Safety, quality & education

The effectiveness of a brief intervention for intensive care unit patients with hazardous alcohol use: a randomized controlled trial

Crit CarePublished Randomised controlled trial

  • terminated early
  • Terminated early due to slow recruitment during the pandemic

Authors' conclusion

As underpowered, our study cannot reject or confirm the hypothesis that a single BI early after critical illness is effective in reducing the amount of alcohol consumed compared to TAU. However, a considerable number in both groups reduced their alcohol consumption.

Study context

Population
Emergency admitted adult ICU patients with hazardous alcohol use (Alcohol Use Disorder Identification Test-Consumption (AUDIT-C) > 5 women, > 6 men), three Finnish university hospitals
Participants
234 participants
Comparison
Brief intervention vs treatment as usual
  • BIn = 117
  • Treatment as usual (TAU)n = 117reference
Primary endpoint
Self-reported alcohol consumption during the preceding week
Follow-up
6 and 12 months after randomization
Methodological detailsmulticentre
  • Multicentre

Primary result

As reported in the abstract

Alcohol intake during the preceding week
GroupValue12 months median (IQR)
BImedian 6.5 (IQR 0–141) g24 g (0-146)
TAUmedian 0 (IQR 0–72) g0 g (0-96)

Value

BImedian 6.5 (IQR 0–141) g
TAUmedian 0 (IQR 0–72) g

12 months median (IQR)

BI24 g (0-146)
TAU0 g (0-96)
  • BI vs TAU: P = 0.544 — 6 months
  • BI vs TAU: P = 0.157 — 12 months

Secondary outcomes

Abstinence · 6 months

Abstinence · 12 months

OutcomeBIMedian -TAUP value
Median change in AUDIT-C from baseline · 6 months1 (IQR - 4 to 0)median 2 (IQR - 6 to 0)P = 0.144
Median change in AUDIT-C from baseline · 12 months3 (IQR - 5 to - 1)median - 4 (IQR - 7 to - 1)P = 0.187

Mortality

No between-groups difference in mortality

Original publication

The effectiveness of a brief intervention for intensive care unit patients with hazardous alcohol use: a randomized controlled trial. Crit Care. Published 30 April 2024. doi:10.1186/s13054-024-04925-z

Composed by AI from the published abstract and checked against it. How Briefs are made →

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