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Analysis of risk factors in patients with alcohol delirium who have been treated at the riga psychiatry and narcology center in 2018

Published online by Cambridge University Press:  13 August 2021

K. Kurzemnieks
K. Kurzemnieks*
Affiliation:
Narcology, Riga Psychiatry and Narcology Center, Rīga, Latvia

Abstract

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Introduction

Alcohol abuse can be the cause for psychotic disorders. In the International Classification of Diseases (ICD10) they are coded F10.4-F10.9. One of the potentially life-threatening complications is the development of alcohol delirium. Mortality rates in patients with untreated alcohol delirium reach 15%. It is extremely important to identify the risk factors that contribute to the development of delirium in time to ensure the most effective treatment and to ensure the patient’s potential survival in the hospitalization and post-hospitalization phase.

Objectives

To analyze and evaluate the risk factors that have coused alcohol withdrawal with the development of delirium in patients admitted at the department of Narcology of the Riga Psychiatry and Narcology Center in 2018.

Methods

This study is a retrospectively conducted cohort study based on data from inpatient medical records for patients diagnosed with alcohol-induced delirium at the Department of Narcology of the Riga Psychiatry and Narcology Center in Year 2018.

Results

In the Riga Psychiatry and Narcology Center 113 patients were diagnosed alcohol caused delirium. That makes up to 8% of all inpatients in year 2018. Summary of the prevalence of the most significant risk factors in 2018 inpatients with alcohol delirium.

High levels of aspartate aminotransferase95%
Tachycardia76%
High levels of alanine aminotransferase54%
Low platelet count51%
High systolic blood pressure50%
High diastolic blood pressure46%
Other somatic diseases45%
Previous history of detoxification37%
History of alcohol-induced seizures13%

Conclusions

The study indicated that some easily determined parameters are potential clinical predictors for the development of delirium tremens.

Disclosure

No significant relationships.

Keywords

delirium tremensPredictorsalcoholismalcohol withdrawal
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S819
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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