Evidence map›Paper›PMID 37038767›Full record

ArticleBJPsych open2023

Management of medically assisted withdrawal from alcohol in acute adult mental health and specialist addictions in-patient services: UK clinical audit findings.

Julia Sinclair, Thomas R E Barnes, Anne Lingford-Hughes, Colin Drummond, Ignatius Loubser, Olivia Rendora, Carol Paton

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BJPsych open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 37% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Julia SinclairClinical and Experimental Sciences, Faculty of Medicine, University of Southampton, UK.ORCID https://orcid.org/0000-0002-1905-2025
Thomas R E BarnesDivision of Psychiatry, Imperial College London, London, UK; and Prescribing Observatory for Mental Health, Centre for Quality Improvement, Royal College of Psychiatrists, London, UK.ORCID https://orcid.org/0000-0002-2324-656X
Anne Lingford-HughesDivision of Psychiatry, Imperial College London, London, UK.
Colin DrummondNational Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Ignatius LoubserAcute and Crisis Directorate, Oxleas NHS Foundation Trust, Dartford, UK.ORCID https://orcid.org/0000-0001-8112-8724
Olivia RendoraPrescribing Observatory for Mental Health, Centre for Quality Improvement, Royal College of Psychiatrists, London, UK.ORCID https://orcid.org/0000-0002-7843-3426
Carol PatonDivision of Psychiatry, Imperial College London, London, UK; and Prescribing Observatory for Mental Health, Centre for Quality Improvement, Royal College of Psychiatrists, London, UK.ORCID https://orcid.org/0000-0001-7756-1031
Imperial College London · GBKing's College London · GBOxleas NHS Foundation Trust · GBRoyal College of Psychiatrists · GBUniversity of Southampton · GB

Funding

Medical Research Council G0701818
6 · The paper itself

Abstract

backgroundMedically assisted alcohol withdrawal (MAAW) is increasingly undertaken on acute adult psychiatric wards.

aimsComparison of the quality of MAAW between acute adult wards and specialist addictions units in mental health services.

methodClinical audit conducted by the Prescribing Observatory for Mental Health (POMH). Information on MAAW was collected from clinical records using a bespoke data collection tool.

resultsForty-five National Health Service (NHS) mental health trusts/healthcare organisations submitted data relating to the treatment of 908 patients undergoing MAAW on an acute adult ward or psychiatric intensive care unit (PICU) and 347 admitted to a specialist NHS addictions unit. MAAW had been overseen by an addiction specialist in 33 (4%) of the patients on an acute adult ward/PICU. A comprehensive alcohol history, measurement of breath alcohol, full screening for Wernicke's encephalopathy, use of parenteral thiamine, prescription of medications for relapse prevention (such as acamprosate) and referral for specialist continuing care of alcohol-related problems following discharge were all more commonly documented when care was provided on a specialist unit or when there was specialist addictions management on an acute ward.

conclusionsThe findings suggest that the quality of care provided for medically assisted withdrawal from alcohol, including the use of evidence-based interventions, is better when clinicians with specialist addictions training are involved. This has implications for future quality improvement in the provision of MAAW in acute adult mental health settings.

Indexed as

addictions psychiatryMedically assisted alcohol withdrawalquality improvementthiamineWernicke's encephalopathy

Identifiers

PMID37038767
PMCPMC10134291
OpenAlexW4364354515

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.