Consultant, Psychiatry Unit, BARC Hospital, Mumbai, India.
General Practitioner, DHA Fitness Centre, HHC, Dubai, UAE.
J Addict Dis. 2021 Jan-Mar;39(1):105-108. doi: 10.1080/10550887.2020.1826103. Epub 2020 Oct 20.
Alcohol use disorder (AUD) is a significant public health problem across all regions of the world. Overall evidence regarding outcomes is available from western regions. Detoxification is one of the first steps in treating AUDs. The following case note review looks at community detoxification outcomes in a naturalistic setting. We looked at 100 clients with domiciliary detoxification. We found only 35% had a favorable outcome (follow up as advised) while 65% had unfavorable outcomes (lost to follow up or required admission). Trends of higher alcohol use (units/day) were seen in the unfavorable group. We also found that having a medical co-morbidity was associated with unfavorable outcome. In resource poor setting like our country there is a need to look at ways to enhance home detoxification programs; use of technology and supervised monitoring could probably improve the outcomes.
酒精使用障碍（AUD）是全球所有地区的一个重大公共卫生问题。关于结局的总体证据来自西方地区。脱毒是治疗 AUD 的第一步。以下病例记录回顾了自然环境下社区脱毒的结局。我们观察了 100 名接受家庭脱毒治疗的患者。我们发现只有 35%的患者有良好的结局（按建议进行随访），而 65%的患者结局不佳（失访或需要住院治疗）。在结局不佳的患者中，酒精使用量（单位/天）呈上升趋势。我们还发现，合并躯体共病与结局不佳相关。在像我们国家这样资源匮乏的环境中，需要寻找方法来加强家庭脱毒方案；使用技术和监督监测可能会改善结局。
