{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T18:18:56Z","timestamp":1787595536962,"version":"build-2736575974"},"reference-count":38,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2023,5,16]],"date-time":"2023-05-16T00:00:00Z","timestamp":1684195200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,5,16]],"date-time":"2023-05-16T00:00:00Z","timestamp":1684195200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Addiction"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Alcohol consumption is a leading risk factor for premature mortality globally, but there are limited studies of broader cohorts of people presenting with alcohol\u2010related problems outside of alcohol treatment services. We used linked health administrative data to estimate all\u2010cause and cause\u2010specific mortality among individuals who had an alcohol\u2010related hospital inpatient or emergency department presentation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Observational study using data from the Data linkage Alcohol Cohort Study (DACS), a state\u2010wide retrospective cohort of individuals with an alcohol\u2010related hospital inpatient or emergency department presentation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Hospital inpatient or emergency department presentation in New South Wales, Australia, between 2005 and 2014.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Participants comprised 188\u2009770 individuals aged 12 and above, 66% males, median age 39\u2009years at index presentation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>All\u2010cause mortality was estimated up to 2015 and cause\u2010specific mortality (by those attributable to alcohol and by specific cause of death groups) up to 2013 due to data availability. Age\u2010specific and age\u2013sex\u2010specific crude mortality rates (CMRs) were estimated, and standardized mortality ratios (SMRs) were calculated using sex and age\u2010specific deaths rates from the NSW population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>There were 188\u2009770 individuals in the cohort (1\u00a0079\u2009249 person\u2010years of observation); 27\u2009855 deaths were recorded (14.8% of the cohort), with a CMR of 25.8 [95% confidence interval (CI)\u2009=\u200925.5, 26.1] per 1000 person\u2010years and SMR of 6.2 (95% CI\u2009=\u20095.4, 7.2). Mortality in the cohort was consistently higher than the general population in all adult age groups and in both sexes. The greatest excess mortality was from mental and behavioural disorders due to alcohol use (SMR\u2009=\u200946.7, 95% CI\u2009=\u200941.4, 52.7), liver cirrhosis (SMR\u2009=\u200939.0, 95% CI\u2009=\u200935.5, 42.9), viral hepatitis (SMR\u2009=\u200929.4, 95% CI\u2009=\u200924.6, 35.2), pancreatic diseases (SMR\u2009=\u200923.8, 95% CI\u2009=\u200917.9, 31.5) and liver cancer (SMR\u2009=\u200918.3, 95% CI\u2009=\u200914.8, 22.5). There were distinct differences between the sexes in causes of excess mortality (all causes fully attributable to alcohol female versus male risk ratio\u2009=\u20092.5 (95% CI\u2009=\u20092.0, 3.1).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In New South Wales, Australia, people who came in contact with an emergency department or hospital for an alcohol\u2010related presentation between 2005 and 2014 were at higher risk of mortality than the general New South Wales population during the same period.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/add.16218","type":"journal-article","created":{"date-parts":[[2023,5,3]],"date-time":"2023-05-03T02:18:20Z","timestamp":1683080300000},"page":"1751-1762","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["All\u2010cause and cause\u2010specific mortality in individuals with an alcohol\u2010related emergency or hospital inpatient presentation: A retrospective data linkage cohort study"],"prefix":"10.1111","volume":"118","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5816-2959","authenticated-orcid":false,"given":"Janni","family":"Leung","sequence":"first","affiliation":[{"name":"National Drug and Alcohol Research Centre, UNSW Sydney  Sydney NSW Australia"},{"name":"Faculty of Health and Behavioural Sciences University of Queensland  Brisbane QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8729-3330","authenticated-orcid":false,"given":"Vivian","family":"Chiu","sequence":"additional","affiliation":[{"name":"National Drug and Alcohol Research Centre, UNSW Sydney  Sydney NSW Australia"},{"name":"Faculty of Health and Behavioural Sciences University of Queensland  Brisbane QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2224-9301","authenticated-orcid":false,"given":"Nicola","family":"Man","sequence":"additional","affiliation":[{"name":"National Drug and Alcohol Research Centre, UNSW Sydney  Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2791-6858","authenticated-orcid":false,"given":"Wing See","family":"Yuen","sequence":"additional","affiliation":[{"name":"National Drug and Alcohol Research Centre, UNSW Sydney  Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1841-9056","authenticated-orcid":false,"given":"Timothy","family":"Dobbins","sequence":"additional","affiliation":[{"name":"School of Population Health UNSW Sydney  Sydney NSW 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Research Centre, UNSW Sydney  Sydney NSW Australia"},{"name":"Department of Family Medicine and Emergency Medicine University of Montr\u00e9al  Montr\u00e9al QC Canada"},{"name":"Centre de recherche du Centre hospitalier de l'Universit\u00e9 de Montr\u00e9al  Montr\u00e9al QC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sallie\u2010Anne","family":"Pearson","sequence":"additional","affiliation":[{"name":"Medicines Policy Research Unit, Centre for Big Data Research in Health UNSW Sydney  Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8513-2218","authenticated-orcid":false,"given":"Louisa","family":"Degenhardt","sequence":"additional","affiliation":[{"name":"National Drug and Alcohol Research Centre, UNSW Sydney  Sydney NSW 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