Epidermiology of alcohol withdrawal syndrome. Mortality and factors of poor prognostic

Patients with alcoholism and alcohol withdrawal syndrome (AWS) have a worse prognostic. We have performed a retrospective analysis of the hospital discharges in with diagnosis include AWS from 1 of January of 1997 to the 31 of December of 2002. We identified 924 hospital stays with 2.4% of mortality...

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Bibliographic Details
Published inAnales de medicina interna (Madrid, Spain : 1984) Vol. 23; no. 7; p. 307
Main Authors Puerta Louro, R, Otero Antón, E, Lorenzo Zúñiga, V
Format Journal Article
LanguageSpanish
Published Spain 01.07.2006
Subjects
Alcoholism - complications
Alcoholism - epidemiology
Central Nervous System Depressants - adverse effects
Ethanol - adverse effects
Female
Humans
Incidence
Male
Middle Aged
Prognosis
Retrospective Studies
Risk Factors
Substance Withdrawal Syndrome - diagnosis
Substance Withdrawal Syndrome - etiology
Substance Withdrawal Syndrome - mortality
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Summary:Patients with alcoholism and alcohol withdrawal syndrome (AWS) have a worse prognostic. We have performed a retrospective analysis of the hospital discharges in with diagnosis include AWS from 1 of January of 1997 to the 31 of December of 2002. We identified 924 hospital stays with 2.4% of mortality (1.6% in Internal Medicine). Mortality is associated with greater age (57 years +/-15 vs. 49+/- 13, p < 0.005), with the diagnostic of hepatic cirrhosis (6.2 vs. 1.8%, p < 0.005), bacteraemia (10 vs. 1.8%, p < 0.001) and respiratory infection (9.6 vs. 1.8%, p < 0,001), with a lower mortality when AWS was secondary diagnosis (1.2 vs. 4.2%, p < 0.005). In multivariant analysis were associated with more mortality age (OR 1.03), hepatic cirrhosis (OR 3.4), bacteriemia (OR 4.5) and respiratory infection (OR 3.6). Alcohol withdrawal syndrome mortality could to benefit from treatment in an Internal Medicine Service.
ISSN:0212-7199