[Alcohol-Addiction Inpatient: Characteristics of Patients and Rehabilitation Program.]

[Alcohol-addiction inpatient: characteristics of patients and rehabilitation program.]

Minerva Med. 2013 Apr; 104(2): 193-206
Zambon A, Soares Pinto SP, Agostini D, Aliotta F, Biondini F, Bizzi P, Cerizza G, Dattola A, Forghieri M, Giorgi I, Girardi F, Hinnenthal IM, Jaretti Sodano A, Liberto L, Majolino E, Mioni D, Movalli M, Pedretti L, Propato A, Ranaletti P, Spolaor G, Vizzuso P, Zucchi G, Vittadini G

Aim: The treatment of alcohol addiction in Italy has had a progressive evolution of therapeutic structures for in-and outpatiens. During the last 20 years there had been a crescent presence of short residential treatment facilities (1-6 months) characterized by a high level of medical and psychotherapeutic intervention. About two years ago 12 of them jointed together in an association called CORRAL (COordinamento of Residenzialità Riabilitive Alcologiche). The aim of this study was to describe the socio-demographic medical and other characteristics of the patients coming for this type of treatment and to describe the characteristics of the residential treatment itself including referring and aftercare. Methods: Two thousand sixty-one hospitalized patients of the 12 rehabilitative alcohol units were examined by using a questionnaire and collecting various sociodemographic variables and clinical diagnosis of the patients. Even it was asked who had referred the patients, the characteristics of the residential treatment and of the planned aftercare. Results: The present residential facilities are mainly distributed in the North of Italy. The typical patient is male, with a high school instruction and with a comorbidity regarding psychiatric and liver disorders. The majority of the patients were referred by the public ambulatory services for addictions (SerT/SerD). The characteristics of the residential treatment were medical, pharmacological and psychotherapeutic interventions with a high intensity and the presence of a general-purpose staff. Conclusions: This study outlined a model of residential rehabilitation of alcohol disorders characterized by short duration and a complex, intense therapeutic intervention mainly addressed to patients with a severe clinical condition and a low level of social problems. Further research should be useful to understand better which sort of patient characteristics obtain a better clinical result and for that even economically a major effectiveness from this type of residential treatment. HubMed – addiction


Comparison of improvement process of addict and general coma patients hospitalized in Taleghani hospital.

J Inj Violence Res. 2012 Nov; 4(3 Suppl 1):
Akbari M, Soleimani P, Kohi F, Kahrizi S

Substance and other relative compounds prevents of physiological Adernocorticotropin secretion from pituitary gland and lead to mental exciting and arousal. Present study investigated impact of addiction on improvement process of coma in addiction and general patients.170 coma patients hospitalized in Taleghani hospital in 1390 were investigated, that 10 persons of them were addict, therefore 10 addict patients and 10 general patients with GCS 5/6 were selected as control group with access able sampling way. Ti data collection used of patient folders. To data analysis used of T test with spss19.finding showed that addict patients improvement process is faster than general patients. Cortizol level in addiction patients is lower than general patients and this lead to mental and physiological arousal in addicts. Therefore to control of problems resulting of substance using incision, kind and dose of drug and substance and harmonic conditions is change. And this mater leads to faster improvement in addictions.addict patients are dangerous patients. And have to special notes to coma problems and recovery because adrenal gland weakness and default.Addiction, Coma, ICU, GCS 5/6. HubMed – addiction


One-year follow-up after the first prescription of strong analgesics outside hospital.

Int J Risk Saf Med. 1994; 4(3): 209-13
Sørensen HT, Ejlersen E, Møller-Petersen J, Højgaard Rasmussen H, Hamburger H, Olesen F

To evaluate the risk of addiction after prescription of a strong analgesic, we followed 90 patients during the year after they had received a prescription for a strong analgesic for the first time in September 1989 in North Jutland County, Denmark. The study was based on copies of all prescriptions of strong analgesics; these are sent to the National Health Service, which is responsible for the control of the prescribing of strong analgesics. Seven patients were excluded because the data registration was incomplete, while there was valid data on the remaining 83 patients, 12 of whom had cancer. All the cancer patients and 14 other patients died during the follow-up period. Of the remaining 57 patients, seven were still being treated (12.3%; 95 confidence limits: 5.1-23.7%) with strong analgesics. Addiction was not suspected by their general practitioners in any of these seven as the main reason for continued treatment with strong analgesics. We therefore conclude that addiction is rare after a first prescription of strong analgesics. HubMed – addiction