[Preliminary study on detox in outpatient care units with 18 alcoholic patients in Directly Observed Treatment]. / Estudio preliminar sobre la desintoxicacion ambulatoria de 18 pacientes alcoholicos con Tratamiento de Observacion Directa.

Directly Observed Treatment (TOD-DOT) has been tested in different conditions. The objective of this work is to check whether a UCA-CAB (Centre for Addictive Behaviour) can achieve detox and reduce the risk of early relapse (up to 12 weeks) in alcoholic patients. All patients had an established organic addiction and serious withdrawal syndrome, and had undergone multiple previous treatments. Furthermore, they had not managed to abstain for a 3-month consecutive period over the previous 2 years. The aim of the Directly Observed Treatment was to attain detox and reduce relapse by following a multi-method approach: medical, psychological and personal care, based on a brief daily consultation and pharmacological supervision. The results were as follows: Of the 18 patients included in the study, after 12 weeks, 13 (72 %) were still abstinent and 4 (22 %) had relapsed. Thus, 17 (94 %) were still following the treatment, with just one drop-out. We analysed the profiles of the patients abstaining, of those who relapsed (4) and of the one who dropped out. The average CIWA-Ar was 27.05 (21-36). Any value over 20 is considered to indicate serious withdrawal syndrome, though there were no negative events leading to hospitalization. Level of adherence to the treatment (94 %) meant that the most seriously affected patients and those with fewest financial resources could benefit, not only from any auxiliary social schemes, but also from basic health services, permitting them to improve the quality of their everyday life.

Estudio preliminar sobre la desintoxicación ambulatoria de 18 pacientes alcohólicos con Tratamiento de Observación Directa / Preliminary study on detox in outpatient care units with 18 alcoholic patients in Directly Observed Treatment

Los Tratamientos de Observación Directa (TOD) han sido probados en diferentes patologías. No tenemos constancia de que en la desintoxicación ambulatoria de alcohol se hayan utilizado. El objetivo de este trabajo es comprobar si una Unidad de Conductas Adictivas (UCA) puede, ambulatoriamente, desintoxicar y disminuir el riesgo de recaída precoz (doce semanas) en pacientes alcohólicos, con una dependencia orgánica establecida, con un síndrome de abstinencia grave, con múltiples tratamientos previos y que no habían conseguido mantener la abstinencia durante un periodo continuado de tres meses enlos últimos dos años, y hacerlo mediante un modelo de abordaje multimodal médico-psicológico y de enfermería basado en una visita diaria breve y supervisión farmacológica. Los resultados obtenidos fueron los siguientes: de los dieciocho pacientes incluidos en este estudio, a las doce semanas, trece (72 %) permanecían abstinentes, cuatro (22 %) recayeron, uno abandonó y diecisiete (94 %) se mantenían adheridos a tratamiento. Se analizan las características de los pacientes abstinentes, de los que recayeron (4) y del abandono (1). ElCIWA-Ar medio se situó en 27.05 (21-36), por encima de 20 se considera síndrome de abstinencia grave, a pesar de lo cual no se produjo ningún acontecimiento adverso que requiriera ingreso hospitalario. La adherencia conseguida (94 %) favoreció que, los pacientes más deteriorados y con menores recursos, pudieren beneficiarse no solo de algunos programas sociales sino también de los servicios básicos de salud con la consiguiente mejoría en su calidad de vida

Directly Observed Treatment (TOD-DOT) has been tested in different conditions. The objective of this work is to check whether a UCA-CAB (Centre for Addictive Behaviour) can achieve detox and reduce the risk of early relapse (up to 12weeks) in alcoholic patients. All patients had an established organic addiction and serious with drawal syndrome, and had undergone multiple previous treatments. Furthermore, they had not managed to abstain for a 3-month consecutive period over the previous 2 years. The aim of the Directly Observed Treatment was to attain detox and reduce relapse by following a multi-method approach: medical, psychological and personal care, based on a brief daily consultation and pharmacological supervision.The results were as follows: Of the 18 patients included in the study, after 12 weeks, 13 (72 %) were still abstinent and 4(22 %) had relapsed. Thus, 17 (94 %) were still following thetreatment, with just one drop-out. We analysed the profiles of the patients abstaining, of those who relapsed (4) and of theone who dropped out. The average CIWA-Ar was 27.05 (21-36). Any value over 20 is considered to indicate serious with drawal syndrome, though there were no negative events leading to hospitalization. Level of adherence to the treatment (94 %) meant that the most seriously affected patients and those with fewest financial resources could benefit, not only from any auxiliary social schemes, but also from basic health services, permitting them to improve the quality of their everyday life