A multi-centre survey of inpatient pharmacological management strategies for alcohol withdrawal
Open Access
- 20 August 2009
- journal article
- research article
- Published by Oxford University Press (OUP) in QJM: An International Journal of Medicine
- Vol. 102 (11), 773-780
- https://doi.org/10.1093/qjmed/hcp116
Abstract
Background: It is well recognized that alcohol is a growing problem in the UK with significant morbidity and mortality and associated resource implications for the National Health Service (NHS). The inpatient management of alcohol withdrawal is felt to be variable between hospitals. The aim of this study was to assess the variation in pharmacological management and acute inpatient alcohol services across NHS hospitals in the UK. Method: A web-based survey was distributed to Society for Acute Medicine (SAM) members and others with an interest in Acute Medicine between January and March 2008. Results: The results suggest poor utilization of guidelines, variable drug regimens and differences in acute alcohol-related support services. Conclusion: In response to these findings, we suggest that a simplified national approach is required for what is now recognized to be an epidemic problem.Keywords
This publication has 14 references indexed in Scilit:
- Diagnosis and management of alcohol use disordersBMJ, 2008
- Wernicke's encephalopathy: 'plus ca change, plus c'est la meme chose'Alcohol and Alcoholism, 2007
- THE TREATMENT OF PATIENTS AT RISK OF DEVELOPING WERNICKE'S ENCEPHALOPATHY IN THE COMMUNITYAlcohol and Alcoholism, 2005
- What's the evidence that NICE guidance has been implemented? Results from a national evaluation using time series analysis, audit of patients' notes, and interviewsBMJ, 2004
- Management of Drug and Alcohol WithdrawalNew England Journal of Medicine, 2003
- Symptom-Triggered vs Fixed-Schedule Doses of Benzodiazepine for Alcohol WithdrawalArchives of Internal Medicine, 2002
- Thiamine in Wernicke’s syndrome--how much and how long?Published by Oxford University Press (OUP) ,1995
- Relative Abuse Liability of Different Benzodiazepines inJournal of Clinical Psychopharmacology, 1990
- Assessment of Alcohol Withdrawal: the revised clinical institute withdrawal assessment for alcohol scale (CIWA‐Ar)British Journal of Addiction, 1989
- Clinical signs in the Wernicke-Korsakoff complex: a retrospective analysis of 131 cases diagnosed at necropsy.Journal of Neurology, Neurosurgery & Psychiatry, 1986