Analysis of the Factors Determining Survival of Alcoholic Withdrawal Syndrome Patients in a General Hospital

Monte, Rafael; Rey, Ramón Rabuñal; Casariego, Emilio; López-Agreda, H.; Mateos, A. García de Lorenzo y; Pértega, Sonia

doi:10.1093/alcalc/agp087

Cited by 74 publications

(79 citation statements)

References 27 publications

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“…In symptomatic therapy, benzodiazepines are the drugs of choice; in some regions, clomethiazole is used as well [72][73][74][75][76][77][78] . In alcohol withdrawal delirium, supportive therapy is essential as well.…”

Section: Symptomatic and Supportive Treatmentmentioning

confidence: 99%

Alcohol withdrawal delirium - diagnosis, course and treatment

Mainerova

Praško²,

Látalová³

et al. 2015

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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Section: Symptomatic and Supportive Treatmentmentioning

confidence: 99%

Alcohol withdrawal delirium - diagnosis, course and treatment

Mainerova

Praško²,

Látalová³

et al. 2015

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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“…Evidence 50 indicates that patients who have a medical or surgical illness in whom AWS develops have a higher predisposition for more severe withdrawal and delirium tremens than do patients who have AWS only. Most likely the situation is the same for patients with a critical illness and AWS.…”

Section: Severe Aws and Delirium Tremensmentioning

confidence: 99%

“…However, in general, little research has been done on the influence of critical illness on delirium tremens and vice versa. 50 Most recently, Sohraby et al 48 reported the results of a retrospective cohort study of critically ill patients with severe AWS. The findings indicated that this population of patients may need additional drugs to manage severe withdrawal.…”

Section: Severe Aws and Delirium Tremensmentioning

confidence: 99%

Alcohol Withdrawal Syndrome in Critically Ill Patients: Identification, Assessment, and Management

Sutton-Smith

Jutel

2016

Critical Care Nurse

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Management of alcohol withdrawal in critically ill patients is a challenge. The alcohol consumption histories of intensive care patients are often incomplete, limiting identification of patients with alcohol use disorders. Abrupt cessation of alcohol places these patients at risk for alcohol withdrawal syndrome. Typically benzodiazepines are used as first-line therapy to manage alcohol withdrawal. However, if patients progress to more severe withdrawal or delirium tremens, extra adjunctive medications in addition to benzodiazepines may be required. Sedation and mechanical ventilation may also be necessary. Withdrawal assessment scales such as the Clinical Institute of Withdrawal Assessment are of limited use in these patients. Instead, general sedation-agitation scales and delirium detection tools have been used. The important facets of care are the rapid identification of at-risk patients through histories of alcohol consumption, management with combination therapies, and ongoing diligent assessment and evaluation. (Critical Care Nurse. 2016;36[1]:28–39)

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“…Además, se asocia a incrementos del riesgo de infección nosocomial, de requerir ventilación mecánica y de la mortalidad 24,25 . De ahí la necesidad de identificar aquellos enfermos con un mayor riesgo de presentar formas graves de síndrome de abstinencia, especialmente en el ambiente hospitalario.…”

Section: Manifestaciones Clínicasunclassified