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Risk Factors for Severe Alcohol Withdrawal Syndrome in an Acute Hospital Population

Risk Factors for Severe Alcohol Withdrawal Syndrome in an Acute Hospital Population Abstract Background The literature lacks consensus to the factors that increase the risk of a patient developing severe alcohol withdrawal syndrome (SAWS). Aim The study set out to identify the variables that increase the risk of SAWS in patients who have alcohol dependence syndrome. Methods A case–control study was designed to investigate the variables associated with SAWS in an acute hospital setting. Three hundred eighty-two case and 382 control patients were randomly selected retrospectively from referrals to the acute addiction liaison nursing service during a 12-month period (January 1, 2015, to December 31, 2015). Statistical significance (p < .05) and association with SAWS were calculated using chi-square, Cramer’s V test, odds ratio, and Levene’s test. Results Twenty-four variables have been identified as associated with SAWS development. Five of the 24 variables had a moderate-to-strong association with SAWS risk: Fast Alcohol Screening Test, Glasgow Modified Alcohol Withdrawal Scale score, AWS admission, hours since the last drink, and systolic blood pressure. The study also identified that comorbidity was associated with not developing SAWS. Conclusion/Recommendations These findings confirm that noninvasive variables collected in the emergency department are useful in identifying a person’s risk of developing SAWS. The results of this study are a useful starting point in the exploration of SAWS and the development of a tool for use in the emergency department that can stratify risk into high and low and is the next stage of this program of work. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Addictions Nursing Wolters Kluwer Health

Risk Factors for Severe Alcohol Withdrawal Syndrome in an Acute Hospital Population

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Publisher
Wolters Kluwer Health
Copyright
Copyright © 2019 International Nurses Society on Addictions
ISSN
1088-4602
eISSN
1548-7148
DOI
10.1097/JAN.0000000000000287
Publisher site
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Abstract

Abstract Background The literature lacks consensus to the factors that increase the risk of a patient developing severe alcohol withdrawal syndrome (SAWS). Aim The study set out to identify the variables that increase the risk of SAWS in patients who have alcohol dependence syndrome. Methods A case–control study was designed to investigate the variables associated with SAWS in an acute hospital setting. Three hundred eighty-two case and 382 control patients were randomly selected retrospectively from referrals to the acute addiction liaison nursing service during a 12-month period (January 1, 2015, to December 31, 2015). Statistical significance (p < .05) and association with SAWS were calculated using chi-square, Cramer’s V test, odds ratio, and Levene’s test. Results Twenty-four variables have been identified as associated with SAWS development. Five of the 24 variables had a moderate-to-strong association with SAWS risk: Fast Alcohol Screening Test, Glasgow Modified Alcohol Withdrawal Scale score, AWS admission, hours since the last drink, and systolic blood pressure. The study also identified that comorbidity was associated with not developing SAWS. Conclusion/Recommendations These findings confirm that noninvasive variables collected in the emergency department are useful in identifying a person’s risk of developing SAWS. The results of this study are a useful starting point in the exploration of SAWS and the development of a tool for use in the emergency department that can stratify risk into high and low and is the next stage of this program of work.

