Session Type
Meeting
Search Results for Alcohol
Abstract Number: 277
SHM Converge 2024
Background: Alcohol withdrawal is a common reason for admission to acute care hospitals. The American Society of Addiction Medicine (ASAM) has proposed that prescription of medications for alcohol use disorder (AUD) and timely outpatient follow-up are important quality measures for inpatient detoxification, but few studies report the frequency of AUD medications and subsequent follow-up for […]
Abstract Number: 277
SHM Converge 2021
Background: Alcohol use disorder (AUD) has a lifetime prevalence of 29% in the United States and prevalence is higher among military veterans. Discontinuation of alcohol use in patients with AUD presents a risk for alcohol withdrawal syndrome (AWS). A recent retrospective analysis of Veterans Health Administration (VHA) data estimated AWS occurred in 5.8% of inpatient […]
Abstract Number: 301
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Cardiac telemetry is frequently overused in the hospital. Our institution requires telemetry while patients are on the Clinical Institute Withdrawal Assessment (CIWA) protocol, regardless of the presence or severity of alcohol withdrawal (AW). Telemetry use in this population has not been studied or incorporated into guidelines, however some patients may need monitoring for co-existing indications. […]
Abstract Number: 368
SHM Converge 2023
Background: Approximately 5% of patients hospitalized at our institution develop clinically significant alcohol withdrawal syndrome (AWS). Inpatients who develop AWS may experience seizures, delirium, ICU transfer and prolonged length of stay. While the mortality of AWS, mostly related to delirium tremens, has decreased over time, severe alcohol withdrawal is still associated with a mortality of […]
Abstract Number: 383
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: The patient is a 32-year-old male with a history of alcohol abuse who presented with two days of right upper quadrant pain and non-bloody emesis. He denied any prior diagnosis of liver disease (although alluded to a family history of cirrhosis), renal disease, confusion, or jaundice. He reported drinking a fifth of liquor […]
Abstract Number: 385
SHM Converge 2021
Case Presentation: Mr. O is a 28 year old Navy cadet with no significant past medical history who presented to the Emergency Department with three days of malaise, nausea, polyuria, and polydipsia in the setting of recent steroids for a new rash. On presentation, Mr. O’s glucose returned at 624 mg/dL, pH was 7.28 and […]
Abstract Number: 402
Hospital Medicine 2020, Virtual Competition
Background: New Mexico has the highest number of alcohol-related deaths in the country, a title held since 1981. Nationally 1 in 10 deaths in working-aged adults are alcohol-associated whereas in New Mexico the ratio is 1 in 6 deaths. About 130,000 New Mexicans report alcohol dependence or abuse within the past year, but only 3% […]
Abstract Number: 405
SHM Converge 2024
Background: Between 5-30% of hospitalized patients screen positive for unhealthy alcohol use (UAU), and roughly 10-15% of patients have alcohol use disorder (AUD). Brief counseling and medications for AUD are shown to reduce alcohol consumption yet are underutilized in hospitals: over 90% of patients nationally are not screened and treated for UAU. Purpose: To increase […]
Abstract Number: 416
SHM Converge 2021
Case Presentation: A 30 year old woman with a history of alcoholic cirrhosis, episodes of alcoholic hepatitis and pancreatitis, was transferred to a tertiary care hospital from a community hospital for a liver transplant evaluation. On admission, she had a MELD score of 33. The patient was not a candidate for liver transplant due to […]
Abstract Number: 432
Hospital Medicine 2020, Virtual Competition
Background: Prevalence of alcohol use disorder (AUD) on inpatient medicine wards exceeds 40%. Only 50% of these patients develop alcohol withdrawal, of whom only 5-20% develop complicated alcohol withdrawal syndromes (AWS) that warrant treatment and monitoring. Overutilization of the Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised (CIWA-Ar) scale is well-reported in the literature. CIWA-Ar […]