{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T23:43:52Z","timestamp":1792885432164,"version":"4.5.0"},"reference-count":79,"publisher":"American Medical Association (AMA)","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA Netw Open"],"abstract":"\n Importance<\/jats:title>\n Alcohol withdrawal syndrome (AWS) is an important cause and complication of hospitalizations. Although common and preventable, the incidence of AWS during hospitalizations is poorly described.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n To evaluate the incidence and proportional incidence of hospitalizations involving AWS in an adult primary care population overall and across patient characteristics.<\/jats:p>\n <\/jats:sec>\n \n Design, Setting, and Participants<\/jats:title>\n This retrospective cohort study used electronic health records and insurance claims from Kaiser Permanente Washington (KPWA) between July 1, 2018, and June 30, 2022. The study included adults with 1 or more primary care visits during this period or the year prior, where primary care included annual standardized alcohol screening using the Alcohol Use Disorders Identification Test\u2013Consumption (AUDIT-C).<\/jats:p>\n <\/jats:sec>\n \n Exposures<\/jats:title>\n Age, sex, race, Hispanic ethnicity, AUDIT-C scores, and comorbid diagnoses.<\/jats:p>\n <\/jats:sec>\n \n Main Outcome and Measures<\/jats:title>\n Hospitalizations involving AWS were defined by diagnosis codes documented during hospitalizations (incidence numerator). Time enrolled in KPWA determined person-enrolled-years (incidence denominator). Proportional incidence was calculated as the incidence of hospitalizations involving AWS divided by the incidence of all-cause hospitalizations. Proportional incidence was also estimated for hospitalizations involving other common chronic conditions (chronic obstructive pulmonary disease, diabetes, heart failure, and hypertension), which were also defined using hospital diagnosis codes.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Among 544\u202f825 adults engaged in primary care (mean [SD] age, 47.0 [17.9] years; 310\u202f069 [56.9%] female; 3656 [0.7%] American Indian or Alaska Native, 55\u202f206 [10.1%] Asian, 25\u202f406 [4.7%] Black, 5204 [1.0%] Native Hawaiian or Other Pacific Islander, 365\u202f780 [67.1%] White, 19\u202f791 [3.6%] multiracial, 15\u202f963 [2.9%] other races, and 53\u202f819 [9.9%] unknown race; 33\u202f987 [6.2%] Hispanic, 414\u202f269 [76.0%] not Hispanic, and 96\u202f569 [17.7%] unknown ethnicity), incidence of hospitalizations involving AWS was 169 (95% CI, 159-179) per 100\u202f000 person-enrolled-years overall but as high as 15\u202f347 (95% CI, 13\u202f502-17\u202f331) in patients with other alcohol-attributable diagnoses. The proportional incidence of hospitalizations involving AWS was 2.3% overall, with variation by age, sex, and AUDIT-C scores (eg, 9%-11% in male patients aged 30-49 years and 23%-44% in patients with high-risk AUDIT-C scores of 7-12 points). In most cases, among adults younger than 60 years, proportional incidence of hospitalizations involving AWS matched or surpassed that of other common chronic conditions (chronic obstructive pulmonary disease, diabetes, heart failure, and hypertension).<\/jats:p>\n <\/jats:sec>\n \n Conclusions and Relevance<\/jats:title>\n In this cohort study of a large primary care population served by an integrated health system, AWS hospitalizations were common, especially in male patients, younger age groups, and individuals with high-risk alcohol use. During hospitalizations, the burden of AWS was similar to or exceeded complications of other chronic diseases that receive greater medical attention.<\/jats:p>\n <\/jats:sec>","DOI":"10.1001\/jamanetworkopen.2024.38128","type":"journal-article","created":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T12:20:24Z","timestamp":1728390024000},"page":"e2438128","source":"Crossref","is-referenced-by-count":18,"title":["Incidence of Hospitalizations Involving Alcohol Withdrawal Syndrome in a Primary Care Population"],"prefix":"10.1001","volume":"7","author":[{"given":"Tessa L.","family":"Steel","sequence":"first","affiliation":[{"name":"Department of Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, University of Washington, Seattle"},{"name":"Harborview Medical Center, Seattle, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theresa E.","family":"Matson","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Washington Health 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