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The concept of "harmful use" (as opposed to "abuse") was introduced in 1992's ICD-10 to minimize underreporting of damage in the absence of dependence. [116] The term "alcoholism" was removed from ICD between ICD-8/ICDA-8 and ICD-9. [120] ICD-11: Episode of harmful use of alcohol, Harmful pattern of use of alcohol, or Alcohol dependence
Stolle, Sack and Thomasius define binge drinking as episodic excessive drinking. [7] There is currently no worldwide consensus on how many drinks constitute a "binge", but in the United States, the term has been described in academic research to mean consuming five or more standard drinks (male), or four or more drinks (female), [12] over a two-hour period. [13]
Alcohol use is a major cause of preventable liver disease worldwide, and alcoholic liver disease is the main alcohol-related chronic medical illness. [6] Millions of people of all ages, from adolescents to the elderly, engage in unhealthy drinking. [7] In the United States, excessive alcohol use costs more than $249 billion annually. [8]
Females are more susceptible to alcohol-associated liver injury and are therefore at higher risk of alcohol-associated hepatitis. [7] Certain genetic variations in the PNPLA3 -encoding gene, which codes for an enzyme involved in triglyceride metabolism in adipose tissue are thought to influence disease severity. [ 7 ]
Psychoactive substance-induced psychotic disorders outlined within the ICD-10 codes F10.5—F19.5: F10.5 alcohol: [8] [9] [10] Alcohol is a common cause of psychotic disorders or episodes, which may occur through acute intoxication, chronic alcoholism, withdrawal, exacerbation of existing disorders, or acute idiosyncratic reactions. [8]
Alcohol hallucinosis is a rather uncommon alcohol-induced psychotic disorder almost exclusively seen in chronic alcoholics who have many consecutive years of severe and heavy drinking during their lifetime. [3] Alcoholic hallucinosis develops about 12 to 24 hours after the heavy drinking stops suddenly, and can last for days.
The annual average number of deaths stemming from alcohol use jumped 29%, to 178,000 from 138,000, between 2016-2017 and 2020-2021, the Centers for Disease Control and Prevention revealed last month.
The DSM-5 (2013), the current version, also features ICD-9-CM codes, listing them alongside the codes of Chapter V of the ICD-10-CM. On 1 October 2015, the United States health care system officially switched from the ICD-9-CM to the ICD-10-CM. [1] [2] The DSM is the authoritative reference work in diagnosing mental disorders in the world.