liver disease Hull and East Yorkshire Hospitals 酒精肝疾病船体和东约克郡医院课件.pptVIP

Alcohol related liver disease George Abouda Gastroenterology and Hepatology consultant Alcohol awareness day September 2013 Liver disease is the 5th big killer in England and Wales, after heart, cancer, stroke and respiratory disease but unlike the others, no clear national service framework . Of the big five liver disease is the only major cause of death increasing year on year ? Liver disease deaths have increased by 12% in just three years, since 2005, totalling 46,244 lives lost. If these rates continue, deaths from liver disease are predicted to double in 20 years The process of alcohol liver disease is silent, but when liver disease has developed it presents as an acute illness with a 25-50% immediate mortality There was a 41% increase in the number of deaths from alcoholic liver disease Hospital admissions for alcohol-related disease, including alcoholic liver disease, have more than doubled since 1995/6 and between 2002/3 and 2006/7 there was a 71% increase . There was over 1.1 million hospital admissions directly related and attributable to alcohol in 2011 Liver disease is preventable disease Alcohol and the liver disease The cost to the NHS of alcohol misuse has been estimated at ￡2.7 billion each year In 2011, there were 10,732 alcohol-related deaths in men and 5,992 in women In 2007 4,580 people died in England and Wales from alcoholic liver disease 2012 NICE recommendation for ARD Alcohol problem in Hull Hull is the 11th most deprived local authority area out of 352 in England Hull experiences well over the national average of alcohol consumption 40,000 people in Hull are hazardous or harmful drinkers 8000 are alcohol dependent 2/3 of alcohol related hospital admissions are dependent drinkers 1289/100,000 are admitted with ARD Alcohol is a real burden in the acute trust Method: Retrospective analysis of attendances and admissions with Alcohol related medical problems. Patients from Jan-Dec 2009 analysed on a monthly basis. T