{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T03:40:00Z","timestamp":1768794000339,"version":"3.49.0"},"reference-count":35,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2017,8,24]],"date-time":"2017-08-24T00:00:00Z","timestamp":1503532800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000738","name":"U.S. Department of Veterans Affairs","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000738","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["American J Addict"],"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:sec><jats:title>Background and Objectives<\/jats:title><jats:p>Alcohol withdrawal\u2014especially delirium tremens (DT)\u2014is a potentially life\u2010threatening condition. While short\u2010term treatment regimens and factors that predispose to more severe symptomatology have been extensively studied, little attention has been paid to the clinical epidemiology and long\u2010term care of the chronic medical, addictive, psychiatric, and psychosocial problems faced by these patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>National Veterans Health Administration data from fiscal year 2012 were examined to identify veterans diagnosed with DT; with withdrawal but not DT (WNDT); and with Alcohol Use Disorder (AUD) but neither DT nor WNDT. They were compared on sociodemographic characteristics, psychiatric and medical co\u2010morbidities, and health service and psychotropic medication use, first with bivariate analyses and then multiple logistic regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among the 345,297 veterans diagnosed with AUD, 2,341 (0.7%) were diagnosed with DT and 6,738 (2.0%) with WNDT. Veterans diagnosed with either WNDT or DT were more likely to have been homeless, had more comorbid medical and psychiatric disorders, were more likely to be diagnosed with drug use disorders, utilized more health services, received more psychotropic medications, and were more likely to receive naltrexone. They were more likely to receive specialized legal, housing, vocational, and psychosocial rehabilitation services, as well as intensive case management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Adults with WNDT and DT suffer from multiple chronic conditions and long\u2010term service models are needed to coordinate the work of multiple specialists and to assure continuity of care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Scientific Significance<\/jats:title><jats:p>This national study identifies sociodemographic characteristics, comorbidities, and service utilization patterns associated with WNDT and DT.(Am J Addict 2017;26:722\u2013730)<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajad.12603","type":"journal-article","created":{"date-parts":[[2017,8,24]],"date-time":"2017-08-24T12:41:33Z","timestamp":1503578493000},"page":"722-730","source":"Crossref","is-referenced-by-count":19,"title":["Delirium tremens and alcohol withdrawal nationally in the Veterans Health Administration"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3484-1011","authenticated-orcid":false,"given":"David Thomas","family":"Moore","sequence":"first","affiliation":[{"name":"Department of Psychiatry Yale University New Haven Connecticut 06511"},{"name":"VA Connecticut Healthcare System West Haven Connecticut 06516"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian Scott","family":"Fuehrlein","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Yale University New Haven Connecticut 06511"},{"name":"VA Connecticut Healthcare System West Haven Connecticut 06516"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert Alan","family":"Rosenheck","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Yale University New Haven Connecticut 06511"},{"name":"Veterans Affairs New England Mental Illness Research, Education, and Clinical Center West Haven Connecticut 06516"},{"name":"Yale University School of Public Health New Haven Connecticut 06510"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,8,24]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2015.0584"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1407298"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1521-0391.2010.00035.x"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/acer.12529"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1530-0277.2011.01451.x"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhm.1953"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/acer.12124"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1530-0277.2012.01861.x"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1360-0443.1995.901013355.x"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02600188"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.alcohol.2014.01.004"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2013.02.016"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajad.12219"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-6773.2004.00244.x"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2004.08.003"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.conb.2013.05.005"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-4356(02)00585-1"},{"key":"e_1_2_7_19_1","first-page":"73","article-title":"Prevalence, trends, and incidence of alcohol withdrawal symptoms: Analysis of general population and clinical samples","volume":"22","author":"Caetano R","year":"1998","journal-title":"Alcohol Health Res World"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.5492\/wjccm.v5.i1.27"},{"key":"e_1_2_7_21_1","first-page":"881","article-title":"Alcohol involvement in opioid pain reliever and benzodiazepine drug abuse\u2010related emergency department visits and drug\u2010related deaths \u2212 United States, 2010","volume":"63","author":"Jones CM","year":"2014","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2012.5265"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.159.16.1946"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.286.14.1715"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201100365"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-013-2625-8"},{"key":"e_1_2_7_27_1","unstructured":"U.S. Department of Veterans Affairs. 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