An audit of symptom triggered chlordiazepoxide treatment of alcohol withdrawal on a medical admissions unit.
نویسندگان
چکیده
Patients suffering from alcohol withdrawal were found on initial audit to be discharged before the resolution of their symptoms. A regimen using symptom triggered chlordiazepoxide was introduced and found, on re-audit and anecdotally, to be an improvement. The duration of symptoms was reduced significantly, the length of stay was reduced (although not statistically significant because of limited power), and most patients who had experience of both regimens found the symptom triggered regimen more effective.
منابع مشابه
Individualized treatment for alcohol withdrawal. A randomized double-blind controlled trial.
OBJECTIVE To assess the effect of an individualized treatment regimen on the intensity and duration of medication treatment for alcohol withdrawal. DESIGN A randomized double-blind, controlled trial. SETTING An inpatient detoxification unit in a Veterans Affairs medical center. PATIENTS One hundred one patients admitted for the treatment of alcohol withdrawal who could give informed conse...
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Compliance with pathways for hospitalised patients with alcohol dependency syndrome is often poor. A pathway for recognition and treatment of alcohol dependency was redesigned as part of a 12 month service improvement project in the acute medical unit using plan, do, study, act (PDSA) cycles. A needs assessment was undertaken: Audit data from 2013 showed over-prescription of chlordiazepoxide fo...
متن کاملStandardising the management of alcohol withdrawal at an NHS district general hospital.
A lack of consistency in the management of alcohol withdrawal was identified at the trust. A multidisciplinary working group was set up to review the existing policies, and evaluate the evidence available. A trust-wide policy was introduced and the Clinical Institute Withdrawal from Alcohol score was used to manage alcohol withdrawal. Three main wards were identified for audit and education – e...
متن کاملRelative kindling effect of readmissions in alcoholics.
To determine if there is an increase in the risk of seizure activity when patients experience recurrent alcohol detoxification, the histories of 360 alcoholics who had at least two admissions for alcohol detoxification, between November 1987 and August 1992, were reviewed retrospectively. All subjects were treated with tapering doses of chlordiazepoxide as required, to control symptoms/signs of...
متن کاملEvaluation of an alcohol withdrawal protocol and a preprinted order set at a tertiary care hospital.
BACKGROUND Alcohol withdrawal protocols involving symptom-triggered administration of benzodiazepine have been established to reduce the duration of treatment and the cumulative benzodiazepine dose (relative to usual care). However, the effects of a protocol combining fixed-schedule and symptom-triggered benzodiazepine dosing are less clear. OBJECTIVE To assess the efficacy and safety of a co...
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عنوان ژورنال:
- Emergency medicine journal : EMJ
دوره 22 11 شماره
صفحات -
تاریخ انتشار 2005