Quelch Darren, Pucci Mark, Marsh Alexander, Coleman Jamie, Bradberry Sally
Great Western Hospitals NHS Foundation Trust, UK.
University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Future Healthc J. 2019 Jun;6(2):137-142. doi: 10.7861/futurehosp.6-2-137.
An evaluation was performed to assess efficacy and resource utilisation of an elective inpatient alcohol detoxification service at a large inner-city teaching hospital. Abstinence rates at 3, 6 and 12 months post-detoxification were 68.1, 44.7 and 36.2%, respectively. Relapse was associated with referrals from acute hospital services, previous detoxifications, longer time between referral and admission for detoxification, presence of alcohol in the blood on the day of admission and requirement for benzodiazepines during withdrawal. The service operates within the national 18-week referral target and runs at a cost substantially lower than that of residential alcohol detoxification facilities but with similar sobriety rates. We demonstrate that elective detoxification with specialist follow-up provides an effective service both in terms of patient outcomes and resource use. Further investment in these services at both local and national level should be considered.
对一家大型市中心教学医院的选择性住院酒精解毒服务的疗效和资源利用情况进行了评估。解毒后3个月、6个月和12个月的戒酒率分别为68.1%、44.7%和36.2%。复发与急性医院服务的转诊、先前的解毒、转诊至入院进行解毒的时间间隔较长、入院当天血液中存在酒精以及戒断期间需要使用苯二氮卓类药物有关。该服务在国家规定的18周转诊目标内运作，成本远低于住院酒精解毒设施，但戒酒率相似。我们证明，进行专科随访的选择性解毒在患者治疗结果和资源利用方面都提供了有效的服务。应考虑在地方和国家层面进一步投资于这些服务。
