Multiple admissions for alcohol withdrawal

Scott A. Larson, M. Caroline Burton, Deanne T. Kashiwagi, Zachary P. Hugo, Stephen S. Cha, Maria I. Lapid

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

Objective: The objective was to identify risk factors for multiple admissions for alcohol withdrawal syndrome (AWS) in patients admitted to a general medicine service. Methods:: A retrospective study was performed examining records of patients admitted for AWS between January 1, 2006 and December 31, 2008 to an academic tertiary referral hospital. Patients with a single admission were compared to patients with multiple admissions with respect to demographic and clinical variables. Results:: Three hundred and twenty-two patients accounted for 788 admissions. Of the 322 patients, 142 (44%) had multiple admissions. Compared to patients with a single admission, patients with multiple admissions were more likely to have a high school education or less (p=0.0071), a higher Charlson comorbidity index score (p=0.0010), a positive urine drug screen for non-alcohol drug (p=0.0002), psychiatric comorbidity (p=0.0303) and a higher CIWA-Ar maximum total score (p<0.0001). Conclusion:: In patients with AWS, we identified demographic and clinical variables associated with multiple admissions to a general medicine service. Our results indicate areas for a targeted multidisciplinary and multispecialty approach at initial intervention, which is especially important given the high rates of recidivism in this patient population.

Original languageEnglish (US)
Pages (from-to)617-621
Number of pages5
JournalJournal of hospital medicine
Volume7
Issue number8
DOIs
StatePublished - Oct 1 2012

ASJC Scopus subject areas

  • Leadership and Management
  • Internal Medicine
  • Fundamentals and skills
  • Health Policy
  • Care Planning
  • Assessment and Diagnosis

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    Larson, S. A., Burton, M. C., Kashiwagi, D. T., Hugo, Z. P., Cha, S. S., & Lapid, M. I. (2012). Multiple admissions for alcohol withdrawal. Journal of hospital medicine, 7(8), 617-621. https://doi.org/10.1002/jhm.1953