17812: Does Alcohol Consumption Increase the Rate of Hospital Re-admission After Acute Coronary Syndrome?
Background: Moderate alcohol consumption has been associated with decrease in mortality and reduction of cardiovascular risk by approximately 30-50%. However hospitals in the United States are being penalized for recurrent re-admissions.
Hypothesis: Alcohol consumption increases the incidence of hospital re-admission after acute coronary syndrome
Methods: A chart review of patients diagnosed with acute coronary syndrome at University Medical Center, Lubbock, Texas was performed from January, 1st 2010 to December, 1st 2012. Acute coronary syndrome included patients diagnosed with Unstable angina, Non ST elevation myocardial infarction (NSTEMI) and ST elevation myocardial infarction (STEMI). The total amount of alcohol consumption and type (beer, wine and spirits) of alcoholic beverage consumed per week in the last 12 months was recorded. One standard drink was defined as 1.5 cl or 12 g of pure ethanol. Weekly alcohol intake was categorized in four groups: non-drinkers (0 drinks), light (1-4 for women; 1-6 drinks for men), moderate (5-14 for women; 7-21 drinks for men), and heavy drinkers (> 14 for women; >21 drinks for men), based on the number of standard drinks per week. Readmission in the hospital is defined as admission within 1 year after acute coronary syndrome for any reason which included cardiac and non-cardiac causes.
Results: A total of 530 (42.4%) patients were included in the analysis, of whom18.9 % consumed alcohol. Diabetes was present in 47% of patient population and among them 86% were non drinkers. HTN was highly prevalent with 89% of the patients being hypertensive however only 19% were alcoholic. There were no significant differences among alcoholic and non alcoholics with respect to CAD, dyslipidemia, ESRD or PAD. Smoking and use of other illicit drugs was higher in group 3 and 4. Patients in group 4 presented with a STEMI (32.4% P value <0.005) as compared to a NSTEMI (17.6%). However the rate of hospital re- admissions or length of stay did not differ significantly among alcoholic and non alcoholic patients.
Conclusion: Alcohol consumption was not associated with an increase in hospital re-admission or length of stay after acute coronary syndrome across all 4 groups.
- © 2013 by American Heart Association, Inc.