[Diagnostic and stating problems in delirium tremens cases].
OBJECTIVE
To get to know the kinds and prevelence of diagnostic problems related to delirium tremens cases as well as their stating ramifications related to correctness of medical treatment.


METHODS
Twelve forensic psychiatric opinions of delirium tremens cases made in Adult Psychiatry Department of Medical University in Lodz in years 2002-2007 were assessed as far as correctness of medical treatment is concerned.


CONCLUSIONS
In analyzed material of 12 delirium tremens patients no mistreatment cases were found. The most frequent reason of hospitalization was head trauma--7 cases (58%), among them 4 cases (33%) were the consequence of epileptic seizure. None of the patients was referred to psychiatric department and in most cases they were hospitalized in surgical wards--7 patients (58%) or neurological wards--4 patients (33%). During hospitalization in majority of patients--10 cases (83%) delirium tremens was observed on second day. 50% of patients were transferred to psychiatric wards. 11 (92%) of analised patients died. In all of the cases chronic alcoholism with delirium tremens accompanying as the one however indirect cause of death was revealed. The direct cause of death in all the cases was acute circulatory or circulatory and respiratory failure.
Szubert
Sławomir
S
Klinika Psychiatrii Dorosłych Uniwersytetu Medycznego w lodzi. klpsych@o2.pl
Bobinska
Kinga
K
Florkowski
Antoni
A
Zboralski
Krzysztof
K
Kuśmierek
Maciej
M
Wierzbiński
Piotr
P
D000328:Adult; D000430:Alcohol Withdrawal Delirium / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D000437:Alcoholism / Q000150:complications; D002423:Cause of Death; D006259:Craniocerebral Trauma / Q000150:complications / Q000175:diagnosis; D004827:Epilepsy / Q000150:complications; D005555:Forensic Psychiatry / Q000706:statistics & numerical data; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D008875:Middle Aged; D011044:Poland