Epidemiología del síndrome de abstinencia alcohólica. Mortalidad y factores de mal pronóstico / Epidemiology of alcohol withdrawal syndrome. Mortality factors of poor prognostic
An. med. interna (Madr., 1983)
; 23(7): 307-309, jul. 2006. ilus
Article
in Es
| IBECS
| ID: ibc-048141
Responsible library:
ES1.1
Localization: ES1.1 - BNCS
RESUMEN
Introducción:
El alcoholismo y la aparición del síndrome de abstinencia alcohólica (SAA) condicionan un peor pronóstico en los pacientes que lo presentan.Métodos:
Se recogieron las características epidemiológicas, evolución y mortalidad de todos los casos diagnosticados de SAA en el Complexo Hospitalario de Santiago durante los años 1997 al 2002.Resultados:
Se identificaron 924 casos con una mortalidad del 2,4% (1,6% en Medicina Interna). La mortalidad se asoció con mayor edad (57 años ± 15 vs. 49± 13, p < 0,005), y con los diagnósticos de cirrosis hepática (6,2 vs. 1,8%, p < 0,005), bacteriemia (10 vs. 1,8%, p < 0,001) e infección respiratoria (9,6 vs. 1,8%, p < 0,001), con una mortalidad menor cuando el SAA fue diagnóstico secundario (1,2 vs. 4,2%, p < 0,005). En el análisis multivariante se asociaron a mayor mortalidad la edad (OR 1,03), la cirrosis hepática (OR 3,4), la bacteriemia (OR 4,5) y la infección respiratoria (OR 3,6).Conclusión:
La mortalidad asociada al síndrome de abstinencia podría beneficiarse de la centralización del tratamiento en el Servicio de Medicina InternaABSTRACT
Introduction:
Patients with alcoholism and alcohol withdrawal syndrome (AWS) have a worse prognostic.Methods:
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.Results:
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).Conclusion:
Alcohol withdrawal syndrome mortality could to benefit from treatment in an Internal Medicine Service
Full text:
Available
Collection:
National databases
/
Spain
Health context:
SDG3 - Health and Well-Being
/
SDG3 -Target 3.5 Prevention and treatment of consumption of psychoactive substances
Health problem:
Target 3.5: Prevention and treatment of consumption of psychoactive substances
/
Alcohol
Database:
IBECS
Main subject:
Substance Withdrawal Syndrome
/
Alcoholism
Type of study:
Etiology study
/
Practice guideline
/
Prognostic study
/
Risk factors
/
Screening study
Limits:
Humans
Language:
Spanish
Journal:
An. med. interna (Madr., 1983)
Year:
2006
Document type:
Article
Institution/Affiliation country:
Complexo Universitario de Santiago/España