Malnutrition and Alcohol Withdrawal Syndrome in Alcohol Dependent Patients in Suanprung Psychiatric Hospital
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Abstract
Abstract
Objective: To determine the prevalence of malnutrition in alcohol-dependent inpatients of Suanprung psychiatric hospital and determine the correlation of malnutrition and alcohol withdrawal symptoms.
Materials and methods: The sample comprised 250 alcohol dependent patients who received services at the inpatient department of Suanprung psychiatric hospital, Chiang Mai Province from January to March 2019. The nutritional state was assessed with interviewing, physical examination, laboratory investigation and Nutritional Triage 2013 score. The severity of alcohol withdrawal was assessed with Clinical Institute Withdrawal Assessment for Alcohol (CIWA - Ar). Data were analyzed using Descriptive statistics. Chi-square and spearman’s correlation was used to determine the correlation of malnutrition and alcohol withdrawal symptoms and Mann-Whitney U test to determine the correlation of malnutrition and duration of alcohol withdrawal symptoms.
Results: 250 patients were recruited for this study. The prevalence of malnutrition was 38% (mild, moderate and severe degree were 19.6%, 14.8% and 3.6%, respectively). A significant correlation was found between malnutrition and severity of alcohol withdrawal symptoms and between malnutrition and duration of alcohol withdrawal symptoms.
Conclusion: The prevalence of malnutrition in alcohol dependent inpatients in Suanprung Psychiatric Hospital was 38%. It was revealed to be significantly correlated with the severity of alcohol withdrawal symptoms and duration of alcohol withdrawal symptoms.
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บทความหลังผ่านการปรับแก้จากกองบรรณาธิการแล้ว เป็นลิขสิทธ์ของวารสารจิตเวชวิทยาสาร โรงพยาบาลสวนปรุง กรมสุขภาพจิต กระทรวงสาธารณสุข ห้ามเผยแพร่เพื่อประโยชน์ทางการค้าโดยไม่ได้รับอนุญาต แต่อนุญาตให้เผยแพร่บทความดังกล่าวเพื่อประโยชน์ทางการศึกษาแก่ประชาชนทั่วไป ทั้งนี้กองบรรณาธิการไม่จำเป็นต้องเห็นด้วยกับบทความหรือข้อคิดเห็นใดๆ ที่ปรากฏในวารสารสวนปรุง
References
World Health Organization. Fact sheet: malnutrition [Internet]. 2019 [cited 2019 May 2]. Available from: http://www.who.int/mediacentre/factsheets/malnutrition/en/
Barker LA, Gout BS, Crowe TC. Hospital malnutrition: prevalence, identification and impact on patients and the healthcare system. Int J Environ Res Public Health 2011;8:514-27. PMID: 21556200.
Elia M, Stratton R, Russell C, Green C, Pan F. The cost of disease-related malnutrition in the UK and economic considerations for the use of oral nutritional supplements (ONS) in adults [Internet]. 2005 [cited 2019 May 2]. Available from: https://www.bapen.org.uk/pdfs/
health_econ_exec_sum.pdf
Stratton RJ, King CL, Stroud MA, Jackson AA, Elia M. Malnutrition Universal Screening Tool predicts mortality and length of hospital stay in acutely ill elderly. Br J Nutr 2006:95:325-30. PMID:16469149.
Stratton RJ, Green CJ, Elia M. Disease-related malnutrition: an evidence-based approach to treatment. Wallingford: CABI Pub; 2003.
Mukherjee S. Alcoholism and its effects on the central nervous system. Curr Neurovasc Res 2013;10:256-6. PMID: 23713737.
Hermens DF, Lagopoulos J, Tobias-Webb J, De Regt T, Dore G, Juckes L, et al. Pathways to alcohol-induced brain impairment in young people: a review. Cortex 2013;49:3-17. PMID: 22789780.
Nichols M, Scarborough P, Allender S, Rayner M. What is the optimal level of population alcohol consumption for chronic disease prevention in England? Modelling the impact of changes in average consumption levels. BMJ Open 2012;2:e000957. PMID: 22649178.
Saitz R, O’Malley SS. Pharmacotherapies for alcohol abuse. Withdrawal and treatment. Med Clin North Am 1997;81:881-907. PMID: 9222259.
Jitapankul J, Kitiowanon S, Huntrakul V. Assessmet of malnutrition with nutrition triage in Bhumibol Adulyadej Hospital. Bangkok: Bhumibol Adulyadej Hospital; 2002.
Jarayapun R, Chupun K, Huntrakul V. Prevalence of malnutrition of surgery inpatient of Bhumibol Adulyadej Hospital. Bhumibol Adulyadej Hospital; 2006.
Sullivan JT, Sykora K, Schneiderman J, Naranjo CA, Sellers EM. Assessment of alcohol withdrawal: the revised Clinical Institute Withdrawal Assessment for Alcohol Scale (CIWA-Ar). Br J Addict 1989;84:1353-7. PMID: 2597811.
Silapawisawanont N, Silpakit P, Thiam-kaew K. Electrolyte abnormalities in alcohol dependence patients. Bullatin of Suanprung 2016;32:16-27. (in Thai)
Stickel F, Hoehn B, Schuppan D, Seitz HK. Nutritional therapy in alcoholic liver disease. Aliment Pharmacol Ther 2003;18:357-73. PMID: 12940921.
Chittawatanarat K, Chaiwat O, Morakul S, Kongsayreepong S. Outcomes of nutrition status assessment by Bhumibol Nutrition Triage/Nutrition Triage (BNT/NT) in multicenter THAI-SICU study. J Med Assoc Thai 2016;99:S184-92.