Monras Miquel, Ortega Lluisa, Mondon Silvia, Balcells Merce, Gual Antoni
Unidad de Alcohología, Institut Clínic de Psiquiatria i Psicologia, Hospital Clínic de Barcelona, Barcelona, Spain.
Med Clin (Barc). 2004 Oct 23;123(14):521-6. doi: 10.1016/s0025-7753(04)74584-4.
Our objective was to study the outcome and compliance of both medical and alcoholism treatment in alcoholics discharged from a general hospital.
This was a 2 years prospective follow up study of a cohort of 100 inpatients referred to the Alcohol Unit during the first semester of 1998.
After 2 years, 9 patients had died and 14 had been referred to other hospitals. 15% of patients refused medical treatment from the beginning and alcoholism treatment was initially refused by 31% of alcoholics. At 2 years of follow up, compliance rates were 46% for medical treatment and 10% for alcoholism treatment. All patients under treatment for alcoholism were also good compliers of medical treatment. Survival analysis for alcoholism treatment at 2 years was 19%, with higher rates in patients with psychosocial problems and previous alcohol consultations. The probability of being alive was 89%.
Few alcoholics are detected. Most of them display high levels of severity and poor prognosis, with high mortality rates. Compliance with follow up treatment is low. There is a clear correlation between compliance of alcoholism and medical treatment.
我们的目的是研究从综合医院出院的酗酒者接受药物治疗和戒酒治疗的结果及依从性。
这是一项对1998年上半年转至戒酒科的100名住院患者进行的为期2年的前瞻性随访研究。
2年后，9名患者死亡，14名患者转至其他医院。15%的患者从一开始就拒绝药物治疗，31%的酗酒者最初拒绝戒酒治疗。随访2年时，药物治疗的依从率为46%，戒酒治疗的依从率为10%。所有接受戒酒治疗的患者对药物治疗的依从性也很好。2年时戒酒治疗的生存分析显示生存率为19%，有社会心理问题和既往有酒精咨询史的患者生存率较高。存活概率为89%。
发现的酗酒者很少。他们中的大多数病情严重程度高、预后差，死亡率高。后续治疗的依从性较低。戒酒治疗与药物治疗的依从性之间存在明显关联。
