Delirium tremens and alcohol withdrawal nationally in the Veterans Health Administration

Moore, David T; Fuehrlein, Brian; Rosenheck, Robert A.

doi:10.1111/ajad.12603

Cited by 17 publications

(23 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Substance use disorders were the most common conditions examined in studies, including studies focused solely on veterans with alcohol use disorder (Finlay et al, 2018; McQuaid et al, 2000; Moore, Fuehrlein, & Rosenheck, 2017; Richards, Goldberg, Anderson, & Rodin, 1990), opioid use disorder (Craig, 1980; Finlay et al, 2016; Rothbard et al, 1999), or co-occurring substance use and other mental health diagnoses (Mohamed, 2013; Timko, Finlay, Schultz, & Blonigen, 2017; Wenzel et al, 1996). Some studies investigated the prevalence of multiple mental health and substance use disorder conditions, reporting on these conditions and healthcare utilization among justice-involved veterans (e.g., Finlay et al, 2017; Finlay, Smelson, et al, 2016).…”

Section: Resultsmentioning

confidence: 99%

A scoping review of military veterans involved in the criminal justice system and their health and healthcare

et al. 2019

View full text Add to dashboard Cite

Background In the criminal justice system, special populations, such as older adults or patients with infectious diseases, have been identified as particularly vulnerable to poor health outcomes. Military veterans involved in the criminal justice system are also a vulnerable population warranting attention because of their unique healthcare needs. This review aims to provide an overview of existing literature on justice-involved veterans’ health and healthcare to identify research gaps and inform policy and practice. Methods A systematic search was conducted to identify research articles related to justice-involved veterans’ health and healthcare that were published prior to December 2017. Study characteristics including healthcare category, study design, sample size, and funding source were extracted and summarized with the aim of providing an overview of extant literature. Results The search strategy initially identified 1830 unique abstracts with 1387 abstracts then excluded. Full-text review of 443 articles was conducted with 252 excluded. There were 191 articles included, most related to veterans’ mental health (130/191, 68%) or homelessness (24/191, 13%). Most studies used an observational design (173/191, 91%). Conclusions Knowledge gaps identified from the review provide guidance on future areas of research. Studies on different sociodemographic groups, medical conditions, and the management of multiple conditions and psychosocial challenges are needed. Developing and testing interventions, especially randomized trials, to address justice-involved veterans care needs will help to improve their health and healthcare. Finally, an integrated conceptual framework that draws from diverse disciplines, such as criminology, health services, psychology, and implementation science is needed to inform research, policy and practice focused on justice-involved veterans. Electronic supplementary material The online version of this article (10.1186/s40352-019-0086-9) contains supplementary material, which is available to authorized users.

show abstract

Section: Resultsmentioning

confidence: 99%

A scoping review of military veterans involved in the criminal justice system and their health and healthcare

et al. 2019

View full text Add to dashboard Cite

show abstract

“…In our study, the prevalence of delirium in alcohol dependent individuals were found to be 39.88%, which was pretty high compared to previous studies. 1,[11][12][13] It might be due to lockdown, only severe cases were able to come to the hospital whereas mild cases didn't attend the hospital. Similar to our finding, a study in Germany (2000), shown the proportion of patients with DT among patients with Alcohol Dependence Syndrome as 13.5%.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of alcohol dependence syndrome cases with and without delirium during the first phase of lockdown in Telangana

Rao¹,

Aditya²,

M³

2020

Telangana J Psychiatry

View full text Add to dashboard Cite

Objectives: To determine the prevalence, association of socio-demographic factors, medical comorbidities with delirium in alcohol dependence syndrome individuals hospitalized during the lockdown period. Design: 667 alcohol-dependent patients attending the institute of mental health, Hyderabad during the 1st phase of lockdown were studied retrospectively with the help of hospital records. Results: Out of 667 samples 266 individuals presented with delirium. There is no significance of sociodemographic factors on delirium except sex. There is a positive correlation between severity of dependence (r=0.26, p=0.000), number of drinks (r=0.271, p=0.000) per day, duration of intake of substance (r=0.137, p=0.000) with delirium. Individuals with medical comorbidity hypertension, both hypertension and diabetes have presented a greater number of delirium cases. Conclusion: Current lockdown scenario is the first time we had faced. We found a greater prevalence of delirium in alcohol dependence cases which is a threat to the health care system. Hence further research in risk factors involving delirium presentation is needed. Stringent rules to control alcohol dependence to avoid a similar situation in the future and effective management of health care facilities are needed.

show abstract

“…По другим данным, тяжелый ААС, проявляющийся судорогами, развитием белой горячки, отмечается у 15 % таких пациентов и требует проведения лечения в условиях отделения реанимации и интенсивной терапии, в два раза увеличивая продолжительность пребывания в стационаре [7,8]. Встречаемость тяжелых форм алкогольной зависимости, по данным ряда статистических исследований, наиболее высока в лечебно-профилактических учреждениях и отделениях реанимации и интенсивной терапии [9][10][11][12][13][14].…”

Section: диагностика и интенсивная терапия церебральной недостаточносunclassified

Delirium tremens: early diagnosis and intensive care guidelines. Review

Muronov

2020

Annals of Critical Care

View full text Add to dashboard Cite

Alcoholic delirium is a formidable complication of severe alcohol withdrawal syndrome. It is often formed in patients of hospitals and departments of anesthesiology and intensive care, as a result of the forced cessation of alcohol consumption. Its formation is associated with an increase in the length of hospital stay and mortality. The review discusses modern approaches to the diagnosis, especially early, of this condition, its intensive care and methods of non-drug correction.

show abstract

Delirium tremens and alcohol withdrawal nationally in the Veterans Health Administration

Abstract: This national study identifies sociodemographic characteristics, comorbidities, and service utilization patterns associated with WNDT and DT.(Am J Addict 2017;26:722-730).

Cited by 17 publications

References 32 publications

A scoping review of military veterans involved in the criminal justice system and their health and healthcare

A scoping review of military veterans involved in the criminal justice system and their health and healthcare

Prevalence of alcohol dependence syndrome cases with and without delirium during the first phase of lockdown in Telangana

Delirium tremens: early diagnosis and intensive care guidelines. Review

Contact Info

Product

Resources

About