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 Citations (Scopus)

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 2012
Externally publishedYes

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Alcohols
Comorbidity
Medicine
Demography
Patient Admission
Tertiary Care Centers
Pharmaceutical Preparations
Psychiatry
Retrospective Studies
Urine
Education
Population

ASJC Scopus subject areas

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

Cite this

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

Multiple admissions for alcohol withdrawal. / Larson, Scott A.; Burton, M. Caroline; Kashiwagi, Deanne T.; Hugo, Zachary P.; Cha, Stephen S.; Lapid, Maria I.

In: Journal of Hospital Medicine, Vol. 7, No. 8, 10.2012, p. 617-621.

Research output: Contribution to journalArticle

Larson, SA, Burton, MC, Kashiwagi, DT, Hugo, ZP, Cha, SS & Lapid, MI 2012, 'Multiple admissions for alcohol withdrawal', Journal of Hospital Medicine, vol. 7, no. 8, pp. 617-621. https://doi.org/10.1002/jhm.1953
Larson SA, Burton MC, Kashiwagi DT, Hugo ZP, Cha SS, Lapid MI. Multiple admissions for alcohol withdrawal. Journal of Hospital Medicine. 2012 Oct;7(8):617-621. https://doi.org/10.1002/jhm.1953
Larson, Scott A. ; Burton, M. Caroline ; Kashiwagi, Deanne T. ; Hugo, Zachary P. ; Cha, Stephen S. ; Lapid, Maria I. / Multiple admissions for alcohol withdrawal. In: Journal of Hospital Medicine. 2012 ; Vol. 7, No. 8. pp. 617-621.
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