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Published on: June 23, 2023
Managing Alcohol Withdrawal Syndrome in Hospital Settings and Its Association With Length of Stay
Jennifer Manning1, Megan Kruse, Susan Lee
1Author Affiliations: Associate Dean for Nursing Research, Scholarship and Science (Dr Ramos), Associate Dean for Undergraduate Programs (Dr Manning), Instructor (Dr Lee) Louisiana State University Health Sciences Center - New Orleans School of Nursing; and Critical Care Coordinator, East Jefferson General Hospital - LCMC Health (Ms Kruse), Metairie, Louisiana.
Purpose/Aims:
This study aimed to evaluate the impact of alcohol withdrawal protocol (AWP) on critical care length of stay (LOS) and total hospital LOS in patients diagnosed with alcohol withdrawal syndrome.
Design:
A retrospective cohort design was utilized to compare outcomes for patients with alcohol withdrawal syndrome before and after the implementation of a standardized AWP.
Methods:
Electronic health record data were collected on 89 patients with a primary or secondary diagnosis of alcohol withdrawal syndrome. Patients were categorized into AWP (n = 69) and non-AWP (n = 20) groups. Independent samples t tests were used to compare the mean critical care LOS and total LOS between the 2 groups.
Results:
Descriptive statistics showed a numerically shorter average critical care LOS (2.38 vs 5.14 days) and total LOS (6.49 vs 7.20 days) in the AWP group compared to the non-AWP group. However, 2-tailed independent samples t-test results for both critical care LOS and total LOS were not statistically significant.
Conclusions:
Alcohol withdrawal protocol implementation resulted in a potential trend towards shorter hospital stays. Further research with larger sample sizes and a prospective design is needed to determine the impact of AWPs on patient outcomes.
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