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Alcohol withdrawal syndrome in orthopaedic practise – how to avoid disasters ?

Authors:Sankara Rao Pinnamaneni, Vamsi Kondreddi, Ranjith Kumar Y
Int J Biol Med Res. 2016; 7(1):   |  PDF File


Alcohol withdrawal syndrome confers a high risk of morbidity in orthopaedic practise. Hence early detection and screening of alcohol withdrawal syndrome in admitted orthopaedic patients prevents the associated complications and decreases the length of hospital stay and is cost effective as well as. The aim of this study is to evaluate the role of a screening protocol model - employing biochemical markers – MCV and γGT in conjunction with screening procedures of alcohol withdrawal syndrome (CAGE). Patients admitted in orthopaedic ward at our institution for surgical intervention from 2011-2015 are included in the study. All the patients with history of chronic alcohol intake of >60 mg/day10 (n=200) or patients admitted to emergency after trauma under alcohol influence(n=96) were included in the study (n=296). Patients were subjected to a Protocol model of screening of Alchol withdrawal syndrome, where in they were evaluated with CAGE questionnaire and biochemical markers of MCV and γGT and results were analysed. Effective screening which is rapid and cost effective would help in identifying alcohol abuse patients and there by AWS onset. CAGE questionnaire along with biochemical markers (MCV, GGT) together is an effective screening tool to prevent complications worsening fracture treatment.