TY - JOUR T1 - Alcohol Use Disorders and Community-Acquired Pneumococcal Pneumonia: Associated Mortality, Prolonged Hospital Stay and Increased Hospital Spending JO - Archivos de Bronconeumología T2 - AU - Gili-Miner,Miguel AU - López-Méndez,Julio AU - Béjar-Prado,Luis AU - Ramírez-Ramírez,Gloria AU - Vilches-Arenas,Ángel AU - Sala-Turrens,José SN - 15792129 M3 - 10.1016/j.arbr.2015.09.014 DO - 10.1016/j.arbr.2015.09.014 UR - https://archbronconeumol.org/en-alcohol-use-disorders-community-acquired-pneumococcal-articulo-S1579212915003055 AB - IntroductionThe aim of this study was to investigate the impact of alcohol use disorders (AUD) on community-acquired pneumococcal pneumonia (CAPP) admissions, in terms of in-hospital mortality, prolonged stay and increased hospital spending. MethodsRetrospective observational study of a sample of CAPP patients from the minimum basic datasets of 87 Spanish hospitals during 2008–2010. Mortality, length of hospital stay and additional spending attributable to AUD were calculated after multivariate covariance analysis for variables such as age and sex, type of hospital, addictions and comorbidities. ResultsAmong 16,202 non-elective admissions for CAPP in patients aged 18–74years, 2685 had AUD. Patients admitted with CAPP and AUD were predominantly men with a higher prevalence of tobacco or drug use disorders and higher Charlson comorbidity index. Patients with CAPP and AUD had notably higher in-hospital mortality (50.8%; CI 95%: 44.3–54.3%), prolonged length of stay (2.3days; CI 95%: 2.0–2.7days) and increased costs (1869.2€; CI 95%: 1498.6–2239.8€). ConclusionsAccording to the results of this study, AUD in CAPP patients was associated with increased in-hospital mortality, length of hospital stay and hospital spending. ER -