Profile of Alcohol-Dependent Patients Admitted in De-addiction Ward of Tribhuvan University Teaching Hospital (TUTH), Kathmandu

Dhungana, Saraswati; Ojha, Saroj Prasad; Chapagain, Manisha; Talachan, Pratikchya; Pant, Sagun Ballav; Mishra, Anurag

doi:10.3126/jpan.v6i1.21771

Cited by 2 publications

(4 citation statements)

References 7 publications

(14 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Though number of female alcohol use and dependence has increased, the number of male gender has always out number females. Similar study done in TUTH, Nepal 13 had 90% of male patient and average age was 39.9 +/-9.4 years which was similar to our study where average age was 41.39(SD-10.41).…”

Section: Discussionsupporting

confidence: 91%

“…We had 54 % of patient admitted in our setting had complicated withdrawal and similar findings were found in other studies. 13 As per Dhungana et al 13 , complicated withdrawal features were seen in 52 % of the admitted patients with diagnosis of alcohol dependence.…”

Section: Discussionmentioning

confidence: 81%

“…In study done by Dhungana et al it was 13 days. 13 The difference in admission duration is less compare to rehab centers. This also reflects that majority of inpatient centers focus on alcohol withdrawal detoxification and less emphasis on counseling services or motivational therapy.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

A Comparative Study of Clinical Profile, Metabolic Parameters and Outcome of Patient Among Subtypes of Alcohol Dependence Syndrome in Tertiary Level Hospital of Kathmandu Valley

Pokhrel

Rai

et al. 2019

Nep. Med. J.

View full text Add to dashboard Cite

Introduction: Alcohol is a legally allowed substance used for recreation associated with harmful health consequences both on using it and trying to quit (withdrawal phase). Many patients of alcohol dependence are brought to hospital or emergency in the withdrawal phase and require intensive treatment. It’s associated with life threatening conditions and associated with occurrences of seizures and confusion. Based on severity, it can be subtyped and managed differently. The study tries to compare and contrast the subtypes of withdrawal phases of alcohol in terms of clinical, outcome and metabolic parametersMaterials and Methods: This is a cross-sectional study of all patients diagnosed as alcohol dependence syndrome admitted over a period of two years (June 2016 to June 2018) in the psychiatric ward of KIST medical college and teaching hospital. It’s divided into two phases namely complicated and uncomplicated phase and clinical, outcome and metabolic parameters are compared and contrasted.Results: Out of 166 patients studied, 54% of the patients were diagnosed with complicated withdrawal features. Significant changes were noticed in increase duration of stay, low level of platelets and potassium and SGPT levels in a complicated group compare to the uncomplicated group. Mortality was not seen in any of the groupConclusions: Patients can be treated in-ward setting successfully and if the diagnosis is of complicated withdrawal then metabolic parameters like potassium, platelet level has to be taken into consideration. Complicated withdrawal features increase the chance of morbidity and increase the duration of stay.

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 81%

See 1 more Smart Citation

A Comparative Study of Clinical Profile, Metabolic Parameters and Outcome of Patient Among Subtypes of Alcohol Dependence Syndrome in Tertiary Level Hospital of Kathmandu Valley

Pokhrel

Rai

et al. 2019

Nep. Med. J.

View full text Add to dashboard Cite

show abstract

“…Ethinicity wise majority of patients were khasarya 48.6% as shown in other studies as well. (12,13) However multivariate logistic regression shows Janjati (newar, tamang, magar, rai, gurung, etc) and others(apart from janajati) has high risk than khas-arya to develop delirium tremens. As per our knowledge no studies has been done in severity of AWS with ethnicity in Nepal.…”

Section: Discussionmentioning

confidence: 99%

Prevalence And Correlates Of Delirium tremens In Alcohol Dependence Syndrome At Tertiary Hospital

Paudyal

Tiwari²,

Chhetri

et al. 2020

J Psychiatr Assoc Nepal

View full text Add to dashboard Cite

Introduction: The prevalence of Delirium tremens (DT) is around 5-12%. Very few studies have looked into the prevalence of DT in general population and has shown varying results. The study aims at finding the prevalence of delirium tremens among alcohol dependents (AD) and a comparison of profiles of alcohol withdrawal syndrome (AWS) with DT and AWS without DT. Material And Method: A case- control study was conducted in patients diagnosed as Alcohol dependent syndrome and admitted in Psychiatry in-patient ward for detoxification. Socio demographic and clinical variables were assessed and compared between alcohol dependents who developed DT and who did not developed DT. Results: 24% of the patients with AD had/developed delirium tremens. The multivariate regression analysis model shows variables like Age>50years (AOR= 75.7,95% C.I=7.8-730), Caste(Janjati: AOR=4.2, 95% C.I=1.329-13.23,) and unemployment(AOR=54.2, 95%C.I=3.8-765.254),longer length(years) of alcohol consumption >20 years(AOR= 305,95%CI=3.4-2711),presentation within 48-72 hrs since the last intake of alcohol (AOR=923,95%CI=38-22333),absence of nicotine consumption(AOR=40,95%C.I.=1.66-967) were significantly associated with development of delirium tremens. Similarly, those with educational status of higher secondary and above (AOR=0.7, 95% C.I =0.73-1.43), past history of absence of DT (AOR=0.013, 95% C.I=0.0002-0.77), less frequent intake of alcohol <3 times/week (AOR=0.001,95%C.I=0.001-0.07) had less likely developed DT. These significant variables were further assessed for their ability to predict the occurrence of delirium tremens in ROC and area under the curve for age, duration since last alcohol intake and years of intake of alcohol were respectively = 0.799, 0.843 and 0.765. Conclusion: Three features findings (older Age, more years of intake of alcohol, more hrs since last intake of alcohol) were more likely seen in delirium tremens patients.

show abstract

Profile of Alcohol-Dependent Patients Admitted in De-addiction Ward of Tribhuvan University Teaching Hospital (TUTH), Kathmandu

Cited by 2 publications

References 7 publications

A Comparative Study of Clinical Profile, Metabolic Parameters and Outcome of Patient Among Subtypes of Alcohol Dependence Syndrome in Tertiary Level Hospital of Kathmandu Valley

A Comparative Study of Clinical Profile, Metabolic Parameters and Outcome of Patient Among Subtypes of Alcohol Dependence Syndrome in Tertiary Level Hospital of Kathmandu Valley

Prevalence And Correlates Of Delirium tremens In Alcohol Dependence Syndrome At Tertiary Hospital

Contact Info

Product

Resources

About