Referral to hepatology is lower in patients with excessive alcohol use who have mental health disorders despite a high fibrosis‐4 index
In a large public health system, almost 63% of patients with EAU and FIB-4 >2.67 are not referred to hepatology for evaluation. Patients not referred were more likely to have alcohol-related mental-health hospitalizations and mental health diagnoses, while those with liver-related hospitalizations and comorbidities were more likely to be referred. Greater education of mental health providers and for teams taking care of inpatients admitted with alcohol-related mental health concerns would better integrate care and improve outcomes for patients with higher risk for advanced liver disease.
Authors
- Kevin Houston (ORCID: https://orcid.org/0000-0002-8441-0132)
- Scott Silvey (ORCID: https://orcid.org/0000-0003-4540-4239)
- Adonay Teklezghi (ORCID: https://orcid.org/0000-0003-3363-8062)
- Jasmohan Singh Bajaj (ORCID: https://orcid.org/0000-0003-4928-3681)
- Albert J. Arias (ORCID: https://orcid.org/0000-0002-3091-8504)
- Spencer Harris
- Andrew Snyder
Institutions
- Virginia Commonwealth University (US)
- Hunter Holmes McGuire VA Medical Center (US)
- Virginia Commonwealth University Medical Center (US)
Publication Details
- Journal
- Alcohol Clinical and Experimental Research
- Published
- 2024-09-21
- DOI
- https://doi.org/10.1111/acer.15422
- Citations
- 5
- Primary Topic
- Alcohol Consumption and Health Effects
- Type
- article
- Field-Weighted Citation Impact
- 2.12
Funders
- U.S. Department of Veterans Affairs
- National Institute on Alcohol Abuse and Alcoholism