Abstract

PUERTA LOURO, R.; OTERO ANTON, E.  and  LORENZO ZUNIGA, V.. Epidemiology of alcohol withdrawal syndrome: Mortality and factors of poor prognostic. An. Med. Interna (Madrid) [online]. 2006, vol.23, n.7, pp.307-309. ISSN 0212-7199.

Introduction: Patients with alcoholism and alcohol withdrawal syndrome (AWS) have a worse prognostic. Methods: We have performed a retrospective analysis of the hospital discharges in with diagnosis include AWS from 1 of January of 1997 to the 31 of December of 2002. Results: We identified 924 hospital stays with 2.4% of mortality (1.6% in Internal Medicine). Mortality is associated with greater age (57 years ±15 vs. 49± 13, p < 0.005), with the diagnostic of hepatic cirrhosis (6.2 vs. 1.8%, p < 0.005), bacteraemia (10 vs. 1.8%, p < 0.001) and respiratory infection (9.6 vs. 1.8%, p < 0,001), with a lower mortality when AWS was secondary diagnosis (1.2 vs. 4.2%, p < 0.005). In multivariant analysis were associated with more mortality age (OR 1.03), hepatic cirrhosis (OR 3.4), bacteriemia (OR 4.5) and respiratory infection (OR 3.6). Conclusion: Alcohol withdrawal syndrome mortality could to benefit from treatment in an Internal Medicine Service.

Keywords : Alcoholism; Alcohol Withdrawal; Mortality.

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