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Background <p>Alcohol use disorder (AUD) is often discovered very late or not at all, with a risk of undertreatment. High alcohol consumption may lead to hypertension. and hypertensive patients should be asked about their alcohol use. Our aim was to look at additional risk factors for receiving a diagnosis of AUD in patients with hypertension.</p> Methods <p>Using the Norwegian full coverage patient registry, we investigated all patients who received an ICD-10 diagnosis of hypertension and who were routinely registered in the specialized healthcare services in 2010. These were followed for six years and those who subsequently received an ICD-10 AUD diagnosis were identified. Age, sex and comorbidities found in the patient registry were used as covariates.</p> Results <p>Of the 103 623 patients diagnosed with hypertension in 2010, 1517 (1.46%) were later diagnosed with AUD. Male sex, young age, having several comorbidities, malnutrition and respiratory disease, anxiety, and especially a diagnosis of major depression increased the risk of being diagnosed with AUD in these hypertensive patients.</p> Conclusion <p>Only a small proportion of the hypertensive patients were later diagnosed with AUD, reflecting that patient registries are poor indicators of true AUD prevalence, since AUD is heavily underdiagnosed. However, the current findings suggest that comorbid conditions such as depression, anxiety, malnutrition, and respiratory disease in hypertensive patients should prompt clinicians to assess alcohol use more proactively. This could in turn lead to better care for both those with hypertension and alcohol problems.</p>

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Predictors of alcohol use disorder in patients with hypertension: a national registry-based cohort study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年7月3日

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  • Jørgen G. Bramness,
  • Torgeir Gilje Lid,
  • Ingeborg Bolstad,
  • Lars Lien,
  • Dawit S. Abebe

摘要

Background

Alcohol use disorder (AUD) is often discovered very late or not at all, with a risk of undertreatment. High alcohol consumption may lead to hypertension. and hypertensive patients should be asked about their alcohol use. Our aim was to look at additional risk factors for receiving a diagnosis of AUD in patients with hypertension.

Methods

Using the Norwegian full coverage patient registry, we investigated all patients who received an ICD-10 diagnosis of hypertension and who were routinely registered in the specialized healthcare services in 2010. These were followed for six years and those who subsequently received an ICD-10 AUD diagnosis were identified. Age, sex and comorbidities found in the patient registry were used as covariates.

Results

Of the 103 623 patients diagnosed with hypertension in 2010, 1517 (1.46%) were later diagnosed with AUD. Male sex, young age, having several comorbidities, malnutrition and respiratory disease, anxiety, and especially a diagnosis of major depression increased the risk of being diagnosed with AUD in these hypertensive patients.

Conclusion

Only a small proportion of the hypertensive patients were later diagnosed with AUD, reflecting that patient registries are poor indicators of true AUD prevalence, since AUD is heavily underdiagnosed. However, the current findings suggest that comorbid conditions such as depression, anxiety, malnutrition, and respiratory disease in hypertensive patients should prompt clinicians to assess alcohol use more proactively. This could in turn lead to better care for both those with hypertension and alcohol problems.