scholarly journals The prognosis of out-patient alcohol treatment among parents with childcare responsibility

BJPsych Open ◽  
2018 ◽  
Vol 4 (6) ◽  
pp. 471-477 ◽  
Author(s):  
Angelina Isabella Mellentin ◽  
Annette Elkjær Ellermann ◽  
Bent Nielsen ◽  
Anna Mejldal ◽  
Sören Möller ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Alcohol Treatment ◽  
Severity Index ◽  
Addiction Severity Index ◽  
Drop Out ◽  
Logistic Regression Models ◽  
Addiction Severity ◽  
Intention To Treat ◽  
Treatment Entry ◽  
Drinking Outcomes

BackgroundDespite expansive knowledge on the detrimental effects of growing up with parents with alcohol use disorders (AUDs), little is known about the prognosis of alcohol treatment among parents with childcare responsibility.AimsThis observational cohort study aimed to examine the prognosis of patients with and without childcare responsibility, in a conventional out-patient alcohol treatment clinic.MethodA consecutive AUD sample (N = 2201), based on ICD-10 Diagnostic Criteria for Research, was assessed with the European Addiction Severity Index during the clinical routine, at treatment entry and conclusion. Data on addiction severity, treatment course and drinking outcomes were derived, and adjusted odds ratios (AORs) were calculated with logistic-regression models. Drinking outcomes were compared in an intention-to-treat analysis, including all patients in a logistic regression with inverse probability weighting.ResultsPatients with childcare responsibility (aged <18 years) had a less severe addiction profile and lower drop-out rate compared with patients without children or with children living out-of-home. They were also more likely to improve on all drinking-related outcomes, including abstinence (AOR 2.68, 95% CI 1.82–3.95), number of drinking days (AOR 2.45, 95% CI 1.50–4.03) and excessive drinking days (AOR 4.66, 95% CI 2.36–9.17); and those with children living out-of-home had better outcomes on abstinence (AOR 1.59, 95% CI 1.08–2.34) than patients without children.ConclusionsChildcare responsibility among out-patients was associated with better treatment course and outcomes than those without or not living with their children. This knowledge can help guide clinical practice, effectuate interventions and inform social authorities.

Teen Addiction Severity Index

1991 ◽  
Author(s):  
Yifrah Kaminer ◽  
Oscar Bukstein ◽  
Ralph E. Tarter
Keyword(s):  
Severity Index ◽  
Addiction Severity Index ◽  
Addiction Severity

Predicting DSM-IV dependence diagnoses from Addiction Severity Index composite scores

2006 ◽  
Vol 31 (1) ◽  
pp. 17-24 ◽  
Author(s):  
Samuel H. Rikoon ◽  
John S. Cacciola ◽  
Deni Carise ◽  
Arthur I. Alterman ◽  
A. Thomas McLellan
Keyword(s):  
Severity Index ◽  
Addiction Severity Index ◽  
Addiction Severity ◽  
Dsm Iv ◽  
Composite Scores

Hungarian adaptation of the European Addiction Severity Index

2004 ◽  
Vol 9 (3-4) ◽  
pp. 185-191 ◽  
Author(s):  
József Gerevich ◽  
Erika Bácskai ◽  
Sándor Rózsa
Keyword(s):  
Severity Index ◽  
Addiction Severity Index ◽  
Addiction Severity ◽  
European Addiction Severity Index

Abstract TP321: Is Weekend Admission Associated With Increased 30-day Stroke Mortality? The Effect of Adjustment Using a Claims-Based Stroke Severity Index

Stroke ◽  
2016 ◽  
Vol 47 (suppl_1) ◽  
Author(s):  
Cheng-Yang Hsieh ◽  
Sheng-Feng Sung
Keyword(s):  
Logistic Regression ◽  
Regression Models ◽  
Severity Index ◽  
Case Mix ◽  
Stroke Severity ◽  
Stroke Mortality ◽  
Multivariate Logistic Regression ◽  
Stroke Patients ◽  
Logistic Regression Models ◽  
Case Mix Adjustment

Introduction: Whether weekend admission is associated with increased stroke mortality in Taiwan remains uncertain, partly because of an inadequate case-mix adjustment in other studies using an insurance claims databases. Hypothesis: Adding the 7-item claims-based stroke severity index (SSI) to a multivariate logistic regression model might alter the analysis of the effect of weekend admission on 30-day stroke mortality. Methods: We identified, in the Taiwan Longitudinal Health Insurance Database, which is linked with the National Death Registry, patients hospitalized for acute ischemic stroke between 2001 and 2013. The primary outcome was mortality 30 days post-admission. In base logistic regression models with and without the SSI, we tested the odds ratio (OR) of 30-day mortality in patient admitted on weekends using the covariates of age, sex, year of admission, Charlson’s comorbidity index, brain surgery, physician specialty and surgical volume, hospital ownership, accreditation, and patient volume. Results: We analyzed 46,007 consecutive hospitalized stroke patients (mean age: 68.8 ± 12.0 years; male: 59%), with an SSI of 7.5 ± 5.3 (range: 4.1-27.1), 23.0% were admitted on the weekend, and 4.2% died within 30 days. Patients who died within 30 days were more likely to have been admitted on a weekend (4.9% vs. 4.0%, p < 0.001). Nevertheless, patients admitted on a weekend had a higher SSI than those admitted on a weekday (7.8 vs. 7.4, p < 0.001). In multivariate logistic regression models, weekend admission was associated with 30-day mortality (OR: 1.22, 95% CI: 1.10-1.35) in the base model but not in the base model plus SSI (OR: 1.07, 95% CI: 0.95-1.20). Conclusions: We confirmed that, after stroke severity had been adjust by adding the SSI, weekend admission did not increase the 30-day mortality of stroke patients in Taiwan. A case-mix adjustment in comparative outcome studies of stroke patients is important when using an insurance claims database.

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