Spectrum of Alcohol-Related Morbidities in Patients Presenting to Medical Emergency
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 7
Abstract
Background: Alcohol dependency and alcohol abuse is a major health care objective being faced by doctors during emergency services. Prompt specialized examination, pathological examination and social therapy should be initiated for early treatment of patients with alcohol problems. This study was conducted to find out the spectrum and burden of alcohol-specific and alcohol-related diseases in patients in the department of medicine. Materials and Methods: This propective one-year study was conducted on 800 patients greater than 18 years of age presenting to the emergency department with alcohol attribute disorders. Detailed history was taken and examination was conducted. History of alcohol intake was assessed according to “Six question set” recommended by National Institute of Alcohol Abuse and Alcoholism. Investigations included complete haemogram, biochemical variables, liver function tests, chest radiograph, electrocardiogram and ultrasonography abdomen. Data collected was presented in the form of frequencies and percentages. Chi-square test was applied wherever comparison was to be made. Results: Alcohol attribute disorders were recorded to be 3.40% of the total number of admissions. Majority of the cases were those of chronic alcohol attribute disorders (92.50%). Male gender dominated the study group (99.50%) with most being in the age group of >50 years (56.50%). Most cases were from the rural areas (58%). More cases of chronic alcohol consumers were observed (60%) taking more than 81 grams alcohol per day. Also 80% subjects were consuming alcohol for more than 16 years and majority (71.89%) of them were diagnosed with alcoholic liver disease, followed by alcohol induced pancreatitis (14.05%). Conclusion: Alcoholic liver disease occurs in patients who consume excessive amounts of alcohol. Early diagnosis, appropriate management in the form of pharmacotherapy and counselling can help in minimizing the progression to fatal complications.
Authors and Affiliations
Pankaj Singh
Keywords
Related Articles
- EP ID EP526444
- DOI -
- Views 69
- Downloads 0
Negative Pressure Wound Therapy: A Promising Weapon in the Therapeutic Wound Management Armamentarium
Management of infected non healing wounds or the classically described hard to heal ulcers continue to pose a challenge to attending surgeon. Newer methods are being evolved to meet the challenge. The concept of negative...
Encephalotrigeminal Hemangiomatosis: Two Case Reports
Encephalotrigeminal Hemangiomatosis also known as sturge- weber syndrome is specifically congenital, non-hereditary, rare condition occurring with a frequency of 1:50,000 live births, with equal predilection for either s...
Prevalence of Dengue in Mumbai, Maharashtra
Background: Dengue, a mosquito borne viral infection, caused by a positive stranded RNA (Ribonucleic Acid) virus of the Flaviviridae family with four distinct serotypes (Dengue Virus 1 to 4) is a major cause of morbidity...
Surgical Management of Male Breast Cancer: A Tertiary Care Centre Experience
Male breast cancer is an extremely rare condition with an incidence of 1/100000 men. The peak incidence is around the seventh decade of life. Risk factors for male breast cancer include genetic factors and hormonal abnor...
To Evaluate the effect of Dexmedetomidine Pretreatment on Myoclonus during Anaesthetic Induction with Etomidate
Etomidate is frequently used nowadays as an inducing agent in patients with compromised cardiovascular function, but it leads to undesirable side effects like myoclonus during induction. Several drugs have been considere...