SEVERITY AND TREATMENT OF ALCOHOL-WITHDRAWAL IN ELDERLY VERSUS YOUNGER PATIENTS

We conducted a retrospective chart review of older (n = 48; mean age = 69) and younger (n = 36; mean age = 30) patients who were admitted to residential/inpatient treatment for alcohol withdrawal and dependence . Although the two age groups did not differ in terms of recent drinki ng history, the elderly group had significantly more withdrawal sympto ms for a longer duration than the younger group. The elderly group als o had more symptoms of cognitive impairment, daytime sleepiness, weakn ess, and high blood pressure. Finally, no significant differences were found between age groups in either the dosage or number of days of de toxification medication, although a trend was found far more days of m edication in the elderly. We conclude that alcohol withdrawal may be m ore severe in elderly than in younger persons. Accordingly, treatment may take longer and should target the specific profile of symptoms tha t characterize alcohol withdrawal in the elderly.