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QJM Advance Access originally published online on August 20, 2009
QJM 2009 102(11):773-780; doi:10.1093/qjmed/hcp116
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© The Author 2009. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

A multi-centre survey of inpatient pharmacological management strategies for alcohol withdrawal

D. Ward1, N. Murch2, G. Agarwal3 and D. Bell4

From the 1Royal London Hospital, 2Ealing Hospital, Chelsea and Westminster Hospital, London, UB1 3HW, 3St Thomas’ Hospital, London, SW10 9NH and 4Imperial College, Chelsea and Westminster Hospital, London, UB1 3HW, UK

Address correspondence to Prof. D. Bell, Imperial College London, Chelsea & Westminster Hospital, 369 Fulham Road, London SW10, UK. email: d.bell{at}imperial.ac.uk

Received 1 June 2009 and in revised form 22 July 2009


  Abstract

Background: It is well recognized that alcohol is a growing problem in the UK with significant morbidity and mortality and associated resource implications for the National Health Service (NHS). The inpatient management of alcohol withdrawal is felt to be variable between hospitals. The aim of this study was to assess the variation in pharmacological management and acute inpatient alcohol services across NHS hospitals in the UK.

Method: A web-based survey was distributed to Society for Acute Medicine (SAM) members and others with an interest in Acute Medicine between January and March 2008.

Results: The results suggest poor utilization of guidelines, variable drug regimens and differences in acute alcohol-related support services.

Conclusion: In response to these findings, we suggest that a simplified national approach is required for what is now recognized to be an epidemic problem.


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