Abstract

Objective:

To measure the effects of a quality improvement intervention on length of stay and benzodiazepine use among patients admitted for alcohol use disorder.

Methods:

This retrospective cohort study was performed at the Salt Lake City Veterans Affairs Medical Center. Patients 18 years and older admitted to a general medical ward with a diagnosis of alcohol related disorders who were treated for alcohol withdrawal were included. The baseline cohort included patients admitted over 12 months. The post-intervention cohort included patients admitted over 12 months. Primary outcomes were total benzodiazepine dose and length of stay. Secondary outcomes included episodes of delirium tremens and seizures.

Results:

Total benzodiazepine dose decreased significantly over the intervention period. Length of stay also decreased. No episodes of delirium tremens or seizures were observed.

Conclusions:

A quality improvement intervention directed at general medicine inpatients admitted for alcohol withdrawal was associated with reductions in total benzodiazepine administration and length of stay.

中文翻译：

---

改善普通内科病房酒精戒断管理的多方面质量改进干预措施：对苯二氮卓类药物使用的影响

摘要

客观的：

在因酒精使用障碍入院的患者中，衡量质量改进干预对住院时间和苯二氮卓类药物使用的影响。

方法：

这项回顾性队列研究在盐湖城退伍军人事务医疗中心进行。纳入普通内科病房、诊断为酒精相关疾病并接受戒酒治疗的 18 岁及以上患者。基线队列包括入院超过 12 个月的患者。干预后队列包括入院超过 12 个月的患者。主要结局是苯二氮卓类药物的总剂量和住院时间。次要结局包括震颤谵妄和癫痫发作。

结果：

在干预期间，苯二氮卓类药物的总剂量显着下降。逗留时间也减少了。没有观察到震颤谵妄或癫痫发作。

结论：

针对因戒酒而入院的普通内科住院患者的质量改进干预与苯二氮卓类药物总用量和住院时间的减少有关。