Alcohol withdrawal epidemiology and demographics: Difference between revisions

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{{Alcohol withdrawal}}
{{Alcohol withdrawal}}
{{CMG}}; {{AE}} {{SHA}} {{ADI}}; {{KS}}
{{CMG}}; {{AE}} {{SHA}} {{ADI}}; {{KS}}
==Epidemiology and Demographics==
===Prevalence===
The prevalence of alcohol withdrawal is:
:* Approximately 50,000 per 100,000 (50%) in highly functional middle class.
:* > 80,000 per 100,000 (>80%) in hospitalized or homeless<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref>
* Between 13% and 71% of persons admitted for alcohol detoxification have evidence of alcohol withdrawal symptoms.
* Approximately 3% of [[chronic alcoholics]] develop withdrawal [[seizures]]. Five percent of patients with alcohol withdrawal develop [[delirium tremens]] (DTs), which is associated with a mortality of approximately 5%.


==Overview==
==Overview==
The incidence of [[alcohol]] dependence is approximately 8 million individuals, annually, in the United States, and about 50% of them experience [[alcohol]] withdrawal symptoms with decreased or discontinuation of [[alcohol]] consumption. [[Alcohol]] withdrawal is rare in patients <30 years old, and the severity increases with more age. 5% of patients with [[alcohol]] withdrawal will present with severe [[alcohol]] withdrawal symptoms including [[seizures]] and [[Delirium tremens|delirium tremens (DT)]]. 5% of patients with [[alcohol]] withdrawal and [[Delirium tremens|delirium tremens (DT)]] die from various [[complications]].
The incidence of [[alcohol]] dependence is approximately 8 million individuals, annually, in the United States, and about 50% of them experience [[alcohol]] withdrawal symptoms with decreased or discontinuation of [[alcohol]] consumption. [[Alcohol]] withdrawal is rare in patients <30 years old, and the severity increases with more age. 5% of patients with [[alcohol]] withdrawal will present with severe [[alcohol]] withdrawal symptoms including [[seizures]] and [[Delirium tremens|delirium tremens (DT)]]. 5% of patients with [[alcohol]] withdrawal and [[Delirium tremens|delirium tremens (DT)]] die from various [[complications]].


==Epidemiology and Demographics==
==Epidemiology and Demographics==
===Incidence===
===Incidence===
* The incidence of [[alcohol]] dependence is approximately 8 million individuals, annually, in the United States, and about 50% of them experience [[alcohol]] withdrawal symptoms with decreased or discontinuation of [[alcohol]] consumption.<ref name="pmid19168210">{{cite journal| author=Schuckit MA| title=Alcohol-use disorders. | journal=Lancet | year= 2009 | volume= 373 | issue= 9662 | pages= 492-501 | pmid=19168210 | doi=10.1016/S0140-6736(09)60009-X | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19168210  }} </ref><ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref>
* The incidence of [[alcohol]] dependence is approximately 8 million individuals, annually, in the United States, and about 50% of them experience [[alcohol]] withdrawal symptoms with decreased or discontinuation of [[alcohol]] consumption.<ref name="pmid19168210">{{cite journal| author=Schuckit MA| title=Alcohol-use disorders. | journal=Lancet | year= 2009 | volume= 373 | issue= 9662 | pages= 492-501 | pmid=19168210 | doi=10.1016/S0140-6736(09)60009-X | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19168210  }} </ref><ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref>


===Prevalence===
===Prevalence===
Line 36: Line 23:
===Age===
===Age===
* [[Alcohol]] withdrawal is rare in patients <30 years old, and the severity increases with more age.<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref>
* [[Alcohol]] withdrawal is rare in patients <30 years old, and the severity increases with more age.<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref>


===Gender===
===Gender===
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[[Category:Toxicology]]
[[Category:Toxicology]]
[[Category:Intensive care medicine]]
[[Category:Intensive care medicine]]
[[Category:Primary care]]

Latest revision as of 18:43, 23 November 2020



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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shakiba Hassanzadeh, MD[2] Aditya Govindavarjhulla, M.B.B.S. [3]; Kiran Singh, M.D. [4]

Overview

The incidence of alcohol dependence is approximately 8 million individuals, annually, in the United States, and about 50% of them experience alcohol withdrawal symptoms with decreased or discontinuation of alcohol consumption. Alcohol withdrawal is rare in patients <30 years old, and the severity increases with more age. 5% of patients with alcohol withdrawal will present with severe alcohol withdrawal symptoms including seizures and delirium tremens (DT). 5% of patients with alcohol withdrawal and delirium tremens (DT) die from various complications.

Epidemiology and Demographics

Incidence

  • The incidence of alcohol dependence is approximately 8 million individuals, annually, in the United States, and about 50% of them experience alcohol withdrawal symptoms with decreased or discontinuation of alcohol consumption.[1][2]

Prevalence

Case-fatality rate/Mortality rate

Age

  • Alcohol withdrawal is rare in patients <30 years old, and the severity increases with more age.[2]

Gender

References

  1. 1.0 1.1 Schuckit MA (2009). "Alcohol-use disorders". Lancet. 373 (9662): 492–501. doi:10.1016/S0140-6736(09)60009-X. PMID 19168210.
  2. 2.0 2.1 2.2 2.3 Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558.
  3. Schuckit MA (2014). "Recognition and management of withdrawal delirium (delirium tremens)". N Engl J Med. 371 (22): 2109–13. doi:10.1056/NEJMra1407298. PMID 25427113.
  4. VICTOR M, ADAMS RD (1953). "The effect of alcohol on the nervous system". Res Publ Assoc Res Nerv Ment Dis. 32: 526–73. PMID 13134661.
  5. Cutshall BJ (1965). "The Saunderssutton syndrome: an analysis of delirium tremens". Q J Stud Alcohol. 26 (3): 423–48. PMID 5858249.