NOTE: By submitting this form and registering with us, you are providing us with permission to store your personal data and the record of your registration. In addition, registration with the Medical Independent includes granting consent for the delivery of that additional professional content and targeted ads, and the cookies required to deliver same. View our Privacy Policy and Cookie Notice for further details.

You can opt out at anytime by visiting our cookie policy page. In line with the provisions of the GDPR, the provision of your personal data is a requirement necessary to enter into a contract. We must advise you at the point of collecting your personal data that it is a required field, and the consequences of not providing the personal data is that we cannot provide this service to you.

Don't have an account? Subscribe

Alcohol-related liver disease hospital admissions in Ireland soar in ten-year period

By Mindo - 22nd Nov 2018

The study, presented by researchers from the National Liver Transplant Unit in St Vincent’s University Hospital, Dublin, examined data on hospital inpatients with ALD admitted between 2006-2016 in all acute public hospitals across Ireland, using HSE HiPE data.

In total, during the ten-year period, 3,532 discharges with ALD were recorded, with an average length of stay of 13 days.

Of these patients, 57 per cent had cirrhosis, 27 per cent had ascites and 10 per cent had acute kidney failure.

Overall mortality was 9 per cent, but rose to 15 per cent if ascites was present and 37 per cent if acute kidney failure was present. Only 30 per cent of these patients were under a gastroenterologist at discharge.

In 2016 alone, 40,482 public hospital bed days were utilised by patients with ALD.

“This unfortunately is the tip of the iceberg and does not include emergency department or clinic attendances. These patients were sick, the majority having cirrhosis and other complications such as ascites or variceal bleeding; one in 10 died,” study co-author Prof Ross McNicholas, Consultant Gastroenterologist  with a special interest in liver disease, told the Medical Independent (MI).

He said the burden of liver disease in Ireland is largely unknown and there is no clinical programme to address it. “The UK has seen a 400 per cent increase in liver mortality rates since 1970 in contrast to a steady decline in rates from most other chronic diseases.”

There needs to be a co-ordinated national approach to liver disease with all patients being offered access to specialist liver units, Prof McNicholas maintained.

“This is a public health issue, the passing of the Alcohol Bill and introduction of minimum pricing will hopefully produce results down the line. In the meantime prompt access to brief interventions and alcohol specialist nurses should be available in all public hospitals and communities.”

The ISG Annual Winter Meeting is taking place in Killiney, Co Dublin, from 21-23 November, and exclusive, comprehensive coverage will be included in the December20 issue of MI

Leave a Reply

Latest Issue
The Medical Independent 20th February
The Medical Independent 20th February 2024

You need to be logged in to access this content. Please login or sign up using the links below.

Most Read