Prediction of the Development of Alcohol Withdrawal Delirium / 신경정신의학
Journal of Korean Neuropsychiatric Association
;
: 559-563, 2004.
Article
in Korean
| WPRIM
| ID: wpr-136174
ABSTRACT
OBJECTIVES:
Alcohol withdrawal delirium is a serious clinical condition with high mortality rate if not treated. This study was to examine whether readily available clinical variables can predict the development of alcohol withdrawal delirium.METHODS:
The authors performed a retrospective study by reviewing charts of 566 patients who had been admitted for alcohol dependence. The cases were divided into two groups delirium group (n=40) and control group (n=40). We compared baseline characteristics and serum analysis data at admission between two groups. We used logistic regression to predict risk factors for alcohol withdrawal delirium among potential risk factors.RESULTS:
The delirium group had significantly lower hemoglobin, hematocrit, platelet counts, and potassium level than countrol group. Presence of previous withdrawal delirium history, AST, GGTP, and bilirubin level of delirium group were significantly higher than those of control group. Among potential risk factors, past history of withdrawal delirium, decreased hemoglobin, elevated bilirubin level, and number of previous detoxification were predictable factors of the development of alcohol withdrawal delirium by 72.5%.CONCLUSION:
Our results suggest that the infomation obtained at admission can be useful to predict the development of alcohol withdrawal delirium. Also, it makes the individualization of detoxification strategies possible.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Platelet Count
/
Potassium
/
Bilirubin
/
Logistic Models
/
Retrospective Studies
/
Risk Factors
/
Mortality
/
Delirium
/
Alcohol Withdrawal Delirium
/
Alcoholism
Type of study:
Etiology study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Humans
Language:
Korean
Journal:
Journal of Korean Neuropsychiatric Association
Year:
2004
Type:
Article
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