Patient Trajectories for Older Adults Admitted to Hospital for Alcohol-related Problems
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age21+
SponsorHelse Stavanger HF
About this trial
Alcohol is contributing to many health problems and disorders, as well as accidents and social problems. Alcohol consumption has been on the rise the past 25 years, especially in Norway. The highest increase is found in older adults, in line with the development in most other countries in the western world. Older adults have a higher risk for alcohol related health problems, due to age related physiological changes, medical conditions and medications. Still, alcohol use is seldom addressed for older people. This means that older people rarely receive help to change alcohol habits.
Norwegian health authorities have issued mandates ordering the regional health trusts to implement strategies in somatic hospital wards, mental health services and drug treatment services to identify and treat alcohol and drug problems affecting the patients' health.
In this observational study we will explore patient trajectories three years prior to and three years after an admittance to hospital where risky or harmful alcohol consumption is identified and brief interventions are delivered. Hospitals that have implemented such strategies are invited to the study. Patient trajectories are studied in national health registries. This will provide important knowledge on what characterizes the patients identified, and what happens after they have received a brief intervention related to a hospital admittance.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 21 or older, no previous alcohol use disorder or substance use disorder, admitted to hospital which has implemented screening and brief alcohol intervention strategies, written consent to participate
Disqualifiers
specialized treatment for alcohol use disorder og drug use disorder during the three years prior to recruitment
Trial population
Patients 21 years or older admitted to medical or surgical hospital wards offering some kind of screening and brief alcohol intervention as part of the daily routine, and without a prior diagnosis of AUD or SUD.
Trial design
Design model
Cohort
Time perspective
Other
Treatments tested in this trial
Brief alcohol intervention
Other interventionBrief alcohol intervention already implemented in daily routine by the individual hospitals.
Treatment groups
500 Participants
are divided into 7 treatment groups7
Treatment groupsSee each treatment group below.
Group A: Age 21-301 intervention
Group B: Age 31-401 intervention
Group C: Age 41-501 intervention
Group D: Age 51-601 intervention
Group E: Age 61-701 intervention
Group F: Age 71-801 intervention
Group G: Age 81 and older1 intervention
Trial outcomes
Primary outcomes
1
Alcohol use disorder (AUD)
Diagnosis of AUD after recruitment in the study
Time frame
Three years2
Prescriptions for AUD
Prescriptions for the treatment of alcohol use disorder
Time frame
Three yearsSecondary outcomes
1
Health care
Diagnoses and procedures in primary and secondary health care
Time frame
Three years2
Trauma
Serious trauma registered in trauma registry
Time frame
Three years3
Death
Death and cause of death
Time frame
Three years4
Prescriptions for addictive drugs
Prescriptions for any drug with addictive potential
Time frame
Three yearsSponsors and contacts
Click on the lead sponsor to view all of their trials.
Helse Stavanger HF
Lead sponsor
Helse Vest
Collaborator
Helse Fonna
Collaborator
Helse Møre og Romsdal HF
Collaborator
Sorlandet Hospital HF
Collaborator
Helse Sor-Ost
Collaborator
Lovisenberg Diakonale Hospital
Collaborator
Oslo University Hospital
Collaborator
Vestre Viken Hospital Trust
Collaborator
Source ClinicalTrials.gov