Elective alcohol detoxification – a resource and efficacy evaluation

An evaluation was performed to assess efficacy and resource utilisation of an elective inpatient alcohol detoxification service at a large inner-city teaching hospital. Abstinence rates at 3, 6 and 12 months post-detoxification were 68.1, 44.7 and 36.2%, respectively. Relapse was associated with ref...

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Veröffentlicht in:Future healthcare journal 2019-06, Vol.6 (2), p.137-142
Hauptverfasser: Quelch, Darren, Pucci, Mark, Marsh, Alexander, Coleman, Jamie, Bradberry, Sally
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container_title Future healthcare journal
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creator Quelch, Darren
Pucci, Mark
Marsh, Alexander
Coleman, Jamie
Bradberry, Sally
description An evaluation was performed to assess efficacy and resource utilisation of an elective inpatient alcohol detoxification service at a large inner-city teaching hospital. Abstinence rates at 3, 6 and 12 months post-detoxification were 68.1, 44.7 and 36.2%, respectively. Relapse was associated with referrals from acute hospital services, previous detoxifications, longer time between referral and admission for detoxification, presence of alcohol in the blood on the day of admission and requirement for benzodiazepines during withdrawal. The service operates within the national 18-week referral target and runs at a cost substantially lower than that of residential alcohol detoxification facilities but with similar sobriety rates. We demonstrate that elective detoxification with specialist follow-up provides an effective service both in terms of patient outcomes and resource use. Further investment in these services at both local and national level should be considered.
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subjects addiction
Alcohol detoxification
clinical toxicology
Original Research
withdrawal
title Elective alcohol detoxification – a resource and efficacy evaluation
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