Journal

Journal of Addictions Nursing – Wolters Kluwer Health

Published: Jan 1, 2019

References

  • What are dynamic capabilities and are they a useful construct in strategic management?
    Ambrosini, V.; & Bowman, C.
  • Alcohol withdrawal and delirium tremens in the critically ill: A systematic review and commentary
    Awissi, D.; Lebrun, G.; Coursin, D. B.; Riker, R. R.; & Skrobik, Y.
  • Alcohol dependence, withdrawal and relapse
    Becker, H. C.
  • Severe alcohol withdrawal syndrome: Review of the literature
    Benson, G.; Roberts, N.; McCallum, J.; & McPherson, A.
  • The kindling hypothesis: Further evidence from a U.S. national survey of alcoholic men
    Booth, B. M.; & Blow, F. C.
  • Alcohol withdrawal syndrome
    Carlson, R. W.; Kumar, N. N.; Wong-McKinstry, E.; Ayyagari, S.; Puri, N.; Jackson, F. K.; & Shashikumar, S.
  • Cardioprotective effect of thiazide-like diuretics: A meta-analysis
    Chen, P.; Chaugai, A.; Zhao, F.; & Wang, D. W.
  • Alcohol screening, brief intervention, and referral to treatment conducted by emergency nurses: An impact evaluation
    Désy, P. M.; Howard, P. K.; Perhats, C.; & Li, S.
  • Combining the audit questionnaire and biochemical markers to assess alcohol use and risk of alcohol withdrawal in medical inpatients
    Dolman, J. M.; & Hawkes, N. D.
  • Risk assessment of moderate to severe alcohol withdrawal
    Eyer, F.; Schuster, T.; Felgenhauer, N.; Pfab, R.; Strubel, T.; Saugel, B.; & Zilker, T.
  • A simplified protocol for the treatment of alcohol withdrawal
    Feeney, C.; Harrison, A.; Eike, J.; Mathew, R.; Shirley, S.; Indhu, S.; & Carter, C. R.
  • Risk factors for delirium tremens development
    Ferguson, J. A.; Suelzer, C. J.; Eckert, G. J.; Zhou, X. D.; Dittus, R. S.; & So, J.
  • The evidence for implementing alcohol screening and intervention in the emergency department—Time to act
    Forsythe, M.; & Lee, G. A.
  • Drink a little; take a few drugs: Do nurses have knowledge to identify and manage in-patients at risk of drugs and alcohol?
    Griffiths, R. D.; Stone, A.; Tran, D. T.; Fernandez, R. S.; & Ford, K.
  • Alcohol withdrawal in the surgical patient: Prevention and treatment
    Heymann, A.; Nachtigall, I.; Goldmann, A.; & Spies, C.; O’Donnell, J. M.; Nacul, F.
  • The FAST alcohol screening test
    Hodgson, R. J.; Alwyn, T.; John, B.; Thom, B.; & Smith, A.
  • Patterns of admissions in an acute medical unit: Priorities for service development and education
    James, N. J.; Hussain, R.; Moonie, A.; Richardson, D.; & Waring, W. S.
  • Clinical predictors for delirium tremens in alcohol dependence
    Lee, J. H.; Jang, M. K.; Lee, J. Y.; Kim, S. M.; Kim, K. H.; Park, J. Y.; & Yoo, J. Y.
  • Risk factors for delirium tremens in trauma patients
    Lukan, J. K.; Reed, D. N.; Looney, S. W.; Spain, D. A.; & Blondell, R. D.
  • Prospective validation of the prediction of alcohol withdrawal severity scale (PAWSS) in medically ill patients: A new scale for the prediction of complicated alcohol withdrawal syndrome
    Maldonado, J. R.; Sher, Y.; Das, S.; Hills-Evans, A. F.; Frenklach, A.; Lolak, S.; & Neri, E.
  • Alcohol withdrawal
    Manasco, A.; Chang, S.; Larriviere, J.; Hamm, L. L.; & Glass, M.
  • The alcohol withdrawal syndrome
    McKeon, A.; Frye, M. A.; & Delanty, N.
  • The development and explication of a unique nurse-led addiction liaison service for the acute hospitals in the greater Glasgow area
    McPherson, A.; & Benson, G.
  • Appraisal of the Glasgow and management of alcohol guideline: A comprehensive alcohol management protocol for use in general hospitals
    McPherson, A.; Benson, G.; & Forrest, E. H.
  • Factors predictive of complicated or severe alcohol withdrawal in alcohol dependent inpatients
    Mennecier, D.; Thomas, M.; Arvers, P.; Corberand, D.; Sinayoko, L.; Bonnefoy, S.; & Thiolet, C.
  • Analysis of the factors determining survival of alcoholic withdrawal syndrome patients in a general hospital
    Monte, R.; Rabuñal, R.; Casariego, E.; López-Agreda, H.; Mateos, A.; & Pértega, S.
  • Outpatient management of alcohol withdrawal syndrome
    Munchie, H. L.; Yasinian, Y.; & Oge, L.
  • A&E attendances and emergency admissions
  • Using the AUDIT-PC to predict withdrawal in hospitalized patients
    Pecoraro, A.; Ewen, E.; Horton, T.; Mooney, R.; Kolm, P.; McGraw, P.; & Woody, G.
  • Inpatient management of acute alcohol withdrawal syndrome
    Perry, E. C.
  • Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders
    Rehm, J.; Mathers, C.; Popova, S.; Thavorncharoensap, M.; Teerawattananon, Y.; & Patra, J.
  • Alcohol withdrawal: Development of a standing order set
    Riddle, E.; Bush, J.; Tille, M.; & Dilkhush, D.
  • Asking questions about behavior: Cognition, communication, and questionnaire construction
    Schwarz, N.; & Oyserman, D.
  • A rational approach to the treatment of alcohol withdrawal in the ed
    Stehman, C. R.; & Mycyk, M. B.
  • Who needs inpatient detox? Development and implementation of a hospitalist protocol for the evaluation of patients for alcohol detoxification
    Stephens, J. R.; Liles, A.; Dancel, R.; Gilchrist, M.; Kirsch, J.; & De Walt, D. A.
  • Alcohol withdrawal syndrome in critically ill patients: Identification, assessment, and management
    Sutton, L. J.; & Jutel, A.
  • Utilisation of a purpose-designed chart for the nursing management of acute alcohol withdrawal in the hospital setting
    Swift, R. A.; Peers, E. A.; Jones, B. L.; & Bronson, M. V.
  • Research randomizer (Version 4.0)
    Urbaniak, G. C.; & Plous, S.
  • Quantifying alcohol-related emergency admissions in a UK tertiary referral hospital: A cross-sectional study of chronic alcohol dependency and acute alcohol intoxication
    Vardy, J.; Keliher, T.; Fisher, J.; Ritchie, F.; Bell, C.; Chekroud, M.; & Connelly, R.
  • The effect of alcohol on the nervous system
    Victor, M.; & Adams, R. D.
  • A multicentre survey of inpatient of inpatient pharmacological management strategies for alcohol withdrawal
    Ward, D.; Murch, N.; Agarwal, G.; & Bell, D.
  • Implementation of a CIWA-Ar alcohol withdrawal protocol in a veterans hospital
    Waye, C.; Wong, M.; & Lee, S.
  • Inpatient alcohol withdrawal: Time to prevent the preventable?
    Williams, K.; & Mitchell, M.
  • Risk factors for delirium tremens: A retrospective chart review
    Wright, T.; Myrick, H.; Henderson, S.; Peters, H.; & Malcolm, R.