title: Missed Opportunities for Health Promotion Intervention in the Management of Alcohol Withdrawal Syndrome.
abstract: OBJECTIVE
  We aimed to characterize utilization of evidence-based health promotion practices not included in Alcohol Withdrawal Syndrome (AWS) guidelines, such as vaccinations and counseling services, hypothesizing that missed opportunities for health promotion intervention would abound.
  
  
  METHODS
  Retrospective medical record review of 99 patients presenting to a safety-net academic medical center with AWS between August 1, 2012 and March 31, 2013.
  
  
  RESULTS
  Thiamine replacement (70%), tobacco cessation counseling (28%), influenza or pneumonia vaccination (25% and 28% respectively), psychiatric counseling (70%), referral to alcohol support group or treatment center(40%), and screening for viral hepatitis and HIV (39% and 44%, respectively) were documented by healthcare providers at lower than optimal frequency.
  
  
  CONCLUSIONS
  Provision of health promotion interventions was not consistent with evidence-based practices. Integration of these measures into AWS protocols and guidelines could help clinicians provide consistent, cost-effective, evidence- based care.
authors.affiliation: Xavier University of Louisiana.
authors.forename: Jessica
authors.initials: J
authors.lastname: Johnson
authors.affiliation: Xavier University of Louisiana College of Pharmacy.
authors.forename: David E
authors.initials: DE
authors.lastname: Wilson
authors.affiliation: Louisiana State University School of Medicine New Orleans.
authors.forename: Bennett P
authors.initials: BP
authors.lastname: deBoisblanc
mesh_terms: D000437:Alcoholism / Q000628:therapy*; D000431:Ethanol / Q000009:adverse effects*; D005260:Female; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D007252:Influenza Vaccines / Q000008:administration & dosage; D008297:Male; D008875:Middle Aged; D011014:Pneumonia / Q000517:prevention & control; D017410:Practice Guidelines as Topic; D012189:Retrospective Studies; D013375:Substance Withdrawal Syndrome / Q000175:diagnosis; D013831:Thiamine / Q000008:administration & dosage; D020340:Tobacco Use Cessation; D014803:Vitamin B Complex / Q000008:administration & dosage
chemical_list: D007252:Influenza Vaccines; D014803:Vitamin B Complex; D000431:Ethanol; D013831:Thiamine