Who needs inpatient detox? Development and implementation of a hospitalist protocol for the evaluation of patients for alcohol detoxification

Journal of General Internal Medicine

Volumn 29, Issue 4, 2014, Pages 587-593

  Stephens, John R ^a   Liles, E Allen ^a   Dancel, Ria ^a   Gilchrist, Michael ^a   Kirsch, Jonathan ^a   Dewalt, Darren A ^a  

^a UNIVERSITY OF NORTH CAROLINA SCHOOL OF MEDICINE   (United States)

Author keywords

alcohol detoxification; alcohol withdrawal; hospital medicine; quality improvement

Indexed keywords

ALCOHOL; CARBAMAZEPINE; CHLORDIAZEPOXIDE;

ALCOHOL BLOOD LEVEL; ALCOHOL WITHDRAWAL; ALCOHOLISM; ARTICLE; COHORT ANALYSIS; DELIRIUM TREMENS; DIAGNOSIS RELATED GROUP; HEALTH CARE PLANNING; HOSPITAL ADMISSION; HOSPITAL READMISSION; HUMAN; LENGTH OF STAY; META ANALYSIS; OUTPATIENT CARE; PROSPECTIVE STUDY; RANDOMIZED CONTROLLED TRIAL (TOPIC); STANDARDIZATION; TOTAL QUALITY MANAGEMENT; WITHDRAWAL SYNDROME; ADVISORY COMMITTEE; CLINICAL PROTOCOL; EVALUATION STUDY; HEALTH SERVICE; HOSPITALIZATION; MEDICAL STAFF; PROGRAM DEVELOPMENT; STANDARDS; TRENDS;

ADVISORY COMMITTEES; ALCOHOLISM; CLINICAL PROTOCOLS; HEALTH SERVICES NEEDS AND DEMAND; HOSPITALISTS; HOSPITALIZATION; HUMANS; PROGRAM DEVELOPMENT; PROSPECTIVE STUDIES;

EID: 84898601341     PISSN: 08848734     EISSN: 15251497     Source Type: Journal    
DOI: 10.1007/s11606-013-2751-3     Document Type: Article

References (15)

1. Hasin DS, Stinson FS, Ogburn E, Grant BF. Prevalence, correlates, disability, and comorbidity of DSM-IV alcohol abuse and dependence in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Arch Gen Psychiatry. 2007;64(7):830-42. doi: 10.1001/archpsyc.64.7. 830.
2. Alcohol related disease impact. Centers for Disease Control and Prevention, Atlanta. 2013. http://www.cdc.gov/alcohol/ardi.htm. Accessed December 12 2013.
3. Hayashida M, Alterman AI, McLellan AT, O'Brien CP, Purtill JJ, Volpicelli JR, et al. Comparative effectiveness and costs of inpatient and outpatient detoxification of patients with mild-to-moderate alcohol withdrawal syndrome. New Engl J Med. 1989;320(6):358-65. doi: 10.1056/NEJM198902093200605.
4. Blondell RD. Ambulatory detoxification of patients with alcohol dependence. Am Fam Physician. 2005;71(3):495-502.
5. Asplund CA, Aaronson JW, Aaronson HE. 3 regimens for alcohol withdrawal and detoxification. J Fam Pract. 2004;53(7):545-54.
6. Ferguson JA, Suelzer CJ, Eckert GJ, Zhou XH, Dittus RS. Risk factors for delirium tremens development. J Gen Intern Med. 1996;11(7):410-4.
7. Lee JH, Jang MK, Lee JY, Kim SM, Kim KH, Park JY, et al. Clinical predictors for delirium tremens in alcohol dependence. J Gastroenterol Hepatol. 2005;20(12):1833-7. doi: 10.1111/j.1440-1746.2005.03932.x.
8. Mayo-Smith MF. Pharmacological management of alcohol withdrawal. A meta-analysis and evidence-based practice guideline. American Society of Addiction Medicine Working Group on Pharmacological Management of Alcohol Withdrawal. JAMA. 1997;278(2):144-51.
9. Provost LP, Murray SK. The Health Care Data Guide. San Francisco: Jossey-Bass; 2011.
10. Palmstierna T. A model for predicting alcohol withdrawal delirium. Psychiatr Serv. 2001;52(6):820-3.
11. Shaw JM, Kolesar GS, Sellers EM, Kaplan HL, Sandor P. Development of optimal treatment tactics for alcohol withdrawal. I. Assessment and effectiveness of supportive care. J Clin Psychopharmacol. 1981;1(6):382-89.
12. Amato L, Minozzi S, Davoli M. Efficacy and safety of pharmacological interventions for the treatment of the Alcohol Withdrawal Syndrome. Cochrane database of systematic reviews. 2011;6, CD008537. doi: 10.1002/14651858. CD008537.pub2.
13. Malcolm R, Ballenger JC, Sturgis ET, Anton R. Double-blind controlled trial comparing carbamazepine to oxazepam treatment of alcohol withdrawal. Am J Psychiatr. 1989;146(5):617-21.
14. Malcolm R, Myrick H, Roberts J, Wang W, Anton RF, Ballenger JC. The effects of carbamazepine and lorazepam on single versus multiple previous alcohol withdrawals in an outpatient randomized trial. J Gen Intern Med. 2002;17(5):349-55.
15. Grant EL, Leavenworth RS. Statistical Quality Control. 7th ed: McGraw-Hill Higher Education; 1997.