Buscar en
Medicina Clínica (English Edition)
Toda la web
Inicio Medicina Clínica (English Edition) Incidence rates of admissions associated with alcohol withdrawal syndrome in Spa...
Journal Information
Share
Share
Download PDF
More article options
Original article
Incidence rates of admissions associated with alcohol withdrawal syndrome in Spain: Analysis of minimum basic data set 1999–2010
Tasas de incidencia de ingresos asociados a síndrome de abstinencia alcohólica en España: análisis del conjunto mínimo básico de datos 1999–2010
Raquel Gómez-Méndeza,
Corresponding author
raquel.gomez.mendez@gmail.com

Corresponding author.
, Rafael Monte-Secadesa, Pablo Ventura-Valcárcelb, Ramón Rabuñal-Reya, Héctor Guerrero-Sandea, Antonio J. Chamorro-Fernándezc, Sonia Pértega-Díazd, Grupo de Alcohol y Alcoholismo SEMI
a Servicio de Medicina Interna, Hospital Universitario Lucus Augusti, Lugo, España
b Servicio de Medicina Interna, Hospital da Costa, Burela (Lugo), España
c Servicio de Medicina Interna, Hospital Universitario de Salamanca, Salamanca, España
d Servicio de Epidemiología y Estadística, Complejo Universitario Hospitalario de A Coruña, A Coruña, España
Received 09 May 2017. Accepted 02 November 2017
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Figures (2)
Tables (3)
Table 1. Admission rate per 100,000 inhabitants associated with AWSa, global in Spain and distributed by autonomous regions in the period 1999–2010.
Table 2. Most frequent secondary diagnoses in patients with AWS as main diagnosisa. Data in number and percentage (%).
Table 3. Main diagnoses in patients with secondary diagnosis of AWSa. Data in number and percentage (%).
Show moreShow less
Abstract
Background

There are no data on the incidence of admissions associated with alcohol withdrawal syndrome (AWS) or about its trend over time in Spain.

Objective

To analyze the characteristics, incidence rates and trends over time of hospital admissions associated with AWS in Spanish public hospitals.

Material and method

Analysis from the Spanish public hospitals minimum basic data set of hospital admissions with AWS (CIE9-MC 291.81), alcohol withdrawal delirium (CIE9-MC 291.0) and alcohol withdrawal hallucinosis (CIE9-MC 291.3), since 1999 to 2010.

Results

We identified 56,395 admissions associated with AWS. Mean age was 50.9 (SD 12.5) and 88% were male. The most frequent admission department was Internal Medicine (24.9%). The mean hospital stay was 12.6 days (SD 14.4) and mortality was 4.7%; 62.6% of cases developed AWS during an admission for another reason, mostly due to alcohol-related pathologies. Secondary diagnoses in patients hospitalized for AWS were related to alcohol consumption in more than half of the cases. The incidence rate of admissions associated with AWS in Spain remained stable from 1999 to 2010, with a small decline in the last 3 years of the period. The communities with the highest incidence were the Canary Islands, the Balearic Islands and Galicia.

Conclusions

The incidence rate of admissions associated with AWS in Spanish public hospitals in the period 1999–2010 has remained stable with slight changes. There are differences in the incidence of AWS among the different autonomous communities.

Keywords:
Alcohol withdrawal
Incidence
Epidemiology
Resumen
Introducción

No existen datos acerca de la incidencia de ingresos asociados a síndrome de abstinencia alcohólica (SAA) ni sobre su evolución en los últimos años en España.

Objetivos

Analizar las características, tasas de incidencia y tendencia evolutiva de los ingresos hospitalarios asociados a SAA en hospitales públicos españoles.

Material y método

Análisis de la base de datos del CMBD de hospitales públicos españoles de los ingresos hospitalarios con SAA (CIE9-MC 291.81), delirio por abstinencia alcohólica (CIE9-MC 291.0) o alucinosis por abstinencia alcohólica (CIE9-MC 291.3), entre los años 1999 y 2010.

Resultados

Se registraron 56.395 ingresos asociados a SAA. La edad media fue de 50,9 años (DE 12,5) y el 88% eran hombres. El servicio de ingreso más frecuente fue Medicina Interna (24,9%). La estancia media global fue de 12,6 días (DE 14,4) y la mortalidad del 4,7%. El 62,6% desarrollaron SAA durante un ingreso por otro motivo, en su mayoría por enfermedades relacionadas con el alcohol. Los diagnósticos secundarios en pacientes que ingresaron por SAA tenían relación directa o indirecta con el consumo de alcohol en más de la mitad de los casos. La tasa de incidencia de ingresos en España asociados a SAA se mantuvo estable entre 1999 y 2010, con un ligero descenso en los 3 últimos años del periodo. Las comunidades con mayor incidencia fueron Canarias, Baleares y Galicia.

Conclusiones

La incidencia de ingresos asociados a SAA en hospitales públicos españoles se ha mantenido estable con pequeñas modificaciones en el periodo 1999–2010. Existen diferencias en la incidencia de ingresos asociados a SAA entre las diferentes comunidades autónomas.

Palabras clave:
Abstinencia alcohólica
Incidencia
Epidemiología

Article

These are the options to access the full texts of the publication Medicina Clínica (English Edition)
Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Medicina Clínica (English Edition)

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
E-mail
Article options
Tools
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos