{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T10:50:20Z","timestamp":1771584620229,"version":"3.50.1"},"reference-count":21,"publisher":"IMR Press","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Hosp Med"],"published-print":{"date-parts":[[2019,9,2]]},"abstract":"<jats:p>Regular heavy consumption of alcohol is associated with a wide range of physical, psychological and social problems. All health-care clinicians should be able to screen for and detect problematic levels of alcohol consumption in their patients, and deliver an effective brief intervention. When patients with alcohol dependence are admitted to hospital there must be an assessment of whether medication is required to prevent withdrawal symptoms and potential delirium tremens and withdrawal seizures. Medically assisted alcohol withdrawal using a long-acting benzodiazepine such as chlordiazepoxide should be carefully monitored and titrated to effect, and the clinician should be aware of the risk of Wernicke\u2013Korsakoff syndrome and other complications. Abstinence from alcohol is usually only the first step in treatment, and effective linkage to community alcohol services is an important step.<\/jats:p>","DOI":"10.12968\/hmed.2019.80.9.500","type":"journal-article","created":{"date-parts":[[2019,9,9]],"date-time":"2019-09-09T13:26:12Z","timestamp":1568035572000},"page":"500-506","source":"Crossref","is-referenced-by-count":3,"title":["A view from the acute hospital: managing patients with alcohol problems"],"prefix":"10.31083","volume":"80","author":[{"given":"David","family":"Pang","sequence":"first","affiliation":[{"name":"Specialist Trainee (ST6) in Psychiatry Solihull Integrated Addiction Service, Birmingham and Solihull Mental Health NHS Foundation Trust, Birmingham"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pete","family":"Duffield","sequence":"additional","affiliation":[{"name":"Senior Nurse, Liaison Psychiatry Team, Birmingham and Solihull Mental Health NHS Foundation Trust, Birmingham"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ed","family":"Day","sequence":"additional","affiliation":[{"name":"Consultant Psychiatrist, Solihull Integrated Addiction Service, Institute for Mental Health, University of Birmingham B15 2TT"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"16242","reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"B2","unstructured":"Babor TF, Higgins-Biddle JC, Saunders JB, Monteiro MG. 2001. AUDIT: The Alcohol Use Disorder Identification Test. Guidelines for Use in Primary Health Care. Geneva: World Health Organization."},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1111\/adb.12414"},{"issue":"7","key":"B4","first-page":"CD004033","author":"Day E","year":"2013","journal-title":"Cochrane Database Syst Rev."},{"key":"B5","unstructured":"Department of Health. 2016. UK Chief Medical Officers' Alcohol Guidelines Review: Summary of the proposed new guidelines. London: Department of Health."},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.j2704"},{"key":"B7","volume-title":"Clinical Topics in Addiction","author":"Drummond C","year":"2007"},{"key":"B9","volume-title":"Handbook of Alcoholism Treatment Approaches: Effective Alternatives","author":"Heather N.","year":"1995"},{"key":"B10","unstructured":"Jackson R, Johnson M, Campbell F et al. 2010. Screening and Brief Intervention for Prevention and Early Identification of Alcohol Use Disorder in Adults and Young People. Sheffield: University of Sheffield, School of Health and Related Research (ScHARR) Public Health Collaborating Centre."},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.1177\/0269881112444324"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hcs020"},{"key":"B13","volume-title":"Issues in Alcohol Use and Misuse by Young Adults","author":"Miller WR","year":"1993"},{"key":"B14","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(14)00015-7"},{"key":"B15","unstructured":"National Clinical Guideline Centre. 2010. Alcohol Use Disorders: Diagnosis and Clinical Management of Alcohol-Related Physical Complications. London: National Clinical Guideline Centre."},{"key":"B16","unstructured":"National Institute for Health and Care Excellence. 2010a. Alcohol-use disorders: Diagnosis and clinical management of alcohol-related physical complications (CG100). [Update 2017] London: National Institute for Health and Care Excellence."},{"key":"B17","unstructured":"National Institute for Health and Care Excellence. 2010b. Alcohol-use disorders: Preventing harmful drinking. National Institute for Health and Care Excellence Public Health Guidance. National Institute for Health and Care Excellence."},{"key":"B18","unstructured":"National Institute for Health and Care Excellence. 2011. Alcohol-use disorders: Diagnosis, assessment and management of harmful drinking and alcohol dependence. London: National Institute for Health and Care Excellence."},{"key":"B19","unstructured":"Public Health England. 2013. Facilitating Access to Mutual Aid Three essential stages for helping clients access appropriate mutual aid support. London: Public Health England."},{"key":"B21","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/fdr033"},{"key":"B22","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.1989.tb00737.x"},{"key":"B23","unstructured":"World Health Organization. 1992. The ICD-10 Classification of Mental and Behavioural Disorders. Geneva, World Health Organization."}],"container-title":["British Journal of Hospital Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/pdf\/10.12968\/hmed.2019.80.9.500","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T10:03:47Z","timestamp":1770372227000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.imrpress.com\/journal\/BJHM\/80\/9\/10.12968\/hmed.2019.80.9.500"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,9,2]]},"references-count":21,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2019,9,2]]}},"alternative-id":["10.12968\/hmed.2019.80.9.500"],"URL":"https:\/\/doi.org\/10.12968\/hmed.2019.80.9.500","relation":{},"ISSN":["1750-8460","1759-7390"],"issn-type":[{"value":"1750-8460","type":"print"},{"value":"1759-7390","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,9,2]]}}}