TY - JOUR AU - Lodthanong, Songpon AU - Piyavhatkul, Nawanant AU - Arunpongpaisal, Suwanna AU - Paholpak, Pongsatorn AU - Bunphoon, Sanguan PY - 2015/09/07 Y2 - 2024/03/29 TI - Remission rate of Alcohol Withdrawal Syndorme using the Srinagarind Hospital Clinical Practice Guideline JF - Journal of the Psychiatric Association of Thailand JA - J Psychiatr Assoc Thailand VL - 60 IS - 2 SE - Original Articles DO - UR - https://he01.tci-thaijo.org/index.php/JPAT/article/view/36255 SP - 139-148 AB - <strong><strong></strong></strong><p align="justify">Objective :</p><strong><span style="font-size: large;"><strong></strong><span style="font-family: UPC-Cordia,UPC-Cordia; font-size: large;"><span style="font-family: UPC-Cordia,UPC-Cordia; font-size: large;">To study the clinical outcomes of alcohol withdrawal syndrome in terms of the remission rate and major complications using the Srinagarind Hospital Clinical Practice Guideline. </span></span></span></strong><strong><strong></strong></strong><p align="justify">Methods :</p><strong><span style="font-size: large;"><strong></strong><span style="font-family: UPC-Cordia,UPC-Cordia; font-size: large;"><span style="font-family: UPC-Cordia,UPC-Cordia; font-size: large;">This was a prospective descriptive study of patients between 18 and 65, diagnosed with alcohol withdrawal, alcohol withdrawal seizure or alcohol withdrawal delirium as per the DSM-IV-TR</span></span><strong><span style="font-size: large;">, </span></strong><span style="font-family: UPC-Cordia,UPC-Cordia; font-size: large;"><span style="font-family: UPC-Cordia,UPC-Cordia; font-size: large;">hospitalized at the psychiatric unit between May 18, 2013, and May 31, 2014. All patients were treated according to the Srinagarind Hospital Clinical Practice Guideline. The data were analyzed using percentage, mean, standard deviation and survival analysis. </span></span></span></strong><strong><strong></strong></strong><p align="justify">Results : The</p><strong><span style="font-size: large;"><strong></strong><span style="font-family: UPC-Cordia,UPC-Cordia; font-size: large;"><span style="font-family: UPC-Cordia,UPC-Cordia; font-size: large;">43 patients were included in this study, 35 had CIWA-Ar scores of ≥8 and only 8 had a CIWA-Ar score &lt; 8 throughout the hospitalization. The respective remission rate (CIWA-Ar score &lt; 8) by day 3, 4 and 5 of treatment was 82.9%, 91.4% and 100%. The median time to remit from alcohol withdrawal syndrome was on the 3</span></span><span style="font-family: UPC-Cordia,UPC-Cordia; font-size: xx-small;"><span style="font-family: UPC-Cordia,UPC-Cordia; font-size: xx-small;">rd </span></span><span style="font-family: UPC-Cordia,UPC-Cordia; font-size: large;"><span style="font-family: UPC-Cordia,UPC-Cordia; font-size: large;">day of treatment. There were no major complications or mortality. </span></span></span></strong><strong><strong></strong></strong><p>Conclusion :</p><strong><span style="font-size: large;"><strong></strong><span style="font-family: UPC-Cordia,UPC-Cordia; font-size: large;"><span style="font-family: UPC-Cordia,UPC-Cordia; font-size: large;">The Srinagarind Hospital Clinical Practice Guideline is effective for treatment of alcohol withdrawal syndrome as alcohol withdrawal symptoms were relieved rapidly within 5 days of therapy without major complications or mortality. </span></span></span></strong> ER -