Navigation Links
Patients With Alcohol Problem Need Mechanical Ventilation

New findings indicate that medical patients with an alcohol-use disorder (AUD) are more likely to require mechanical ventilation, and need it for a longer period of time. More than 300,000 patients receive mechanical ventilation during intensive care per year in the United States, even though the hospital mortality rate for ventilated patients can approach 50 percent.

Mechanical ventilation is associated with a high economic burden, costing a median 32,000 dollars to 56,000 dollars per patient, with younger patients having higher expenses compared to older patients, said Marjolein de Wit, assistant professor of medicine at Virginia Commonwealth University, and corresponding author for the study.

She added that the majority of medical patients with a critical illness have multiple comorbidities such as diabetes, renal failure, heart failure, cirrhosis of the liver, and chronic obstructive lung disease.

These comorbidities make it more difficult to recover from critical illness. Furthermore, said de Wit, certain critical illnesses such as acute respiratory distress syndrome carry a high mortality largely because of limited treatment availability.

In addition, noted de Wit, AUDs are very common in patients who require admission to the intensive-care unit. The rates of AUD are region dependent and thus vary from hospital to hospital, she said. At my institution, we estimate that more than 40 percent of our medical intensive-care unit patients have AUDs. Other researchers have reported a rate of more than 30 percent in their medical intensive-care unit.

De Wit and her colleagues examined data from the Nationwide Inpatient Sample, a large, all-payer inpatient database representing approximately 1,000 hospitals. For this particular study, researchers analyzed all adult patients with one of the six most common diagnoses associated with admission to the intensive-care unit pneumonia, sepsis (severe infections), gas trointestinal hemorrhage, asthma, COPD, and respiratory failure for the years 2002 to 2003.

Medical patients who have an AUD are more likely to develop a critical illness resulting in the need for lifesaving mechanical ventilation, said de Wit. More specifically, of the 785,602 patients who were diagnosed with one of the six medical diagnoses examined, 65,071 (8.3%) required mechanical ventilation.

Those with an AUD (26,577) appeared to have an increased risk of requiring mechanical ventilation, while those who developed alcohol withdrawal (3,967) appeared to need mechanical ventilation for a longer duration.

Whereas other studies have focused on single-disease entities such as pneumonia, sepsis, and acute respiratory distress syndrome, said de Wit, this study supports and extends previous findings to a heterogeneous group of medical illnesses. So, excessive alcohol consumption not only causes serious adverse events such as alcohol intoxication and accidents, but also increases the chances of developing life-threatening medical illnesses such as pneumonia, asthma, chronic obstructive lung disease, infections and respiratory failure.

De Wit recommended that clinicians screen all medical intensive-care patients for the presence of AUDs. Being mindful that patients with AUDs may develop complications such as alcohol withdrawal, ventilator-associated pneumonia, and possibly acute respiratory distress syndrome may help to identify when preventative measures are necessary.

Likewise, she added, patients should inform their healthcare providers about their alcohol consumption or if they have developed symptoms of alcohol withdrawal or delirium tremens. This can help healthcare providers tailor patient care more appropriately.


'"/>




Related medicine news :

1. One in Three Heart Attack Patients Have No Chest Pains
2. Amphetamines Help Recovery of Stroke Patients
3. Painkillers Do Not Shorten Dying Patients Lives
4. Patients With Filariasis More Prone To HIV Infection
5. Glivec - New Hope For CMC Patients
6. Patients often assume wrongly that they are allergic to penicillin
7. New FDA Approved Drug NATRECOR For Heart Failure Patients
8. Hemochromatosis Patients Blood is Safe
9. Patients Pressure Would Result In Overprescription
10. Risk Of Decongestants In Hypertensive Patients
11. Interference helps Heart Patients
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:2/20/2017)... , ... February 20, 2017 , ... ... welcomes you to stop by for a visit this week at HIMSS 2017 ... and executives from around the globe. Sensogram will be featured in the conference’s ...
(Date:2/20/2017)... ... February 20, 2017 , ... Chuck E. Cheese’s® and Center for Autism ... event at Chuck E. Cheese’s locations throughout New England, New York and New Jersey ... to experience the fun of visiting Chuck E. Cheese’s in a sensory-friendly environment. ...
(Date:2/19/2017)... ... ... a set of 30 glitch distortion logo reveals made exclusively for Final Cut Pro ... reveal in just a few clicks of a mouse. Customizable glitch style effects give Final ... presets to add a uniquely animated logo to any photos or videos. Its never been ...
(Date:2/18/2017)... ... 17, 2017 , ... Butler Mobility invited Ken Matthews to visit its manufacturing ... Ken was impressed with the safety and reliability of the Stannah Stairlift as ... show. This endorsement by Ken Matthews can be heard on News Radio WHP ...
(Date:2/17/2017)... ... February 17, 2017 , ... Smiles by Seese is a comprehensive ... Dr. Brian Seese leads the practice as a skilled and highly credentialed dentist who ... by Seese serves patients of all ages with excellence in general, restorative, and ...
Breaking Medicine News(10 mins):
(Date:2/20/2017)... 2017  Henry Schein, Inc. (Nasdaq: HSIC), the ... and services to office-based dental, animal health, ... has entered into an agreement to acquire ... U.S. distributor of anesthesia and surgical supplies ... SAS offers controlled and non-controlled pharmaceuticals, as ...
(Date:2/20/2017)... NEW YORK , Feb. 20, 2017  This report analyzes ... US$ Million. The report provides separate comprehensive analytics for the ... , Europe , Asia-Pacific ... World. Read the full report: http://www.reportlinker.com/p04707127-summary/view-report.html ... the period 2015 through 2022. Also, a six-year historic analysis ...
(Date:2/20/2017)... , Feb. 20, 2017 Research and ... Tourism Market: Insights, Opportunity, Analysis, Market Shares & Forecast 2017 - ... ... to reach nearly USD 2 Billion by the year end of ... 2022. Market growth can be attributed to factors ...
Breaking Medicine Technology: