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 |
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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. |
doi_str_mv | 10.7861/futurehosp.6-2-137 |
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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.</description><subject>addiction</subject><subject>Alcohol detoxification</subject><subject>clinical toxicology</subject><subject>Original Research</subject><subject>withdrawal</subject><issn>2514-6645</issn><issn>2514-6653</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNp9kc9qGzEQxkVpqY2TF-ih7DGXTTSSVitDKQSTf2DIJT0LrXZUq6xXrrRr6lvfoW-YJ4kSJ25yyUlC32--Gc1HyBegp7WScObGYYy4CmlzKktWAq8_kCmrQJRSVvzj4S6qCTlO6RelFOYgGajPZMKBS14xmJLLiw7t4LdYmM6GVeiKFofwxztvzeBDX9z__VeYImIKY7SZ6tsC3aNqdwVuTTc-YUfkkzNdwuPnc0Z-XF7cLa7L5e3VzeJ8WVpOaV02cwFCCgoNNbypqZqrls2llLWTjLV15QRw1zhVN2CaFhxX2HAE11qkKv9rRr7vfTdjs8b82g_RdHoT_drEnQ7G67dK71f6Z9hqKUGCUtng5Nkght8jpkGvfbLYdabHMCbNmKwFFUKxjLI9amNIKaI7tAGqHzPQ_zPQUjOdM8hFX18PeCh52XgGvu0BzGvaeow6WY-9xdbHnIRug3_P_wHC-p0j</recordid><startdate>201906</startdate><enddate>201906</enddate><creator>Quelch, Darren</creator><creator>Pucci, Mark</creator><creator>Marsh, Alexander</creator><creator>Coleman, Jamie</creator><creator>Bradberry, Sally</creator><general>Elsevier Ltd</general><general>Royal College of Physicians</general><scope>6I.</scope><scope>AAFTH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201906</creationdate><title>Elective alcohol detoxification – a resource and efficacy evaluation</title><author>Quelch, Darren ; Pucci, Mark ; Marsh, Alexander ; Coleman, Jamie ; Bradberry, Sally</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3007-b94146401b0a3b70898d296667f622d75f413fbf87b1abd1f38eb3e1fdce08653</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>addiction</topic><topic>Alcohol detoxification</topic><topic>clinical toxicology</topic><topic>Original Research</topic><topic>withdrawal</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Quelch, Darren</creatorcontrib><creatorcontrib>Pucci, Mark</creatorcontrib><creatorcontrib>Marsh, Alexander</creatorcontrib><creatorcontrib>Coleman, Jamie</creatorcontrib><creatorcontrib>Bradberry, Sally</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Future healthcare journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Quelch, Darren</au><au>Pucci, Mark</au><au>Marsh, Alexander</au><au>Coleman, Jamie</au><au>Bradberry, Sally</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Elective alcohol detoxification – a resource and efficacy evaluation</atitle><jtitle>Future healthcare journal</jtitle><addtitle>Future Healthc J</addtitle><date>2019-06</date><risdate>2019</risdate><volume>6</volume><issue>2</issue><spage>137</spage><epage>142</epage><pages>137-142</pages><issn>2514-6645</issn><eissn>2514-6653</eissn><abstract>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.
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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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