MORTALITY OF TREATED ALCOHOLICS AFTER 8 YEARS IN RELATION TO SHORT-TERM OUTCOME

Citation
A. Gerdner et M. Berglund, MORTALITY OF TREATED ALCOHOLICS AFTER 8 YEARS IN RELATION TO SHORT-TERM OUTCOME, Alcohol and alcoholism, 32(5), 1997, pp. 573-579
Citations number
46
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Substance Abuse
Journal title
ISSN journal
0735-0414
Volume
32
Issue
5
Year of publication
1997
Pages
573 - 579
Database
ISI
SICI code
0735-0414(1997)32:5<573:MOTAA8>2.0.ZU;2-L
Abstract
This study concerns the relation between mortality and the short-term outcome of inpatient treatment for alcoholism. A total of 121 patients (87 men, 34 women) were included, of whom 89 were voluntary and 32 co mpulsorily committed. They had a mean age of 41 +/- 7 (SD) years and a ttended a 5-week programme at Runnag (a) over circle rden, Orebro, Swe den. Most patients were socially unstable and severely alcohol-depende nt. Ten months (mean) after discharge, 96% of the patients and their r eferring social workers were contacted with mail questionnaires. Of th ese patients, 13% had been totally abstinent and a further 42% improve d but had had relapses. After a mean of 8.5 +/- 0.27 years, 27 patient s (24%) had died. All abstainers survived, but non-abstainers had nine -fold higher mortality than expected. Non-abstinent improved women ten ded to survive longer than non-improved women, but among non-abstinent improved men no such tendency was found. In conclusion, a reduction i n the frequency and quantity of abusive drinking was not enough to red uce the higher risk of death. Only abstinence seemed to be preventive.