|
KMID : 0897520230280010009
|
|
Journal of Korean Association of Social Psychiatry
2023 Volume.28 No. 1 p.9 ~ p.15
|
|
|
Risk Factors and Management Related to the Development of Alcohol Withdrawal Delirium
|
|
Kim Eun-Do
Byun Won-Tan
Park Young-Min
Kim Se-Hoon
Jeong Jae-Woong
Joo Sae-Han
Jung Il-Geun
|
|
|
Abstract
|
|
|
Objectives : The aim of this study was to analyze the risk factors of developing alcohol withdrawal delirium and to find a solution.
Methods : We conducted a retrospective analysis of the electronic medical records of alcohol use disorder inpatients admitted to a psychiatric hospital between January 2019 and December 2022.
Results : The risk factors for developing alcohol withdrawal delirium included an alcohol withdrawal delirium history (p=0.012), medical illness (p=0.008), and higher aspartate aminotransferase levels (AST) (p=0.032). In the variable associated with the duration of alcohol withdrawal delirium, the longer the duration of alcohol withdrawal delirium, the less use of a benzodiazepine during alcohol withdrawal delirium (p<0.001).
Conclusion : The simple history-taking (previous alcohol withdrawal delirium history and medical illnesses) that can be performed when a patient with alcohol use disorder is hospitalized can reveal which patients need special attention for the occurrence of alcohol withdrawal delirium. Careful observation by medical staff and the active administration of a benzodiazepine drug are necessary to reduce the duration of alcohol withdrawal delirium.
|
|
|
KEYWORD
|
|
|
Alcohol withdrawal delirium, Risk factors, Management, Benzodiazepine, Thiamine
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|