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Domiciliary alcohol detoxification outcomes: a study from Goa, India
Saumitra Nemlekar1, Pooja Gaonkar2, Anil Rane3
1Consultant, Psychiatry Unit, BARC Hospital, Mumbai, India.
Journal of Addictive Diseases
|October 20, 2020
Summary
Community-based alcohol use disorder detoxification had unfavorable outcomes for 65% of clients. Higher alcohol consumption and medical comorbidities were linked to poor results, suggesting a need for improved home detoxification programs.
Area of Science:
- Addiction Medicine
- Public Health
- Psychiatry
Background:
- Alcohol use disorder (AUD) is a global public health concern.
- Detoxification is a critical initial step in AUD treatment.
- Limited data exists on community-based detoxification outcomes in non-western, resource-poor settings.
Purpose of the Study:
- To evaluate the outcomes of community-based domiciliary detoxification for alcohol use disorder in a naturalistic setting.
- To identify factors associated with favorable and unfavorable detoxification outcomes.
Main Methods:
- A retrospective case note review of 100 clients undergoing domiciliary detoxification.
- Analysis of client follow-up status (adherence to advice vs. loss to follow-up/admission).
- Comparison of demographic and clinical factors between favorable and unfavorable outcome groups.
Main Results:
- Only 35% of clients achieved a favorable outcome (follow-up as advised).
- 65% experienced unfavorable outcomes (lost to follow-up or required inpatient admission).
- Higher daily alcohol consumption (units/day) and presence of medical comorbidities were associated with unfavorable outcomes.
Conclusions:
- Community-based domiciliary detoxification for AUD has a high rate of unfavorable outcomes in this setting.
- Medical comorbidities and higher alcohol intake are significant risk factors for poor outcomes.
- Enhancing home detoxification programs through technology and supervised monitoring is recommended to improve treatment success in resource-limited environments.
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