{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T18:30:11Z","timestamp":1786473011144,"version":"build-2736575974"},"reference-count":23,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T00:00:00Z","timestamp":1786406400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T00:00:00Z","timestamp":1786406400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["shmpublications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Hospital Medicine"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Alcohol use disorder\u2010related (AUD) diagnoses are common among hospitalized Veterans. Our prior research found that the presence of any AUD\u2010related diagnosis during hospital admission is associated with a 30% 5\u2010year mortality rate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare demographics and causes of death between hospitalized patients within the Veterans Health Administration (VHA) with and without AUD\u2010related diagnoses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Cohort study of two populations of Veterans with and without AUD\u2010related conditions admitted to VHA hospitals from October 2015 to September 2020. National Death Index (NDI) data for all admitted patients were obtained to identify those who had died by December 2022. Among patients who died, those with AUD\u2010related diagnoses during the hospital stay were identified using the International Classification of Diseases, Tenth Revision (ICD\u201010) codes and compared with those without AUD\u2010related diagnoses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Out of 1,149,107 patients admitted to VHA, 411,101 deaths were reported. Of these, 58,498 deaths (14.2%) involved patients with an AUD\u2010related diagnosis at admission and a median follow\u2010up of 5.4 years. Deceased patients with AUD\u2010related diagnoses were younger at study start (62.0 vs. 72.7 years) and had significantly higher odds of death among the 18\u201339 age group (odds ratio [OR]: 2.43; 95% confidence interval [CI]: 2.31, 2.57) compared with those without. Among causes of death, the biggest differences between the AUD\u2010related and non\u2010AUD\u2010related cohorts were gastrointestinal diseases (14.8% vs. 2.8%) and external causes (12.2% vs. 4.3%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Veterans with AUD\u2010related conditions die younger than those without. This highlights the need for systems\u2010level approaches, including screening, brief interventions, and linkage to postdischarge services, to comprehensively treat AUD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jhm.70425","type":"journal-article","created":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T17:34:11Z","timestamp":1786469651000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Causes of death among veterans with alcohol use disorder\u2010related conditions: A 5\u2010year follow\u2010up study of Veterans Health Administration hospitalizations"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9470-8506","authenticated-orcid":false,"given":"James C.","family":"Willey","sequence":"first","affiliation":[{"name":"Department of Internal Medicine University of Utah Salt Lake City Utah USA"},{"name":"VA Office of Rural Health, Veterans Rural Health Resource Center\u2010Iowa City (VRHRC\u2010IC) Iowa City Veterans Affairs Health Care System Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shivali","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine University of Iowa Iowa City Iowa City"},{"name":"Department of Psychiatry University of Iowa Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bjarni","family":"Haraldsson","sequence":"additional","affiliation":[{"name":"VA Office of Rural Health, Veterans Rural Health Resource Center\u2010Iowa City (VRHRC\u2010IC) Iowa City Veterans Affairs Health Care System Iowa City Iowa USA"},{"name":"Comprehensive Access and Delivery Research and Evaluation (CADRE) Center Iowa City VA Healthcare System Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Bailey","sequence":"additional","affiliation":[{"name":"VA Office of Rural Health, Veterans Rural Health Resource Center\u2010Iowa City (VRHRC\u2010IC) Iowa City Veterans Affairs Health Care System Iowa City Iowa USA"},{"name":"Comprehensive Access and Delivery Research and Evaluation (CADRE) Center Iowa City VA Healthcare System Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Holcombe","sequence":"additional","affiliation":[{"name":"VA Office of Rural Health, Veterans Rural Health Resource Center\u2010Iowa City (VRHRC\u2010IC) Iowa City Veterans Affairs Health Care System Iowa City Iowa USA"},{"name":"Department of Internal Medicine University of Iowa Iowa City Iowa City"},{"name":"Comprehensive Access and Delivery Research and Evaluation (CADRE) Center Iowa City VA Healthcare System Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3272-7952","authenticated-orcid":false,"given":"Amy M. J.","family":"O'Shea","sequence":"additional","affiliation":[{"name":"VA Office of Rural Health, Veterans Rural Health Resource Center\u2010Iowa City (VRHRC\u2010IC) Iowa City Veterans Affairs Health Care System Iowa City Iowa USA"},{"name":"Department of Internal Medicine University of Iowa Iowa City Iowa City"},{"name":"Comprehensive Access and Delivery Research and Evaluation (CADRE) Center Iowa City VA Healthcare System Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thad","family":"Abrams","sequence":"additional","affiliation":[{"name":"VA Office of Rural Health, Veterans Rural Health Resource Center\u2010Iowa City (VRHRC\u2010IC) Iowa City Veterans Affairs Health Care System Iowa City Iowa USA"},{"name":"Department of Internal Medicine University of Iowa Iowa City Iowa City"},{"name":"Department of Psychiatry University of Iowa Iowa City Iowa USA"},{"name":"Comprehensive Access and Delivery Research and Evaluation (CADRE) Center Iowa City VA Healthcare System Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7596-1779","authenticated-orcid":false,"given":"Jeydith","family":"Gutierrez","sequence":"additional","affiliation":[{"name":"VA Office of Rural Health, Veterans Rural Health Resource Center\u2010Iowa City (VRHRC\u2010IC) Iowa City Veterans Affairs Health Care System Iowa City Iowa USA"},{"name":"Department of Internal Medicine University of Iowa Iowa City Iowa City"},{"name":"Comprehensive Access and Delivery Research and Evaluation (CADRE) Center Iowa City VA Healthcare System Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,11]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.16670"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2023.11.013"},{"key":"e_1_2_10_4_1","unstructured":"Global status report on alcohol and health treatment of substance use disorders.\u00a0World Health Organization;2024. 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